A mother brings her male pre-schooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?

Request extra staff to help with the nursing assessments.

Complete the assessment while allowing the child to cry.

Talk to the mother and gradually focus on the child's toy.

Explain to the child the reasons an examination is needed.

Answer and Explanation

The Correct Answer is C

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Correct Answer is A

Explanation

Convert the child’s weight from pounds to kilograms:
- 44 pounds =
  2.244
  kg = 20 kg (rounded to the nearest tenth).
Determine the maximum daily dose based on weight:
- Maximum daily dose = 40 mg/kg/day
- Maximum daily dose for this child = 40 mg/kg × 20 kg = 800 mg/day.

Therefore, the maximum daily dose of pediatric ibuprofen for this child is 800 mg.

A. Introduce non-pharmacologic strategies for pain reduction. B. Allow adequate privacy and time for the client's phone call. C. Document the concern of incongruent pain rating and behaviour. D. Administer pain medication per the healthcare provider's orders.

Correct Answer is C

Explanation

A.While non-pharmacologic strategies are important for pain management, they are typically introduced after initial assessment and understanding of the client's pain experience. In this case, the priority is to clarify the apparent discrepancy between the reported pain level and observed behavior.

B.Respecting the client's privacy and providing time for personal activities like phone calls is important but does not directly address the concern of incongruent pain assessment and behavior.

C.Incongruence between reported pain intensity (10/10) and observed behavior (laughing on the phone) suggests a potential discrepancy that needs to be documented and further investigated. This documentation is crucial for accurate assessment and communication among the healthcare team.

D.Administering pain medication immediately without further assessment may not be appropriate if there is uncertainty about the accuracy of the pain report. It's important to first clarify and validate the client's pain experience before proceeding with medication administration.

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A mother brings her male pre-schooler to the clinic because he has had diarrhea, vomiting, and high fevers for the past three days. The child begins to cry and cling to his mother when the nurse enters the examination room. Which action should the nurse implement to get the child to cooperate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

An adolescent hospitalized with sickle cell anaemia reports to the nurse of experiencing a pain level of 10 on a 0 to 10 numerical scale. The nurse observes the adolescent on a phone call laughing. Which action should the nurse take?

Correct Answer is C

Explanation

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