Answer to Question 1
A
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A Young children have difficulty understanding procedures that may cause pain. Cognitively, toddlers and preschoolers are often unable to recall explanations about pain or associate pain with experiences that can occur in various situations. They may also have difficulty expressing their pain, or they may use verbal indicators that differ from those used by older individuals.
B Increased separation anxiety is not the greatest barrier in assessing the child's pain.
C Reluctance to talk to strangers is not the greatest barrier in assessing the child's pain.
D Expressing pain on a scale of 0 to 10 is not an appropriate assessment tool for a 3-year-old in assessing her pain.
Answer to Question 2
D
Daily weights are the single most important indicator of fluid status.
Skin turgor is a measure of hydration, but it is not the single best indicator of a client's fluid sta-tus.
Intake and output measurements are an important nursing intervention for monitoring fluid sta-tus; however, daily weights are the best indicator.
Serum electrolytes help monitor fluid status. Daily weights are the single best indicator of a cli-ent's fluid status.
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