NURS 355 - Ch. 5 & 22 (Exam 1) (Week 4)
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Why might children be reluctant to admit that they're in pain?
Ans: They are trying to be "brave," they are afraid that the
"shot" that they will receive to relive it will cause more pain
What are reasons why nurses might not provide adequate pain relief
for children?
Ans: Fear of addiction, fear of causing RD
What are signs of pain in infants?
Ans: Crying, rigid body, withdrawal from pain
Should you tell a toddler or preschooler "just one more minute"? Why?
Ans: No; they don't understand time
What is the best indicator of pain in children who cannot explain it?
Ans: Behavior, facial expressions, crying, etc.
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At what age group do children begin to understand pain rating scale
and intensity?
Ans: Around middle school
Which age group uses stalling behaviors to avoid painful procedures?
Ans: School age, adolescent
How do adolescents control pain?
Ans: By using adult mechanisms, such as self-distraction and
not expressing pain.
What are the three main pain rating scales?
Ans: Faces - 3+
Oucher - 3+
Numerical - 5+
What pain scale is used for babies 1 and under?
Ans: NIPS
What pain scale is used from 2 months until 7 years?
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Ans: FLACC
What areas are assessed by the NIPS scale?
Ans: Facial expression, cry, breathing, arms, legs, alertness
What areas are assessed by the FLACC scale?
Ans: Face, legs, arms, cry, consolability
What are the differences between transdermal and topical?
Ans: Transdermal - affects whole body
Topical - local effects
What percent water weight are newborns?
Ans: 75%
What percent water weight are infants?
Ans: 65%
What percent body weight are children/adolescents?
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