Nurses taking care of children with pain should understand that ...

[newyorker26]

Nurses taking care of children with pain should understand that the pain stimulates the adrenergic nervous system, which will result in which physiologic change?
 
  1. Hypotension
   2. Pupil constriction
   3. Increased perspiration
   4. Bradycardia

Question 2

A child with hemophilia comes to the emergency department following an automobile accident. The child presents with multiple injuries. When prioritizing care for the child, the nurse would be most concerned with which injury?
 
  1. Occipital hematoma
  2. Radial fracture
  3. Dislocated shoulder
  4. Abdominal abrasions

[shaikhs]

Answer to Question 1

3
Rationale:
1. In acute pain, hypertension, not hypotension, occurs.
2. Pupil dilation occurs with acute pain.
3. Acute pain stimulates the adrenergic nervous system and results in physiologic changes, including tachycardia, tachypnea, hypertension, pupil dilation, pallor, increased perspiration, and increased secretion of catecholamine and adrenocorticoid hormones.
4. Bradycardia does not occur with acute pain. The child would experience tachycardia as the adrenergic nervous system was stimulated.

Answer to Question 2

1
Rationale 1: A potential intracranial bleed would receive highest priority because of the danger of increased intracranial pressure and potential neurologic damage.
Rationale 2: Although at risk for bleeding, this would not take priority over a head injury.
Rationale 3: A dislocation is not at high risk for bleeding or tissue ischemia.
Rationale 4: Although at risk for bleeding, this would not take priority over a head injury.
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