Which additional nursing intervention(s) would be effective with ...

[karen]

Which additional nursing intervention(s) would be effective with pain management in the pediatric population? (Select all that apply.)
 
  a. Provide diversional activities such as coloring, puzzles, and games.
  b. Allow uninterrupted sleep and rest.
  c. Perform hygiene measures.
  d. Encourage parental participation with caregiving to diminish the child's anxiety.
  e. With the health care provider's approval, encourage the child to drink eight to ten 8-ounce glasses of fluid daily.

Question 2

A patient is taking meperidine (Demerol) as needed for moderate to severe pain following an open appendectomy.
 
  The nurse assesses the following: current pain level 2, temperature 99 F, BP 130/76, respirations 10, lung sounds clear, abdomen soft and tender, bowel sounds present. Based on this assessment information, the priority nursing diagnosis is
  a. altered breathing pattern.
  b. risk for altered body temperature.
  c. risk for constipation.
  d. pain.

[britb2u]

Answer to Question 1

ANS: A, B, C, D
Diversional activities, adequate sleep, comfort measures (such as hygiene), and parental participation with care are alternative nursing interventions that may be used in pain management. Forcing fluids is not likely to assist with pain management in the child.

Answer to Question 2

ANS: A
Meperidine (Demerol) is an opiate agonist and can cause respiratory depression. Respirations less than 12/min indicate altered breathing pattern and require immediate intervention. Temperature of 99 F is not the priority concern. The abdomen is soft, so there is no indication of constipation. Pain level of 2 is considered mild; therefore, this is not the top priority.

[karen]

Excellent

[Kedrick2014]

TYSM