The nurse is preparing to conduct a health history with the ...

[lbcchick]

The nurse is preparing to conduct a health history with the parents of a preschool-age child admitted for an appendectomy. Which questions should the nurse plan to use to learn more about the child's ability to manage pain? (Select all that apply.)
 
  A) How does your child usually react to pain?
  B) How do you know when your child is in pain?
  C) Does your child use pain as a control mechanism?
  D) Are you concerned about addiction to pain medication?
  E) What do you do for your child when your child is hurting?

Question 2

The nurse is providing teaching about car safety to the parents of a 5-year-old girl who weighs 45 pounds. What should the nurse instruct the parents to do?
 
  A) Place her in a booster seat with lap and shoulder belts in the front seat..
  B) Place her in the back seat with the lap and shoulder belts in place..
  C) Place her in a forward-facing car seat with a harness and top tether..
  D) Place her in a booster seat with lap and shoulder belts in the back seat..

[sierramartinez]

Answer to Question 1

A, B, E
Feedback:
When conducting a pain experience inventory with parents, the nurse should ask how the child usually reacts to pain, how the parents know that the child is in pain, and what the parents do when the child is in pain. Questions not appropriate for this inventory include asking if the child uses pain as a control mechanism and if the parents are concerned about addiction to pain medication.

Answer to Question 2

D
Feedback:
A child who weighs between 40 and 80 pounds should ride in a booster seat that utilizes both the lap and shoulder belts in the back seat. When a child is large enough to sit up straight with the knees bent at the front edge of the seat, then he or she may sit directly on the seat of the car with lap/shoulder belt securely and appropriately attached. The back seat of the car is the safest place for a child to ride. A forward-facing car seat with harness and top tether is for a preschooler who weighs less than 40 pounds.