The nurse is caring for a 6-year-old sickle-cell client in an acute care setting. A high priority for this client's plan of care is pain relief. The nurse understands that untreated acute pain can lead to which physiologic effects?
impaired mobility, anorexia, anxiety, sleep disturbances, and developmental regression
sleep disturbances, nocturnal enuresis, and impaired mobility
constipation, nausea, and vomiting
nausea,
vomiting, migraine headaches, and developmental regression
What are some negative effects that chronic pain can have on the pediatric population?
weight loss, increased blood pressure, and increased heart rate
increased blood pressure, increased heart rate, and sleep
disturbances
sleep disturbances, exhaustion, irritability, mood disturbances, and depression
increased appetite, sleep disturbances, and irritability
Which nursing action is most appropriate to gain information about how a school aged child is feeling?
Which nursing action is most appropriate to gain information about how a child is feeling? Provide the child with some paper to draw a picture of how she is feeling.
What is the best method for the nurse to reduce the pain of an im injection for a child?
To reduce pain at the time of injection, administer intramuscular vaccines to children using a rapid injection technique without aspiration (grade B recommendation, based on level I evidence).
Which advice would the nurse give to parents who need to explain the sudden death of an infant to a 4 year old sibling?
A pediatric nurse advises a parent how to best convey the circumstances surrounding the sudden death of an infant to a four-year-old sibling. The nurse anticipates that the sibling: may feel guilty about the infant's death. may mistrust the parent.
What precautions should be addressed when restraining a pediatric patient for needle insertion?
If a child must be immobilized for needle insertion, minimize the number of personnel involved and focus on immobilizing the child's joints to prevent movement that will interfere with successful needle placement. Children who weigh less than 10 kg are best swaddled.