A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
Relaxed facial expression
Increased blood pressure
Limb withdrawal
Bradycardia
The Correct Answer is A
Choice A Reason:
Relaxed facial expression is correct. Opioids, when effectively managing pain, can lead to a more relaxed facial expression in infants. It's a common indicator that the pain is being controlled and the infant is experiencing relief.
Choice B Reason:
Increased blood pressure is incorrect. Opioids usually cause a decrease in blood pressure rather than an increase. Elevated blood pressure wouldn't typically signify a therapeutic effect of opioids; it might indicate other factors such as stress, discomfort, or an adverse reaction.
Choice C Reason:
Limb withdrawal is incorrect. Limb withdrawal is a reflex action and might occur in response to a stimulus. It's not a direct indicator of pain relief; rather, it's a reflexive response to a sensation.
Choice D Reason:
Bradycardia is incorrect. Bradycardia, a slowed heart rate, can be a side effect of opioid medications. However, it's not an indicator of the therapeutic effect of pain relief. In fact, bradycardia might signal an adverse reaction or a dose that's too high for the infant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Relaxed facial expression is correct. Opioids, when effectively managing pain, can lead to a more relaxed facial expression in infants. It's a common indicator that the pain is being controlled and the infant is experiencing relief.
Choice B Reason:
Increased blood pressure is incorrect. Opioids usually cause a decrease in blood pressure rather than an increase. Elevated blood pressure wouldn't typically signify a therapeutic effect of opioids; it might indicate other factors such as stress, discomfort, or an adverse reaction.
Choice C Reason:
Limb withdrawal is incorrect. Limb withdrawal is a reflex action and might occur in response to a stimulus. It's not a direct indicator of pain relief; rather, it's a reflexive response to a sensation.
Choice D Reason:
Bradycardia is incorrect. Bradycardia, a slowed heart rate, can be a side effect of opioid medications. However, it's not an indicator of the therapeutic effect of pain relief. In fact, bradycardia might signal an adverse reaction or a dose that's too high for the infant.
Correct Answer is B
Explanation
Choice A Reason:
Soak hairbrushes in boiling water for 10 minutes is incorrect. While it's good practice for general hygiene, impetigo is primarily a skin infection and is not typically spread through hairbrushes.
Choice B Reason:
Apply bactericidal ointment to lesions is correct. Topical antibiotics, such as mupirocin, are often recommended as treatment for impetigo. Applying bactericidal ointment to the lesions helps in the healing process and prevents the spread of the infection.
Choice C Reason:
Seal soft toys in a plastic bag for 14 days is incorrect. While cleaning and disinfecting toys is a good practice, impetigo is mainly transmitted through direct skin-to-skin contact or contact with contaminated items, but it does not require sealing toys in plastic bags for a specific duration.
Choice D Reason:
Administer acyclovir PO two times per day is incorrect. Acyclovir is an antiviral medication used to treat viral infections like herpes simplex virus (HSV), not bacterial infections like impetigo. It wouldn't be effective for impetigo treatment.
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