Nursing Nsg 432
University of New England
exam 2 peds
Attempt Score: All Correct.
2019
Children high risk of becoming addicted?
Not at any higher
... [Show More] risk than other populations. Usually prescriptions are appropriate
Increased risk of respiratory depression in littles?
Yes-smaller airways. Should keep pain meds in check...follow dosage recommendations
Do newborns feel pain?
Yes! It does take a little bit of time for them to react in the early days, formulating response takes some time
"lag time"
Do children tolerate pain better than adults?
No, it remains about the same
Children cannot tell you where it hurts. T/F
Depends on the age...begins around age 5 where they can express it
Do children become accustomed to painful procedures?
No, they anticipate it
Do children's behaviors reflect their pain's intensity?
No. Numerous reasons on the degree of response. Culture/family dynamics plays a role.
Are narcotics more dangerous to children than they are for adults?
No, but proper dosing and assessments should be followed.
How do infants respond to pain?
separation anxiety-increased vital signs-lower O2 sat
How do toddlers respond to pain?
-regression-express pain. 1 word
How do preschoolers respond to pain?
-fantasies/punishment-express presence of pain (2-4 yo)
NIPS/RIPS
-neonatal and infant pain scale-fussiness, vital signs increasing-used in NICU...so many others!!
3 p's of pain interventions?
1. Pharm. sucrose, pacifier, meds, topical EMLA2. Physical. Positioning, swaddling, warm/cold packs,
splinting/immobilizaing, massage, OMT3. Psych. Distraction, relaxation, explanation, be pt/slowholistic
approach
gold standard for severe pain?
morphine, Tramadol runner up
Eduacation on pain meds
-be careful not to OD on NSAIDS/acetaminophen because of OTC meds. Easy to double up
dyslexia
difficulty with reading and comprehension
dyspraxia
difficulty with movement, can go along with other disabilities/issues
dysgraphia
difficultly writing
dyscalculia
difficulty with math
ADHD (s/s, assessment, how to work with them)
-split up education, shorten directions (1 thing)-specific criteria-should ask about family dynamics, routine,
activities, abuse, -s/s: impul [Show Less]