Question 1

The nurse has applied EMLA cream as ordered. How does the nurse assess that the cream has achieved its purpose?

Accepted Answer

A)   Assess the skin for redness.
B)   Note any blanching of skin.
C)   Lightly tap the area where the cream is.
D)   Gently poke the child with a needle.E) A) and C)
F) None of the above

Question 2

The nurse is researching behavioral-cognitive pain relief strategies to use on a 5-year- old child with unrelieved pain. Which of the following methods might the nurse choose? Select all answers that apply.

Accepted Answer

A)   Relaxation
B)   Distraction
C)   Biofeedback
D)   Thought stopping
E)   MassageF)  SuckingG) A) and F)
H) A) and E)

Question 3

The nurse is conducting a pain assessment of a 10-year-old boy who has been taking acetaminophen for chronic knee pain. The assessment indicates that the recommended dose is no longer providing adequate relief. What is the appropriate nursing action?

Accepted Answer

A)   Increase the dosage of the acetaminophen.
B)   Tell the child he is experiencing the ceiling effect.
C)   Use guided imagery to help his pain.
D)   Obtain an order for a different medication.E) C) and D)
F) None of the above

Question 4

The nurse is explaining the effects of heat application for pain relief. Which of the following would the nurse be likely to include as an effect?

Accepted Answer

A)   Increased blood flow to the area
B)   Increased pressure on nociceptive fibers
C)   Possible release of endogenous opioids
D)   Altered capillary permeabilityE) All of the above
F) A) and C)

Question 5

The nurse is counseling the parents of a 9-year-old boy who is receiving morphine for postoperative pain. Which of the following statements from the nurse accurately reflects the pain experience in children?

Accepted Answer

A)   "You can expect that your child will tell you when he is experiencing pain."
B)   "Your child will learn to adapt to the pain he is experiencing."
C)   "Your child will experience more adverse effects to narcotics than adults."
D)   "It is very rare that children become addicted to narcotics."E) A) and C)
F) B) and D)

Question 6

The nurse is assessing the pain of a postoperative newborn. The nurse measures the infant's facial expression, body movement, sleep, verbal or vocal ability, consolability, and response to movements and touch. Which behavioral assessment tool is being used by the nurse?

Accepted Answer

A)   Riley Infant Pain Scale
B)   Pain Observation Scale for Young Children
C)   CRIES Scale for Neonatal Postoperative Pain Assessment
D)   FLACC Behavioral Scale for Postoperative Pain in Young ChildrenE) A) and B)
F) C) and D)

Question 7

The nurse is conducting an assessment of a high school track athlete. He tells the nurse he is experiencing pain along his outer thigh. He describes it as tight, achy, and tender, particularly after he runs. The nurse understands that he is most likely experiencing what kind of pain?

Accepted Answer

A)   Cutaneous
B)   Neuropathic
C)   Visceral
D)   Deep somaticE) B) and C)
F) All of the above

Question 8

For which of the following children would nonopioid analgesics be recommended?

Accepted Answer

A)   A child with juvenile arthritis
B)   A child with end-stage cancer
C)   A child with a broken arm
D)   A child with severe postoperative painE) B) and C)
F) A) and B)

Question 9

Pentazocine is prescribed for a child with moderate pain. The nurse identifies this drug as an example of which type?

Accepted Answer

A)   Nonsteroidal anti-inflammatory drug (NSAID
B)   Prostaglandin inhibitor
C)   Opioid
D)   Mixed opioid agonist-antagonistE) A) and D)
F) All of the above

Exam 36: Pain Management in Children

For which of the following children would nonopioid analgesics be recommended?

Correct Answer
verified

The nurse is assessing the pain of a postoperative newborn. The nurse measures the infant's facial expression, body movement, sleep, verbal or vocal ability, consolability, and response to movements and touch. Which behavioral assessment tool is being used by the nurse?

Correct Answer
verified

The nurse is conducting an assessment of a high school track athlete. He tells the nurse he is experiencing pain along his outer thigh. He describes it as tight, achy, and tender, particularly after he runs. The nurse understands that he is most likely experiencing what kind of pain?

Correct Answer
verified

The nurse is explaining the effects of heat application for pain relief. Which of the following would the nurse be likely to include as an effect?

Correct Answer
verified

The nurse is conducting a pain assessment of a 10-year-old boy who has been taking acetaminophen for chronic knee pain. The assessment indicates that the recommended dose is no longer providing adequate relief. What is the appropriate nursing action?

Correct Answer
verified

The nurse is counseling the parents of a 9-year-old boy who is receiving morphine for postoperative pain. Which of the following statements from the nurse accurately reflects the pain experience in children?

Correct Answer
verified

Pentazocine is prescribed for a child with moderate pain. The nurse identifies this drug as an example of which type?

Correct Answer
verified

The nurse is researching behavioral-cognitive pain relief strategies to use on a 5-year- old child with unrelieved pain. Which of the following methods might the nurse choose? Select all answers that apply.

Correct Answer
verified

The nurse has applied EMLA cream as ordered. How does the nurse assess that the cream has achieved its purpose?

Correct Answer
verified

Exam 36: Pain Management in Children

For which of the following children would nonopioid analgesics be recommended?

Correct AnswerverifiedShow Answer

The nurse is assessing the pain of a postoperative newborn. The nurse measures the infant's facial expression, body movement, sleep, verbal or vocal ability, consolability, and response to movements and touch. Which behavioral assessment tool is being used by the nurse?

Correct AnswerverifiedShow Answer

The nurse is conducting an assessment of a high school track athlete. He tells the nurse he is experiencing pain along his outer thigh. He describes it as tight, achy, and tender, particularly after he runs. The nurse understands that he is most likely experiencing what kind of pain?

Correct AnswerverifiedShow Answer

The nurse is explaining the effects of heat application for pain relief. Which of the following would the nurse be likely to include as an effect?

Correct AnswerverifiedShow Answer

The nurse is conducting a pain assessment of a 10-year-old boy who has been taking acetaminophen for chronic knee pain. The assessment indicates that the recommended dose is no longer providing adequate relief. What is the appropriate nursing action?

Correct AnswerverifiedShow Answer

The nurse is counseling the parents of a 9-year-old boy who is receiving morphine for postoperative pain. Which of the following statements from the nurse accurately reflects the pain experience in children?

Correct AnswerverifiedShow Answer

Pentazocine is prescribed for a child with moderate pain. The nurse identifies this drug as an example of which type?

Correct AnswerverifiedShow Answer

The nurse is researching behavioral-cognitive pain relief strategies to use on a 5-year- old child with unrelieved pain. Which of the following methods might the nurse choose? Select all answers that apply.

Correct AnswerverifiedShow Answer

The nurse has applied EMLA cream as ordered. How does the nurse assess that the cream has achieved its purpose?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified