A nurse is caring for a six-year-old child who had surgery that morning.
The child is awake and lying very still in bed.
What should the nurse do?
Use an “ouch” scale for pain assessment.
Encourage the child to request pain medication when needed.
Plan to administer pain medication if the child begins to cry.
Ask the child to rate their pain on a scale of 1 to 10.
The Correct Answer is A
Choice A rationale
Using an “ouch” scale, such as the Wong-Baker FACES Pain Rating Scale, is appropriate for young children. It allows them to express their pain intensity in a way that is understandable and relatable to their age group.
Choice B rationale
Encouraging a six-year-old to request pain medication may not be effective, as they might not understand when they need it or might be reluctant to ask.
Choice C rationale
Waiting to administer pain medication until the child begins to cry can delay pain relief, leading to unnecessary discomfort and anxiety.
Choice D rationale
Asking a young child to rate their pain on a scale of 1 to 10 might be confusing and less effective than using a more child-friendly method like the “ouch” scale.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Cough and sneeze reflexes indeed serve to clear the airway of irritants and secretions.
Choice B rationale
Stating false would be incorrect as these reflexes are protective mechanisms for the respiratory system. .
Correct Answer is D
Explanation
Choice A rationale
Antihistamines can enhance the sedative effects of cyclobenzaprine, increasing the risk of drowsiness and accidents. Patients should avoid combining these medications.
Choice B rationale
Antiemetics are not contraindicated with cyclobenzaprine, although they should be used cautiously due to potential interactions that can increase sedation.
Choice C rationale
Antibiotics do not generally interact significantly with cyclobenzaprine. There are no specific contraindications against their combined use.
Choice D rationale
Alcohol can significantly increase the sedative effects of cyclobenzaprine, leading to enhanced drowsiness, impaired motor functions, and an increased risk of accidents. Patients should avoid alcohol while taking this medication.
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