The postoperative unit of the pediatric hospital has several ...

[serike]

The postoperative unit of the pediatric hospital has several children who had surgery this morning. While making rounds, the nurse observes all of the following behaviors. Which child should be further evaluated as to postoperative pain?
 
  1. The six-month-old in deep sleep
  2. The two-year-old who is cooperative when the nurse takes his vital signs
  3. The four-year-old who is actively watching cartoons
  4. The 14-month-old who is thrashing his arms and legs

Question 2

One of the nurse technicians is showing symptoms of latex sensitivity. Which of the following is the best action by the nurse?
 
  1. Send the nurse technician to a department that does not use latex products.
   2. Contact the employee health department in the facility and obtain latex-free products for the nurse technician.
   3. Wait until Monday to report the problem to the supervisor of the unit.
   4. Assign the nurse technician nonclient care duties.

[Jadwiga9]

Answer to Question 1

4
Rationale 1: Children are unable to obtain deep sleep when experiencing acute pain.
Rationale 2: When experiencing acute pain, children are less likely to cooperate with treatments.
Rationale 3: It is difficult for children to concentrate when experiencing acute pain.
Rationale 4: Young children in acute pain display a variety of behaviors, including loud crying, screaming, thrashing their arms and legs, lack of cooperation, clinging behavior, and restlessness and irritability.
Global Rationale:

Answer to Question 2

2
Rationale:
1. Sending the nurse technician to a department that does not use latex products is not realistic because the nurse technician might experience exposure on another unit. (No hospital unit can be latex-free.)
2. When symptoms of sensitivity to latex occur on exposure, the employee health department of the facility should be contacted, and latex-free products should be supplied.
3. Waiting until Monday does not solve the problem.
4. Assigning the nurse technician nonclient care duties would not be possible.

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TYSM

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