A student nurse wants to provide nonpharmacological pain ...

[JMatthes]

A student nurse wants to provide nonpharmacological pain management interventions to a hospitalized child with cancer. Which action by the student causes the faculty member to intervene?
 
  A.
  Applying a moist heat pack
  B.
  Giving the child a massage
  C.
  Reading the child a story
  D.
  Using candles for aromatherapy

Question 2

A nurse assesses a toddler using the FLACC score. The child is kicking and crying steadily. The mother is upset, as she is unable to console the child.
 
  Which action by the nurse is most appropriate?
  A.
  Administer acetaminophen (Tylenol).
  B.
  Give a dose of morphine (Duramorph).
  C.
  Play soothing, quiet music.
  D.
  Prepare a dose of propofol (Diprovan).

[abro1885]

Answer to Question 1

ANS: D
Actions that have been reported by children to be effective pain control strategies are moist heat, massage, adequate rest and sleep, distraction (reading a story), and providing opportunities for social support. Open flames are prohibited in hospitals due to the risk of fire and explosion.

Answer to Question 2

ANS: B
This child exhibits several behaviors seen in the severe pain category according to the FLACC score. The best medication for this level of pain is an opioid analgesic, such as morphine. Tylenol is used for mild to moderate pain. Nonpharmacological measures can be used as an adjunct, but it will not relieve this degree of pain alone. Propofol is usually used for procedures.

[JMatthes]

Gracias!

[recede]

Excellent