The most helpful intervention by the nurse for a hospitalized child who is having difficulty falling asleep would be to:

Give juice and cookies before being put to bed.

Have the parents bring a favorite blanket or pillow from home.

Keep a night light on in the room.

Turn off all the lights in the room.

Answer and Explanation

The Correct Answer is C

Choice C rationale:
Keeping a night light on in the room is the most helpful intervention for a child having difficulty falling asleep. Night lights provide a comforting and soothing environment, reducing the fear of the dark and making the child feel secure. It also helps prevent complete darkness, which can be particularly helpful for children who may be afraid of the dark. This intervention promotes a positive sleep environment and can facilitate the child's ability to fall asleep.
Choice A rationale:
Giving juice and cookies before bedtime is not an appropriate intervention to help a child fall asleep. In fact, providing sugary snacks before bedtime can lead to increased activity and may make it even more challenging for the child to sleep.
Choice B rationale:
Having the parents bring a favorite blanket or pillow from home is a nice gesture and can provide comfort to the child, but it may not directly address the issue of falling asleep. While it can be part of creating a familiar and comforting sleep environment, it may not be sufficient on its own to help the child fall asleep.
Choice D rationale:
Turning off all the lights in the room may not be the best approach, as complete darkness can be frightening for some children. It's important to strike a balance between creating a soothing sleep environment and avoiding overwhelming darkness, which is why keeping a night light on is often a better option.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale:
Chronic pain is defined as pain that lasts for an extended period, typically more than 3-6 months, and is often associated with conditions like arthritis. Severe arthritis is a common cause of chronic pain, as it persists over a long duration.
Choice B rationale:
Episodic pain refers to pain that occurs intermittently, with pain-free intervals in between. This term is not appropriate for describing the continuous discomfort associated with severe arthritis.
Choice C rationale:
Phantom pain is the sensation of pain in a body part that has been amputated or lost, which is not relevant to a patient with severe arthritis.
Choice D rationale:
Acute pain is typically short-term and results from a specific injury or illness. It is not the appropriate term for describing the long-lasting pain associated with severe arthritis.

A. reduces the workload of the nurse, because it does not have to be checked often. B. completely eliminates any pain the patient is experiencing. C. eliminates the risk of adverse drug effects from the medication. D. reduces patient anxiety about pain by giving the patient more control in its management.

Correct Answer is D

Explanation

Choice A rationale:
Patient-controlled analgesia (PCA) is a method of pain management that allows the patient to administer their own pain medication within specified limits, but it doesn't reduce the workload of the nurse. The nurse is responsible for setting up and monitoring the PCA pump, educating the patient, assessing their pain, and ensuring safety. Therefore, this choice is incorrect.
Choice B rationale:
PCA does not completely eliminate pain. It provides the patient with control over their pain relief by allowing them to self-administer medication within preset limits. However, it does not guarantee the complete absence of pain. Pain relief is provided within a safe dosage range, but some level of pain may still be experienced. Therefore, this choice is incorrect.
Choice C rationale:
PCA does not eliminate the risk of adverse drug effects entirely. The nurse must monitor the patient for signs of adverse effects, such as respiratory depression or sedation. While the patient has control over medication administration, there are still risks associated with opioid analgesics. Therefore, this choice is incorrect.
Choice D rationale:
The principal advantage of using patient-controlled analgesia (PCA) is that it reduces patient anxiety about pain by giving the patient more control over its management. This choice is correct because PCA empowers the patient to self-administer pain medication when needed, which can lead to better pain control and reduced anxiety. The nurse sets safe dosage limits and monitors the patient, ensuring safety while providing a sense of control.

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The most helpful intervention by the nurse for a hospitalized child who is having difficulty falling asleep would be to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient experiencing discomfort because of severe arthritis would be described as having:

Correct Answer is A

Explanation

The nurse appreciates the principal advantage in using patient-controlled analgesia (PCA) is that it:.

Correct Answer is D

Explanation

The nurse assesses a patient's sleep for NREM (non-rapid eye movement) sleep because this sleep has the characteristics of:.

The nurse outlines the four phases of nociceptive pain as: (Select all that apply.).

A patient is beginning treatment for pain with a transcutaneous electrical nerve stimulator (TENS) unit.The nurse will initially:.

The nurse recommends that normal sleep and rest patterns can best be acquired by suggesting to the patient that they:.

A nurse is collecting data on a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

Kathy is working in a mother-baby unit. Which pain scale is used to determine if the baby is in pain?

The patient having difficulty sleeping lives right off the freeway in an apartment complex where many young people live.To try to alleviate the problem, the nurse counsels her to try:.

A patient experiencing pain states that guided imagery has made the pain more manageable in the past.To assist this patient, the nurse should:.