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A nurse is collecting data from an infant who has otitis media.
Which of the following findings should the nurse identify as manifestations of pain in an infant? (Select all that apply)

Pursed lips.

Pushes away stimuli.

Loud cry.

Rigid body.

Furrowed eyebrows.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale

Pursed lips are not typically a sign of pain in an infant.

Choice B rationale

Pushing away stimuli can be a sign that an infant is in pain.

Choice C rationale

A loud cry can be a sign of pain in an infant.

Choice D rationale

A rigid body can be a sign of pain in an infant.

Choice E rationale

Furrowed eyebrows can be a sign of pain in an infant.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale

Asking the guardians to leave during the procedure is not recommended. The presence of a familiar person can provide comfort and reduce anxiety for the toddler during a stressful procedure.

Choice B rationale

Performing the procedure with the child in his bed can provide a sense of security and familiarity, which can help reduce anxiety and fear.

Choice C rationale

Using the child’s favorite toy to explain or distract during the procedure can help the child understand what to expect and provide a sense of control.

Choice D rationale

Applying lidocaine and prilocaine (EMLA) Cream to 2-3 potential insertion sites can help numb the area and reduce pain during the procedure.

Choice E rationale

Allowing the child to make one choice regarding the procedure can provide a sense of control and cooperation.

A. Mix the medication with 10 mL of formula. B. Measure the elixir in a medicine cup before transferring to a syringe. C. Position the syringe to the side of the infant’s tongue. D. Place the infant supine in a crib prior to administration.

Correct Answer is C

Explanation

The correct answer is C. When administering an oral elixir to a 3-month-old infant using an oral medication syringe, the nurse should position the syringe to the side of the infant’s tongue. This prevents the medication from being administered too quickly and reduces the risk of choking.

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A nurse is collecting data from an infant who has otitis media.Which of the following findings should the nurse identify as manifestations of pain in an infant? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with preparing a toddler for an intravenous procedure. Which of the following actions should the nurse take? (Select all that apply)

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A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe. Which of the following actions should the nurse take?

Correct Answer is C

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A nurse is collecting data from an infant who has otitis media.
Which of the following findings should the nurse identify as manifestations of pain in an infant? (Select all that apply)