Author Question: The nurse is caring for a 5-year-old who had surgery yesterday. In order to evaluate the degree of ... (Read 115 times)

mynx · **on:** Jun 27, 2018

The nurse is caring for a 5-year-old who had surgery yesterday. In order to evaluate the degree of pain the child is experiencing, the nurse will:

a. Expect the child to complain if she is in pain
b. Observe for verbal and nonverbal cues that the child is in pain
c. Give pain medication if the child is crying
d. Ask the child to rate her pain on a scale of 1 to 10

Question 2

The nurse is aware that most convulsive seizures begin with a:

a. Clonic phase
b. Tonic phase
c. Atonic phase
d. Postictal phase

livaneabi · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Children do not always complain if they are in pain. They are frightened by the events and their surroundings. The nurse should evaluate for both verbal and nonverbal cues of pain. Children may not always cry if they are in pain. Conversely, they may be crying for another reason. Children at this age cannot rate their pain in this way. The nurse would use a pictorial pain scale.

Answer to Question 2

B
Most convulsive seizures begin with a tonic phase in which the body stiffens and the patient drops to the floor, followed by a clonic phase with jerking movements, and finally a post-ictal stage.