Nokea
What is an important consideration when using the FACES pain rating scale with children?
- A. Children color the face with the color they choose to best describe their pain.
- B. The scale can be used with most children as young as 3 years.
- C. The scale is not appropriate for use with adolescents.
- D. The FACES scale is useful in pain assessment but is not as accurate as physiologic responses.
Correct Answer: B
Rationale: The FACES scale is validated for use with children ages 3 years and older. Children point to the face that best describes their level of pain. The scale can be used through adulthood. The childs estimate of the pain should be used. The physiologic measures may not reflect more long-term pain.
You may also like to solve these questions
The nurse is teaching the parents of a child with recurrent headaches methods to modify behavior patterns that increase the risk of headache. Which statement by the parents indicates understanding the teaching?
- A. We will allow the child to miss school if a headache occurs.
- B. We will respond matter-of-factly to requests for special attention.
- C. We will be sure to give much attention to our child when a headache occurs.
- D. We will be sure our child doesnt have to perform at a band concert if a headache occurs.
Correct Answer: B
Rationale: To modify behavior patterns that increase the risk of headache or reinforce headache activity, the nurse instructs the parents to avoid giving excessive attention to their childs headache and to respond matter-of-factly to pain behavior and requests for special attention. Parents learn to assess whether the child is avoiding school or social performance demands because of headache.
The nurse is planning pain control for a child. Which is the advantage of administering pain medication by the intravenous (IV) bolus route?
- A. Less expensive than oral medications
- B. Produces a first-pass effect through the liver
- C. Does not need to be administered frequently
- D. Provides most rapid onset of effect, usually in about 5 minutes
Correct Answer: D
Rationale: The advantage of pain medication by the IV bolus route is that it provides the most rapid onset of effect, usually in about 5 minutes. IV medications are more expensive than oral medications, and the IV route bypasses the first-pass effect through the liver. Pain control with IV bolus medication needs to be repeated hourly for continuous pain control.
A cancer patient is experiencing neuropathic cancer pain. Which prescription should the nurse expect to be ordered to control anxiety?
- A. Lorazepam (Ativan)
- B. Gabapentin (Neurontin)
- C. Hydromorphone (Dilaudid)
- D. Morphine sulfate (MS Contin)
Correct Answer: B
Rationale: Anticonvulsants (gabapentin, carbamazepine) have demonstrated effectiveness in neuropathic cancer pain. Ativan is an antianxiety agent, and Dilaudid and MS Contin are opioid analgesics.
The nurse is caring for a child receiving a continuous intravenous (IV) low-dose infusion of morphine for severe postoperative pain. The nurse observes a slower respiratory rate, and the child cannot be aroused. The most appropriate management of this child is for the nurse to do which first?
- A. Administer naloxone (Narcan).
- B. Discontinue the IV infusion.
- C. Discontinue morphine until the child is fully awake.
- D. Stimulate the child by calling his or her name, shaking gently, and asking the child to breathe deeply.
Correct Answer: A
Rationale: The management of opioid-induced respiratory depression includes lowering the rate of infusion and stimulating the child. If the respiratory rate is depressed and the child cannot be aroused, then IV naloxone should be administered. The child will be in pain because of the reversal of the morphine. The morphine should be discontinued, but naloxone is indicated if the child is unresponsive.
Which nonpharmacologic intervention appears to be effective in decreasing neonatal procedural pain?
- A. Tactile stimulation
- B. Commercial warm packs
- C. Doing procedure during infant sleep
- D. Oral sucrose and nonnutritive sucking
Correct Answer: D
Rationale: Nonnutritive sucking attenuates behavioral, physiologic, and hormonal responses to pain. The addition of sucrose has been demonstrated to have calming and pain-relieving effects for neonates. Tactile stimulation has a variable effect on response to procedural pain. No evidence supports commercial warm packs as a pain control measure. With resulting increased blood flow to the area, pain may be greater. The infant should not be disturbed during the sleep cycle. It makes it more difficult for the infant to begin organization of sleep and awake cycles.