A child continues to complain of pain after being given all the ...

[asd123]

A child continues to complain of pain after being given all the medication that is safe to administer. Which of the following actions should the nurse take?
 
  a. Provide cutaneous stimulation such as massage, rubbing, holding, and applying heat or cold as indicated.
  b. Distract the child as much as possible, and give the next pain medication a little early.
  c. Ask the mother to tell the child that she can't have any more medication.
  d. Tell the child she will have to wait for more pain medication, and let the child know then she can have more.

Question 2

Iona has been brought to the clinic for her well-child checkup and immunizations. When the nurse completes the assessment, Iona is noted to have a low-grade fever. The nurse knows that:
 
  1. Iona should not receive the immunizations because her body is ill.
   2. Iona can receive the immunizations since the fever is low grade.
   3. Iona can receive the immunizations because the low-grade fever will increase the effectiveness of the vaccine.
   4. It is important to remain on schedule with the immunizations.

[canderson530]

Answer to Question 1

A

Feedback
A Correct: The nurse also has available nonpharmacologic pain management techniques to use then a child continues to complain of pain after being given all the medication that is safe to administer. One of these techniques involves cutaneous stimulation such as massage, rubbing, holding, and applying heat or cold as indicated.
B Incorrect: Distracting the child as much as possible is another nonpharmacologic pain management technique, but it is meant to replace more pain medication.
C Incorrect: Telling the child she will have to wait, and asking the mother to do the telling, does nothing to apply the available nonpharmacologic pain management techniques the nurse can use to reduce the perception of pain.
D Incorrect: Telling the child she will have to wait, and then she can have more pain medication, does nothing to apply the available nonpharmacologic pain management techniques the nurse can use to reduce the perception of pain.

Answer to Question 2

1

Feedback
1. A patient should be in good health prior to the administration of vaccines to help reduce the side effects.
2. A patient should be in good health prior to the administration of vaccines to help reduce the side effects.
3. A low-grade fever will increase the occurrence of the child obtaining the disease process.
4. It is important to remain on schedule with immunizations, but typical childhood illnesses last 10 to 14 days, and this will not change the schedule enough to make a difference.