Deck 11: Symptom Management Across Childhood

Question 1

Although a child's temperature will not fluctuate with pain, why would a child experience diaphoresis and elevated temperature?

A) Pain associated with deep tissue trauma
B) Pain associated with infectious processes
C) Exacerbation of chronic pain
D) Pain that develops acutely

Answer 1

B

Question 2

As a pediatric nurse providing a pain assessment, what effect will acute pain have on the respirations of a pediatric patient?

A) Respirations will be slower and shallower
B) Respirations will be faster and shallower
C) Respirations will be slower and deeper
D) Respirations will be faster and deeper

Answer 2

B

Question 3

The visual analogue scale shows good sensitivity and validity for most children approximately age 7 years and older. How should the pediatric nurse present this scale to make it easier for children to understand?

A) Present it using the ethnicity that most closely resembles the child
B) Present it as a "pain thermometer" concept
C) Present the child with a range of numbers from 0 to 10
D) Communicate that each piece resembles "pieces of hurt"

Answer 3

B

Question 4

What action performed by a pediatric nurse during a pain assessment of a teen may be counterproductive, as the teen may feel disrespected or patronized and, in turn, become uncommunicative?

A) Performing the assessment in front of his or her peers
B) Offering a pain assessment tool that is intended for younger children
C) Openly asking questions of pain that are of a highly sensitive nature
D) Asking the parents their assessment of the pain

Question 5

Because OIRD can be fatal, and because of the unpredictability of its occurrence, what action is recommended of a pediatric nurse who is managing children receiving narcotic pain control in a hospital setting?

A) Frequent reassessment of pain
B) Continuous oxygen supplementation
C) Frequent assessment of arterial blood gases
D) Continuous monitoring of respiratory rate and oxygen saturation

Question 6

In cases where nausea is accompanied by vomiting, what should the nurse do to decrease the risk of aspiration?

A) Place child in prone position
B) Place child in supine position
C) Place child in semi-Fowler's position
D) Place child in Trendelenburg position

Question 7

When treating a patient with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), the pediatric nurse should be aware that which symptom of this condition may be present in children, but not present in adults?

A) Muscle and joint pain
B) Headache
C) Sore throat
D) Abdominal pain and rashes

Question 8

If a child presents with nausea that is vestibular in nature, such as in motion sickness, what medication would be most appropriate for treating this type of nausea?

A) Zofran
B) Benadryl
C) Phenergan
D) Compazine

Question 9

As a pediatric nurse, you are asked to perform a pain assessment on a 6-year-old child who cannot verbally express his or her pain experience. What scale would be most beneficial to perform this assessment?

A) FACES scale
B) Toddler-Preschooler Postoperative Pain Scale
C) FLACC Behavioral Pain Assessment Scale
D) CRIES scale

Question 10

You are treating a pediatric patient with a pain scale score of 4. Which medication would be most appropriate for treating a pediatric patient with this pain intensity?

A) Ibuprofen
B) Tramadol
C) Codeine
D) Opioid analgesia