A school-age client is being discharged from the outpatient ...

[storky111]

A school-age client is being discharged from the outpatient surgical center. Which statement by the parent would indicate the need for further teaching?
 
  1. I can expect my child to have some pain for the next few days.
  2. I will plan to give my child pain medicine around the clock for the next day or so.
  3. Since my child just had surgery today, I can expect the pain level to be higher tomorrow.
  4. I will call the office tomorrow if the pain medicine is not relieving the pain.

Question 2

The nurse is caring for a child who has been sedated for a painful procedure. Which nursing activity is the priority for this child?
 
  1. Allow parents to stay with the child.
  2. Monitor pulse oximetry.
  3. Assess the child's respiratory effort.
  4. Place the child on a cardiac monitor.

[paavo]

Answer to Question 1

Correct Answer: 3
Rationale: Increasing pain can be a sign of complication and should be reported to the physician; therefore, if the parent expects the pain to be higher the next day, the nurse should clarify expectations for pain control. The child is expected to have some pain for a few days after surgery and should receive pain medication on a scheduled basis. If prescribed medication is not relieving the pain to a satisfactory level, the physician should be notified.

Answer to Question 2

Correct Answer: 3
Rationale: When the child is sedated for a procedure, it is very important for the nurse to actually visualize the child and his effort of breathing. Although equipment is important and is used routinely during sedation, it does not replace the need for visual assessment. Parents may be allowed to stay with the child, but assessment of breathing effort must take priority.

[storky111]

Thank you

[paavo]

No problemo