The nurse, caring for a 1-year-old client recovering from a ...

[kwoodring]

The nurse, caring for a 1-year-old client recovering from a tonsillectomy, assesses the child for pain. If pain level is not addressed, what additional health problem could occur?
 
  A) Urinary retention
  B) Bowel obstruction
  C) Respiratory compromise
  D) Bradycardia

Question 2

The nurse is caring for a school-aged child who had a bone marrow transplant for the treatment of leukemia several weeks ago. The child requires protective isolation. Which statement by the child's family indicates understanding of this type of isolation?
 
  A) We will encourage oral hygiene twice a day.
  B) We will encourage meticulous hand washing among all people in contact with our child.
  C) You will have to administer all medications by IM injection.
  D) It will be important to restrict all visitors.

[Anton]

Answer to Question 1

Answer: C

The child with acute postoperative pain takes shallow breaths and suppresses coughing to avoid more pain. These self-protective actions increase the potential for respiratory compromise and complications. Uncontrolled pain does not lead to cardiac complications such as bradycardia. Uncontrolled pain does not frequently lead to bowel complications such as obstruction. Uncontrolled pain does not usually lead to urinary complications such as retention.

Answer to Question 2

Answer: B

A child on protective isolation will be at an increased risk for infection. It will be important to encourage meticulous hand washing among all people who come in contact with the child. Restrict only visitors with colds, flu, or infection. Medications by injection should be avoided. Oral hygiene should be encouraged after every meal.