Which statement by the parent of a preschool-age child would ...

[SAVANNAHHOOPER23]

Which statement by the parent of a preschool-age child would indicate the need for further teaching regarding pain management?
 
  1. I will call the office tomorrow if the pain medicine is not relieving the pain.
  2. I can expect my child to have some pain for the next few days.
  3. Because my child just had surgery today, I can expect the pain level to be higher tomorrow.
  4. I will plan to give my child pain medicine around the clock for the next day or so.

Question 2

The pediatric nurse would expect that patient-controlled analgesia (PCA) would be most appropriate for which client?
 
  1. 12-year-old client who is postoperative for spinal fusion for scoliosis
  2. 10-year-old client who has a fractured femur and concussion from a bike accident
  3. 5-year-old client who is postoperative for tonsillectomy
  4. Developmentally delayed 16-year-old client who is postoperative for bone surgery.

[kthug]

Answer to Question 1

3
Explanation:
1. If prescribed medication is not relieving the pain to a satisfactory level, the healthcare provider should be notified. This statement indicates the parent understands and does not need additional teaching.
2. The child is expected to have some pain for a few days after surgery. This statement indicates the parent understands the teaching.
3. Increasing pain can be a sign of complication and should be reported to the healthcare provider; therefore, the nurse should clarify expectations for pain control.
4. The child should receive pain medication on a scheduled basis. This statement indicates the parent understands the teaching.

Answer to Question 2

1
Explanation:
1. PCA is most appropriate in children 5 years old and older. Children must be able to press the button and understand that they will receive pain medicine by pushing the button.
2. Children who have suffered head trauma would not be candidates for PCA.
3. PCA generally is prescribed for clients who will be hospitalized for at least 48 hours.
4. Children who are developmentally delayed would not be candidates for PCA.