Author Question: The nurse is caring for a preschool age client who is hospitalized for internal fixation of a ... (Read 27 times)

JGIBBSON · **on:** Jun 25, 2018

The nurse is caring for a preschool age client who is hospitalized for internal fixation of a fractured arm.

The nurse is considering nonpharmacological pain management techniques to implement. Which interventions are appropriate for the nurse to include in the plan of care?
Select all that apply.
1. Offer a glucose-coated pacifier.
2. Sit with the child and allow her to blow bubbles.
3. Explain to the child the cause of the pain.
4. Teach the use of guided imagery.
5. Hold the child.

Question 2

The nurse is providing care to a client who has multiple fractures after a motor vehicle accident. The nurse includes reduction of the perception of pain as a client outcome. Which nursing interventions would apply to reaching this outcome?

Select all that apply.
1. Offering a selection of musical CDs.
2. Assisting with guided imagery.
3. Administering Demerol (Meperidine) intravenously.
4. Providing instruction on deep breathing techniques.
5. Administering an anti-inflammatory medication.

Cheesycrackers · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 5

Blowing bubbles is an age-appropriate activity for the preschool-age child. The child can be encouraged to blow the pain away. The preschool-age child will find comfort in being held during the pain. The use of a glucose-coated pacifier is most effective with an infant in the management of pain. A preschool-age client child is too young to grasp a discussion of the causes of the pain being experienced. Age-appropriate guided imagery is not a successful nonpharmacological means to manage pain in a preschool-age child. This may be helpful for the school-age child.

Answer to Question 2

Correct Answer: 1, 2, 4
The use of music, guided imagery, and deep breathing techniques are means to assist the client to shift the focus from the pain to something else. This will help in reducing the perception of pain. The administration of narcotic analgesics does not work to diminish the perception. These medications work to reduce the transmission of the pain to the client's nerve sensors. Anti-inflammatory medication will reduce discomfort by reducing the inflammation. This method does not reduce the perception of the pain. The medications reduce inflammation, thus reducing the incidence of pain, not the perception of it.