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 B
Explanation
Choice A Reason:
Providing video games prior to bedtime might actually stimulate the child and make it harder for them to relax and fall asleep.
Choice B Reason:
Follow the child's home sleep routine to reduce anxiety. Maintaining consistency with the child's home sleep routine can provide familiarity and comfort, potentially reducing anxiety and promoting better sleep. This familiarity can help the child feel more secure and relaxed, aiding in the transition to sleep in an unfamiliar environment.
Choice C Reason:
Leaving the lights on in the child's room can disrupt the child's ability to achieve restful sleep as the environment may not be conducive to falling and staying asleep.
Choice D Reason:
Allowing the child to adjust their bedtime might not be the best approach in a hospital setting, as maintaining some routine and structure could be more beneficial for their recovery and overall well-being during the hospital stay.
Correct Answer is D
Explanation
Choice A Reason:
Moving the baby's stuffed animal to the corner of the crib might not address the risk factors for SIDS, and loose bedding or soft objects in the sleep environment can increase the risk.
Choice B Reason:
Having the baby sleep next to the parent in bed might increase the risk of accidental suffocation or entrapment, which are factors associated with an increased risk of SIDS.
Choice C Reason:
Placing the baby on their side to sleep for naps is not recommended because the safest sleep position for infants is on their back. Side sleeping can also increase the risk of the baby rolling onto their stomach, which is a higher risk position for SIDS.
Choice D Reason:
"I will dress my baby in lightweight clothing to sleep." Is correct. Sudden Infant Death Syndrome (SIDS) risk reduction strategies include dressing infants in lightweight clothing to prevent overheating, which is considered a risk factor for SIDS. Ensuring the baby is not excessively bundled up or overheated during sleep can help reduce the risk.
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