Author Question: A nurse is discussing pain management for a child near death. The child does not have an IV, and the ... (Read 20 times)

mwit1967 · **on:** Jun 27, 2018

A nurse is discussing pain management for a child near death. The child does not have an IV, and the parents do not want their child to suffer more pain. The nurse knows medication at this point in the child's life should:

1. Be given by the quickest route for maximum relief.
2. Be delivered in the most invasive manner.
3. Be given through IV.
4. Be discussed with the doctor because a child near death cannot feel pain.

Question 2

Laboratory tests have returned for a child with questionable acute postinfectious glomerulonephritis. The labs are: BUN 20, WBC 24 g/dl, ESR 19 mm/hr. The nurse knows that with results like this, she will need to:

1. Call the doctor with the results to receive further orders since the diagnosis is confirmed with the laboratory results, along with an update on the child.
2. Inform the patient that the lab results are back.
3. Have the charge nurse call the doctor to ask for an order.
4. Call the doctor after the child has rested.

patma1981 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Feedback
1. The quickest route may be very painful for the child.
2. The most invasive manner can cause less pain.
3. The IV is not established.
4. Children near death can feel pain.

Answer to Question 2

1
Feedback
1. The high WBC and ESR counts give an indication of inflammation in the kidneys. The BUN is at the high end of normal for a pediatric patient.
2. The patient should be informed about the laboratory results returning, but the doctor will need to explain the results.
3. The doctor needs to know that the results of the laboratory tests to be able to give further treatment instructions.
4. The rest period should not be an indication for when the doctor receives laboratory results.