Which of the following approaches to pain treatment would be best ...

[NguyenJ]

Which of the following approaches to pain treatment would be best for a child with a diagnosis of sickle cell anemia who is having pain related to a vaso-occlusive crisis?
 
  a. pain medication every 3 to 4 hours as necessary
  b. pain medication every 3 to 4 hours around the clock
  c. each pain medication dose ordered specifically by the physician in response to the nurse calling the doctor
  d. as little pain medication as possible by using some alternative comforting methods

Question 2

If a toddler seizes or loses consciousness, the tongue may obstruct the airway. This obstruction by the tongue is even more likely at this age because:
 
  a. the tongue is large in proportion to the size of the mouth
  b. children do not have as great a muscle control as adults
  c. younger children gag more easily than older children and adults
  d. the airway is smaller in the toddler than in the adult

[Joc]

Answer to Question 1

B

Feedback
A Incorrect. Analgesics should be given around the clock on a scheduled basis rather than on an as-needed basis.
B Correct. Pain management is most commonly needed when a child experiences a vaso-occlusive crisis. In this instance, analgesics should be given around the clock on a scheduled basis rather than on an as-needed basis.
C Incorrect. Analgesics should be given around the clock on a scheduled basis rather than as ordered by the physician.
D Incorrect. Pain management requires that analgesics should be given around the clock on a scheduled basis rather than on a limited basis.

Answer to Question 2

A

Feedback
A Correct: If a toddler seizes or loses consciousness, the tongue may obstruct the airway. This obstruction by the tongue is even more likely at this age because the tongue is large in proportion to the size of the mouth.
B Incorrect: If a toddler seizes or loses consciousness, the tongue may obstruct the airway. This obstruction by the tongue is even more likely at this age, but not because children do not have as great a muscle control as adults.
C Incorrect: If a toddler seizes or loses consciousness, the tongue may obstruct the airway. This obstruction by the tongue is even more likely at this age, but not because younger children gag more easily than older children and adults.
D Incorrect: If a toddler seizes or loses consciousness, the tongue may obstruct the airway. This obstruction by the tongue is even more likely at this age, but not because the airway is smaller in the toddler than in the adult.

[NguyenJ]

TYSM

[amcvicar]

Excellent