- Delaying pain medication.
- Administering ordered analgesics around the clock, not just PRN, and providing non-pharmacological comfort measures.
- Encouraging the child to "tough it out."
- Limiting hydration.
Author: ETEA MCQS.COM
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- Explaining the procedure in complex medical terms.
- Providing age-appropriate explanation, therapeutic play, and adequate pain/sedation management.
- Restraining the child without explanation.
- Performing the procedure in a noisy environment.
- Antibiotics.
- Benzodiazepines (e.g., lorazepam) for short-term relief, and teaching coping mechanisms.
- Antidepressants (for acute relief).
- Laxatives.
- Giving a full meal.
- Withholding oral intake (NPO) as prescribed, and educating parents about the procedure.
- Administering a sedative without order.
- Encouraging crying.
- Allowing unlimited fluids.
- Educating the child and family about the rationale for the restriction, providing measured amounts of fluid, and offering ice chips.
- Ignoring fluid intake.
- Encouraging sugary drinks.
- Relying solely on parental reports.
- Using an age-appropriate pain scale (e.g., FACES, Numeric Rating Scale) and assessing pain characteristics, intensity, and location.
- Observing facial expressions only.
- Asking if the pain is gone.
- Administering laxatives.
- Preparing for a pneumatic or hydrostatic enema to reduce the intussusception, or surgical intervention if reduction fails.
- Observing for spontaneous resolution.
- Encouraging oral feeds.
- Stop insulin and avoid monitoring.
- Continue insulin (do not omit doses), monitor blood glucose and ketones frequently, and ensure adequate fluid intake.
- Increase food intake significantly.
- Rely only on oral medications.
- Limiting parental visitation.
- Involving parents in care planning, providing clear and concise information, and respecting family routines and preferences.
- Making all decisions for the family.
- Focusing only on the child's medical needs.
- Administering antiemetics after vomiting begins.
- Administering antiemetics routinely before chemotherapy and on a schedule as prescribed to prevent nausea.
- Giving small doses of antiemetics.
- Withholding antiemetics if the child is not eating.
- Spinal cord injury.
- Severe brain injury and increased intracranial pressure (ICP).
- Peripheral nerve damage.
- Muscle spasms.
- Mild cough.
- Severe paroxysmal coughing, potential for apnea, and the need for urgent antibiotic treatment and respiratory support.
- Nasal congestion.
- Increased appetite.
- Encouraging high fluid intake.
- Restricting sodium and fluid intake, monitoring for signs of worsening edema or respiratory distress.
- Administering large volumes of IV fluids.
- Providing sugary drinks.
- Forcing the medication.
- Exploring the adolescent's reasons for refusal, educating about the medication, addressing concerns, and involving the healthcare provider.
- Telling the parents to force it.
- Discharging the adolescent.
- Flushing with soda.
- Flushing the tube with water before and after medication administration and feedings.
- Not flushing the tube.
- Using cold water for flushing.
- Leaving the child alone to rest.
- Reorienting the child gently, providing a calm environment, and ensuring parental presence if possible.
- Speaking loudly to the child.
- Administering sedatives.
- Oral rehydration solution.
- Sodium bicarbonate (IV) if acidosis is severe and persists despite fluid resuscitation.
- Antiemetics.
- Antipyretics.
- Use the same site every time.
- Rotate injection sites regularly to prevent lipohypertrophy and ensure consistent absorption.
- Only inject into the abdomen.
- Inject into muscles.
- Only monitoring oxygen saturation.
- Continuous monitoring of respiratory rate, effort, breath sounds, and color, and assessing for signs of fatigue.
- Only monitoring heart rate.
- Checking temperature.
