During the nurse's initial assessment of a school-aged child, the ...

[Yolanda]

During the nurse's initial assessment of a school-aged child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching television. The nurse should:
 
  1. Administer prescribed analgesic.
  2. Ask the child's parents if they think the child is hurting.
  3. Reassess the child in 15 minutes to see if the pain rating has changed.
  4. Do nothing, since the child appears to be resting.

Question 2

While developing a care plan for a school-age child with a visual impairment, the nurse knows that which of the following actions are important in working with this special needs child? Select all that apply.
 
  a. Obtain a thorough assessment of the child's self-care abilities.
  b. Orient the child to various sounds in the environment.
  c. Mandate that the child's parents stay continuously with their child during
  hospitalization.
  d. Allow the child to handle equipment as procedures are explained.
  e. Encourage the child to use a dry erase board to write his needs.

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Answer to Question 1

1
Rationale:
1. A pain score of 6 is an indication for prompt administration of pain medication.
2. School-age children are old enough to report their pain level accurately.
3. The child might be trying to be brave, or might be lying still because movement is painful.
4. The child might be trying to be brave, or might be lying still because movement is painful.

Answer to Question 2

A, B, D
Feedback
Correct These are correct responses that can be used for a school-age child with a
visual impairment.
Incorrect Mandating that the child's parents stay continuously with their child may
not be possible and is not usually necessary if the school-age child is at the
expected level of growth and development. Encouraging a child to write
his needs on a dry erase board would be an appropriate intervention for a
child who is aphonic, not for a child with a visual deficit.

[Yolanda]

Gracias!

[bdobbins]

Thanks for the timely response, appreciate it