Author Question: A hospitalized toddler-age client needs to have an IV restarted. The child begins to cry when ... (Read 60 times)

danielfitts88 · **on:** Jun 28, 2018

A hospitalized toddler-age client needs to have an IV restarted. The child begins to cry when carried into the treatment room by the mother. Which nursing diagnosis is most appropriate?

1. Ineffective Individual Coping Related to an Invasive Procedure
2. Anxiety Related to Anticipated Painful Procedure
3. Fear Related to the Unfamiliar Environment
4. Knowledge Deficit of the Procedure

Question 2

The nurse is caring for a toddler client in the postoperative period. Which pain assessment tool is most appropriate for this client?

1. FLACC Behavioral Pain Assessment Scale
2. FACES pain scale
3. Oucher scale
4. Poker-chip tool

sailorcrescent · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 2
Rationale: At this age, the child is not old enough to understand the need for an IV infusion. The stem indicates that the child has been through this painful procedure before, and his reaction to entering the treatment room is based on anticipation of repeat discomfort. The child's behavior is appropriate for a child of this age.

Answer to Question 2

Correct Answer: 1
Rationale: The FLACC scale is an appropriate tool for infants and young children who cannot self-report pain. The FACES Scale, Oucher scale, and poker-chip tool are all self-report scales.