Chapter 21 Child Health Nursing Partnering With Children & Families, 3rd Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 21

Question 1

Type: MCSA

The nurse is teaching the parents of a child with idiopathic rheumatoid arthritis about chronic pain. Which statement by the parent indicates teaching has been successful?

1. “When children have chronic pain, they may not have the same behavior as those in acute pain.”
2. “It is associated with a single event.”
3. “Chronic pain can be managed successfully with NSAIDs.”
4. “It is sudden and of short duration.”

Correct Answer: 1

Rationale 1: Chronic pain is persistent, lasting longer than six months; it is often associated with a prolonged disease process, such as juvenile rheumatoid arthritis or cancer. Children with chronic pain do not show the physiological symptoms of pain that are associated with acute pain.

Rationale 2: Chronic pain is not associated with a single event.

Rationale 3: There are different levels of chronic pain just as there are different levels of acute pain. Pharmacologic treatment will be based on the needs of the child, not the type of pain.

Rationale 4: Chronic pain is not sudden and short in duration.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 21-8

 

Question 2

Type: MCSA

The postoperative unit of the pediatric hospital has several children who had surgery this morning. While making rounds, the nurse observes all of the following behaviors. Which child should be further evaluated as to postoperative pain?

1. The six-month-old in deep sleep
2. The two-year-old who is cooperative when the nurse takes his vital signs
3. The four-year-old who is actively watching cartoons
4. The 14-month-old who is thrashing his arms and legs

Correct Answer: 4

Rationale 1: Children are unable to obtain deep sleep when experiencing acute pain.

Rationale 2: When experiencing acute pain, children are less likely to cooperate with treatments.

Rationale 3: It is difficult for children to concentrate when experiencing acute pain.

Rationale 4: Young children in acute pain display a variety of behaviors, including loud crying, screaming, thrashing their arms and legs, lack of cooperation, clinging behavior, and restlessness and irritability.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 21-3

 

Question 3

Type: MCSA

The nurse is taking care of a seven-year-old child who is postoperative. The child’s mother requests that the child not receive narcotics in the postoperative period because she is afraid the child will become addicted. The nurse would explain to the mother that children who do not receive adequate pain control will be at risk for:

1. Respiratory complications.
2. Urinary complications.
3. Cardiac complications.
4. Bowel complications.

Correct Answer: 1

Rationale 1: The child with acute postoperative pain takes shallow breaths and suppresses coughing to avoid more pain. These self-protective actions increase the potential for respiratory complications.

Rationale 2: Uncontrolled pain does not usually lead to urinary complications.

Rationale 3: Uncontrolled pain does not lead to cardiac complications.

Rationale 4: Uncontrolled pain does not frequently lead to bowel complications.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 21-3

 

Question 4

Type: MCSA

The nurse is caring for a two-year-old child in the postoperative period. The pain assessment tool most appropriate for assessment of pain intensity in a two-year-old is the:

1. Poker Chip Tool.
2. Oucher Scale.
3. Faces Pain Rating Scale.
4. FLACC Behavioral Pain Assessment Scale.

Correct Answer: 4

Rationale 1: The Faces Scale, Oucher Scale, and Poker Chip Tool are all self-report scales and can usually be used with children three and older.

Rationale 2: The Faces Scale, Oucher Scale, and Poker Chip Tool are all self-report scales and can usually be used with children three and older.

Rationale 3: The Faces Scale, Oucher Scale, and Poker Chip Tool are all self-report scales and can usually be used with children three and older.

Rationale 4: The FLACC scale is an appropriate tool for infants and young children who cannot report pain.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 21-4