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Author Question: A nurse is caring for a 5-year-old who broke his arm and is complaining of pain. What statement by ... (Read 40 times)

Anajune7

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A nurse is caring for a 5-year-old who broke his arm and is complaining of pain. What statement by the nurse to the child would be most helpful?
 
  A.
  I bet your arm will stop hurting really soon.
  B.
  You don't have to stand pain; I can give you medicine.
  C.
  You didn't do anything wrong that caused the hurt.
  D.
  Wait until you see the cool cast you are going to get.

Question 2

A nurse has been asked to perform a Romberg test on a school-age child. What action does the nurse take to perform this assessment?
 
  A.
  Ask the child to smile, frown, and make other faces.
  B.
  Have the child touch a finger to the nose several times.
  C.
  Instruct the child to walk across the room and back.
  D.
  Tell the child to stand, close his or her eyes, and hold the arms out in front.



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diana chang

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Answer to Question 1

ANS: C
Children age 2 to 7 years often view pain as a punishment. The most comforting thing the nurse can say is to reassure the child that this is not the case. Empty reassurances such as telling the child the pain will go away soon or that the cast will be really cool are not comforting. An adolescent often wants control over health-care situations but may think he or she needs to be strong and bear the pain, especially if he or she believes adults think it is important to act that way.

Answer to Question 2

ANS: D
The Romberg test assesses cerebellar functioning and is performed by asking the child to stand, shut the eyes, and then hold the arms outstretched in front. A normal result is performing these actions without swaying. Looking at facial expressions tests cranial nerve VII. The finger-to-nose test also assesses cerebellar function. Observing posture and gain gives information about the child's musculoskeletal system.





 

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