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11 Cards in this Set
- Front
- Back
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Which of the following is the most consistent and commonly used indicator of pain in infants?
a) Increased respirations b) Increased heart rate c) Thrashing of arms and legs d) Facial expression of discomfort |
Facial expression of discomfort
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Physiologic measurements in children's pain assessment are:
a) Not useful as the sole indicator for pain b) The best indicator of pain in children of all ages c) Of most value when children also report having pain d) Essential to determine whether a child is telling the truth about pain |
Not useful as the sole indicator of pain
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Which of the following self-report pain rating scales can be used in children as young as 3 years of age?
a) Poker chip tool b) Visual analog scale c) FACES pain rating scale d) Word-Graphic rating scale |
FACES pain rating scale
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Nonpharmacologic strategies for pain management:
a) May reduce pain perception b) Make pharmacologic strategies unnecessary c) Usually take too long to implement d) Trick children into believing they do not have pain |
May reduce pain perception
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An intravenous line is needed in a school-age child. The most appropriate action to provide analgesia during this procedure is to apply:
a) TAC (tetracaine, epinephrine, cocaine) 15 minutes before procedure b) Transdermal fentanyl patch at the site of venipuncture c) EMLA (eutectic mixture of local anesthetics) immediately before procedure d) LMX (4% liposomal lidocaine cream) 30 minutes before procedure |
LMX 30 minutes before procedure
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The nurses caring for a child are concerned about the child's frequent requests for pain medication. During a team conference a nurse suggests they consider administering a placebo instead of the usual pain medication. The decision should be based on knowledge of which of the following?
a) This practice is unjustified and unethical b) This practice is effective to determine whether a child's plain is real c) The absence of a response to a placebo means the child's pain has an organic basis d) A positive response to a placebo will not occur if the child's pain has an organic basis |
this practice is unjustified and unethical
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A 5 year old has patient controlled analgesia (PCA) for pain management following abdominal surgery. Your explanation to the parents should include:
a) The child will be pain free b) Only the child is allowed to push the button for a bolus c) The pump allows for a continuous basal rate and delivers a constant amount of medication to control pain d) There is a high risk of overdose so monitoring is done every 15 minutes |
The pump allows for a continuous basal rate and delivers a constant amount of medication to control pain
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A child who has been receiving morphine intravenously will now start receiving it orally. The nurse should anticipate that to achieve equianalgesia (equal analgesic effect), the oral dose will be which of the following?
a) Same as the intravenous dose b) Greater than the intravenous dose c) One half of the intravenous dose d) One fourth of the intravenous dose |
Greater than the intravenous dose
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The nurse is caring postoperatively for an 8 year old child with multiple fractires and other trauma resulting from a motor vehicle injury. The child is experiencing severe pain. Which of the following is an important consideration in managing the child's pain?
a) Give only an opioid analgesic at this time b) Increase the dosage of analgesic until the child is adequately sedated c) Plan a preventive schedule of pain medication around the clock d) Give the child a clock and explain when she or he can have pain medications |
Plan a preventive schedule of pain medication around the clock
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A significant, common side effect that occurs with opioid administration is:
a) Euphoria b) Diuresis c) Constipation d) Allergic reactions |
Constipation
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A school age child with cancer is being prepared for a procedure. The child says, "I have had one of these. They hurt." The nurse's response should be based on knowledge that children:
a) Often lie about experiencing pain b) Tolerate pain better than adults c) Become accustomed to painful procedures d) Commonly experience treatment-related moderate to severe pain when they have cancer |
Commonly experience treatment-related moderate to severe pain when they have cancer
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