Pediatric Pain management. Flashcards

1
Q

Identify a myth about how a child experiences pain.

Children exaggerate the pain for attention.

Infants can experience acute pain.

Infants can become addicted to pain medication.

Children cannot identify the source of the pain.

A

Children cannot identify the source of the pain.

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2
Q

Determine a reason to exercise caution with narcotic use in the pediatric population.

Younger children have a higher risk for hypoventilation.

Narcotic use in infants reduces lung compliance.

Narcotic use in children can cause them to become immunocompromised.

Mixing with non-narcotics can result in hypersomnolence.

A

Younger children have a higher risk for hypoventilation.

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3
Q

Predict how chronic pain affects a child.

It interferes with activities of daily living.

It is a motivator to engage in physical activity.

It causes social isolation.

It can make the child more alert.

A

It interferes with activities of daily living.

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4
Q

The clinician is considering the use of narcotics to manage chronic pain in her pediatric patient. Recommend what to factor into the decision.

Administer sparingly to avoid tolerance.

Combining with other drugs should be avoided.

Use a PCA to deliver the medication.

Multimodal analgesia is not appropriate for this population.

A

Use a PCA to deliver the medication.

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5
Q

dentify a characteristic of acute pain.

Limited in duration

Persists through adulthood

Affects adolescents, not younger children

Lasts for years without medication

A

Limited in duration

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6
Q

Identify a harmful consequence of unrelieved pain.

Hypersomnia

Loss of consciousness

Death

Poor motor function

A

Poor motor function

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7
Q

Establish a contraindication for nonsteroidal anti-inflammatory drug (NSAID) use in children.

Renal failure

Steatosis

Hypersensitivity reactions

Alkalosis

A

Hypersensitivity reactions

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8
Q

Propose what can be caused by acute pain.

Reduced cardiac output

Respiratory depression

Hypertension

Secretion of catecholamines

A

Hypertension

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9
Q

Predict how nonsteroidal anti-inflammatory drugs (NSAIDs) affect the gastrointestinal system.

They can cause colon cancer.

They can cause a small bowel obstruction.

They can cause aerophagia.

They can cause flatulence.

A

They can cause flatulence.

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10
Q

Propose a general adverse effect of a narcotic medication that may be experienced by a child.

Delirium

Developmental delay

Pruritus

Respiratory congestion

A

Pruritus

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11
Q

Identify a characteristic of acute pain.

Persists through adulthood

Can last a few months

Does not need to be managed

Lasts for years without medication

A

Can last a few months

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12
Q

Recommend a method of nonpharmacologic pain management in a child.

Covering any instruments needed

Offering choices to the child to given him or her some control

Diverting the child’s gaze

Preventing the child from participating in decisions

A

Offering choices to the child to given him or her some control

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13
Q

Identify a sign of distress in a toddler.

Uncooperative behavior

Tightly closed eyes

Muscle rigidity

Withdrawn behavior

A

Uncooperative behavior

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14
Q

Determine a factor that influences how a child experiences pain.

Gender

Sexual preference

Personality

Family structure

A

Personality

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15
Q

Predict what could be caused because of inadequate pain management in a 10 year old.

Irritability

Hopelessness

Intolerance

Hypersomnia

A

Hopelessness

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16
Q

Identify a myth about how a child experiences pain.

Infants cannot feel pain.

Infants can become addicted to pain medication.

Children exaggerate the pain for attention.

Infants can experience acute pain.

A

Infants cannot feel pain.