2. The child is having withdrawal symptoms. Show Withdrawal symptoms such as increased irritability, nausea, diarrhea, sweating, and fever are seen when an opioid is abruptly discontinued. This happens because the use of opioids causes physical dependence. These need to be gradually weaned to avoid withdrawal symptoms. The child is not addicted to opioids, but there is physical dependence on the drug. Painful episodes, indicated by chest pain,
enlarged spleen, and fever, are observed in children with sickle-cell disease. Increased irritability, nausea, diarrhea, sweating, and fever are not side effects of opioids but are withdrawal symptoms. Upgrade to remove ads Only ₩37,125/year
Terms in this set (52)A. FLACC When performing a pain assessment on a 2-month-old infant, which of the following pain scales is the most appropriate to use? distress behaviors Vocalization, facial expressions, and body movements that have been associated with pain nonpharmacological techniques distraction, relaxation, and guided imagery to help decrease pain perception kangaroo care skin-to-skin holding of an infant EMLA eutectic mixture of local anesthetics breakthrough pain pain not relieved with the usual scheduled dose of pain medication pediatric pain questionnaire (PPQ) a multidimensional pain instrument to assess patient and parental perceptions of the pain experience in a manner appropriate for the cognitive-developmental level of children and adolescents Wong-Baker Faces Pain Rating Scale pain assessment tool that uses six caricatures of a child's face representing no hurt to the biggest hurt child could ever have oucher pain assessment tool that consists of six photographs of Caucasian child's face representing no hurt to biggest hurt possible; also includes vertical scale with numbers from 0 to 100. FLACC Postoperative Pain Tool interval scale that includes five categories of behavior: facial expression (F), leg movement (L), activity (A), cry (C), and consolability (C); commonly used in children ages 2 months to 7 years. Numerical rating scale A Likert-style pain scale used in children 8 years and older that uses numbers 0 to 10 to denote intensity of pain chronic pain pain that persists for 3 months or more beyond the expected period to heal multimodal anesthesia the usual swaddling, non nutritive sucking, concentrated oral sucrose during a newborn stick B. underestimate the existence of pain in both children and adults in regard to pain assessment, nurses tend to:
D. drug of choice is morphine when using patient-controlled analgesia (PCA) with children, the: A. before invasive procedures The anesthesia cream EMLA is applied: B. around the clock for postoperative or cancer pain control, analgesics should be administered: D. constipation the most common side effect from opioid therapy
is: True True or False. Children may not realize how much they are hurting when they are in constant pain True True or False. Narcotics are no more dangerous for children than they are for adults False True or False. Children cannot tell you where they hurt True True or False. A 3 year-old can use a pain scale False True or False. Children tolerate pain better than adults True True or False. Children may not admit to having pain in order to avoid an injection B. J-tip a needle-free system containing 1 % buffered lidocaine provides a rapid onset of action to reduce pain associated with peripheral IV insertions or blood draws. This is called: True True or False. Virtual reality has been identified as a potentially effective tool for pain management. 7, 10 By _____ to ______ years of age most children are able to use the 0 to 10 numeric rating scale that is currently used by adolescents and adults mother, primary caregiver The _________ or ____________ is an important source of information during assessment cognitive impairment the non-communicating Children's Pain Checklist is a pain measurement tool specifically designed for children with __________________ hispanic self-report observational scales and interview questionnaires for pain may not be a reliable measure of pain assessment in _________ children behavioral assessment. Behavioral assessment may provide a more complete picture of the total pain experience when administered in conjunction with a subjective self-report measure which pain assessment method is useful for measuring pain in infants and preverbal children who do not have the language skills to communicate that they are in pain? Why is this the most effective way of measuring pain in infants and preverbal children? suitable pain assessment scales include: Wong-Baker Faces pain rating scale, Oucher, poker chip tool, word graphic rating scale, visual analogue scale, and color tool Which pain assessment scales are most suitable to use to assess pain in a 6-year old child? they have an increased frequency in quiet sleep, longer duration of quiet sleep, and decreased crying in the neonatal intensive care unit. Pain scores are also significantly lower in kangaroo-held infants How do infants who spend 1 to 3 hours in kangaroo care benefit from this therapy? a ceiling effect means that dosages higher than the recommended doses will not produce greater pain relief. A major difference between opioids and non-opioids is that non-opioids have a ceiling effect Define a ceiling effect. Describe the major difference between opioids and non-opioids regarding a ceiling effect. C. Repeatedly stating, "You're hurting me." When changing a dressing on the leg of a 16-year-old patient who suffered second degree burn injuries, the nurse expects to observe which characteristics
of pain expression? (Select all that apply.) B. Administer docusate sodium (Colace). A 6-year-old is hospitalized with a fractured femur. Based on the nurse's knowledge of opioid side effects, the nurse should include which actions in the patient's plan of care to prevent constipation? (Select all that apply.) A. Request a psychological consultation. The nurse is caring for a 12-year-old child who sustained major burns when putting charcoal lighter on a campfire. The nurse observes that the child is "very brave" and appears to accept pain with little or no response. What is the most appropriate nursing action? D. provide anesthesia to the wound. A child is being seen in the emergency department with multiple facial abrasions and lacerations. The combination agent lidocaine, adrenaline, and tetracaine (LAT) is applied topically to the wounds. The purpose of this combination therapy is to: C. requires astute nursing assessment and management. The nurse is caring for a comatose child with multiple injuries. The nurse should recognize that pain: A. cannot occur if a child is comatose. C. plan a preventive schedule of pain medication around the clock. The nurse is caring postoperatively for an 8-year-old child with multiple fractures and other trauma resulting from a motor vehicle injury. The child is experiencing severe pain. An important consideration in managing the child's pain is to: B. administer morphine sulfate immediate release (MSIR) intravenously (IV). Transdermal fentanyl (Duragesic) is being used for an adolescent with cancer who is in hospice care. The adolescent has been
comfortable for several hours but now complains of severe pain. The most appropriate nursing action is to: B. greater than the IV dose. A child who has been receiving morphine
intravenously will now start receiving it orally. The nurse should anticipate that, to achieve equianalgesia (equal analgesic effect), the oral dose will be: A. this practice is unjustified and unethical. The nurses caring for a child are concerned about the child's
frequent requests for pain medication. During a team conference, a nurse suggests that they consider administering a placebo instead of the usual pain medication. This decision should be based on knowledge that: A. may reduce pain perception. Nonpharmacologic strategies for pain management: B. the scale can be used with most children, including those as young as 3 years old. An important consideration when using the FACES pain rating scale with children is: D. children often demonstrate increased behavioral signs of discomfort with repeated painful procedures. The nurse is starting an intravenous (IV) line on a school-age child with cancer. The child says, "I have had a million IVs. They hurt." The nurse's response should be based on the knowledge that: D. facial expression of discomfort. The most consistent indicator of pain in infants is: D. large doses of opioids are justified when there are no other treatment options. A child who is terminally ill with bone cancer is in severe pain. Nursing interventions should be based on knowledge that: C. FLACC The nurse is caring for a 13-year-old child with cerebral palsy and a developmental delay. The family states that the child functions at the level of a 3-year-old child. Which of the following pain scales is the most appropriate to use? C. Discuss the procedure with the child only immediately before it is performed. When preparing a 3-year-old child for a painful procedure, which of the following steps is the most appropriate? B. Speak calmly to the child and obtain assistance with holding the child. As an IV line is being started on a 2-year-old boy, the child demonstrates escalating screaming and kicking and pushes the nurse's hand away. Which of the following responses from the nurse is the most appropriate? A. A treatment room A nurse is caring for a toddler who is about to have a wound cleansing and dressing change. The
child requires an IV line for analgesic medication before wound care. Where is the best place to perform these procedures? Students also viewedLAB220: Module 2- Day 155 terms sarah_newyear Med-Surg Week 2 Part 149 terms mary_ann_lunaPlus Medical Surgery I Quiz 250 terms Faus1214 Peds Chapter 1 quiz 227 terms LaBelleVisagePlus Sets found in the same folderChapter 29 Communication, History, and Physical As…81 terms nuneb847 Chapter 26: 21st Century Pediatric Nursing60 terms nuneb847 Chapter 27: Family, social, cultural, & religion i…72 terms nuneb847 Chapter 39: Pediatric variations of nursing interv…40 terms nuneb847 Other sets by this creatorsociology matching sheet 01/21/202022 terms nuneb847 CHM Ch.1-4125 terms nuneb847 Types of Sampling practice - 1.415 terms nuneb847 chapter 1 intro to statistics terms27 terms nuneb847 Verified questions
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chemistry The $$ K _ { s p } $$ of barium sulfite, $$ \mathrm { BaSO } _ { 3 ^ { \prime } } $$ , at $$ 25 ^ { \circ } \mathrm { C } $$ is $$ 8.0 \times 10 ^ { - 7 } $$ . a. What is the molar concentration of a saturated solution of $$ \mathrm { BaSO } _ { 3 } ? $$ b. What mass of $$ \mathrm { Bas } \mathrm { O } _ { 3 } $$ would dissolve in 500. mL of water? Verified answer anatomy What is the difference between absorption and secretion? Verified answer health What is not a characteristic of all living things ? Verified answer Recommended textbook solutions
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Which approach would the nurse use to assess the pain of a 4 year old?The FLACC scale (i.e., the Face, Legs, Activity, Cry, Consolability scale) is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals who are unable to verbally communicate their pain.
Which of the following would be the best assessment of a 4 year old child's pain?One behavioural tool to assess pain is the FLACC scale, for children aged two to seven.
What pain scale is used for children?Wong-Baker Faces Pain Rating Scale
they has no pain (hurt) or sad because they have some or a lot of pain. Face 0 is very happy because he doesn't hurt at all Face 2 hurts just a little bit. Face 4 hurts a little more. Face 6 hurts even more.
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Which pain scale would the nurse use when assessing a 4-year-old child Quizlet
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