Author Question: The nurse is preparing to assess the pain level of a small child who has just been admitted to the ... (Read 49 times)

imanialler · **on:** Jul 22, 2018

The nurse is preparing to assess the pain level of a small child who has just been admitted to the unit. The nurse shows the child the FACES chart and has the child describe the intensity of the pain by pointing to a face.

The child tells the nurse that his tummy hurts. Which of the following would the nurse do next? 1. Ask the child to describe the quality of the pain.
2. Ask the parent to describe the quality of the pain.
3. Give the child a doll, and ask the child to point to the area of the pain on the doll.
4. Ask the child if the pain is sharp.

Question 2

The nurse working in a pediatric clinic is caring for a young child whose mother reports the child has drainage from the eye and cannot see in the morning because the child's eyes are crusted shut.

After the doctor diagnosis conjunctivitis, the nurse teaches the mother to do which of the following? 1. Use boric acid on a washcloth to clean the eye.
2. Use sterile gloves to clean the eye with cold tap water.
3. Moisten a cotton ball to remove secretions.
4. Clean the eyes from the outer to inner canthus.

billybob123 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3
Rationale: To a child, the tummy could be the abdomen, the stomach, or the chest. The nurse would need to get an accurate location, and giving the child a doll or a picture would be the best means of identifying the exact location. The child would not understand quality of the pain, and the parent cannot describe what the child is feeling, although he might be able to interpret certain behaviors. The child would interpret sharp as something pointy, and couldn't adequately answer this question.

Answer to Question 2

3
Rationale: The mother is taught to dampen a cotton ball with normal saline or water to soften the secretions and make them easier to wipe away. The mother does not need to wear gloves, but should be taught to wash her hands before and after touching the child's eye. The mother then wipes from the inner to outer canthus, using a new cotton ball for each swipe.