A child who has chronic pain of long duration will exhibit which ...

[dollx]

A child who has chronic pain of long duration will exhibit which behavior?
 
  1. Increased respiratory rate
  2. Normal temperature
  3. Normal heart rate
  4. Decreased blood pressure

Question 2

A child weighing 18.2 kg with a history of diabetes insipidus has been admitted to the hospital. Which of the physician's orders would the nurse question?
 
  1. Stat electrolytes
  2. Urine specific gravity with each void
  3. DDAVP (desmopressin) PO
  4. Restrict oral fluids to 500 mL every 24 hours.

[fauacakatahaias]

Answer to Question 1

3
Rationale 1: Chronic pain causes physiologic adaptation, so the respiratory rate likely will be normal.
Rationale 2: Body temperature is not a factor in chronic pain.
Rationale 3: Chronic pain of long duration that is persistent or continuous permits physiologic adaptation, so normal heart rate, respiratory rate, and blood pressure levels are often seen.
Rationale 4: As the body adapts to chronic pain, the heart rate will be normal.
Global Rationale:

Answer to Question 2

4
Rationale 1: Stat electrolytes would be an appropriate order to check for hypernatremia.
Rationale 2: Urine specific gravity is checked because it is often low.
Rationale 3: DDAVP is the drug of choice for a child with DI.
Rationale 4: Fluid replacement, not fluid restriction, is necessary for child with DI.
Global