A dying 8-year-old child tells the nurse that she is still in ...

[jayhills49]

A dying 8-year-old child tells the nurse that she is still in pain even though the nurse has administered the maximum dosage of pain medication only 1 hour ago. The nurse's most effective initial intervention would be to:
 
  a. Tell the child she will have to wait 3 hours
  b. Assess the child to determine if the pain is real
  c. Inquire if the medication dosage can be adjusted
  d. Distract the child by reading a story

Question 2

Acquired thrombocytopenia involves antibodies against:
 
  1. Platelets.
   2. Basophils.
   3. Neutrophils.
   4. Eosinophils.

[Athena23]

Answer to Question 1

D
When pain medication becomes ineffective in the course of a child's illness, complementary methods such as distraction, relaxation, biofeedback, or guided imagery may be helpful. Inquiring about a dosage change is also appropriate but will not get immediate results, but the distraction might.

Answer to Question 2

1
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1. Decreased platelet production, increased platelet destruction, or splenic sequestration is common with thrombocytopenia.
2. The basophils are intact with thrombocytopenia.
3. The neutrophils function with thrombocytopenia.
4. The eosinophils are intact with thrombocytopenia.