A.
Delaying pain medication.
✓
B.
Administering ordered analgesics around the clock, not just PRN, and providing non-pharmacological comfort measures.
✓
C.
Encouraging the child to "tough it out."
✓
A.
Giving large boluses of water.
✓
B.
Offering small, frequent feedings or administering IV fluids as prescribed.
✓
C.
Restricting all fluids.
✓
D.
Only giving formula.
✓
A.
Explaining the procedure in complex medical terms.
✓
B.
Providing age-appropriate explanation, therapeutic play, and adequate pain/sedation management.
✓
C.
Restraining the child without explanation.
✓
D.
Performing the procedure in a noisy environment.
✓
B.
Benzodiazepines (e.g., lorazepam) for short-term relief, and teaching coping mechanisms.
✓
C.
Antidepressants (for acute relief).
✓
B.
Withholding oral intake (NPO) as prescribed, and educating parents about the procedure.
✓
C.
Administering a sedative without order.
✓
A.
Relying solely on parental reports.
✓
B.
Using an age-appropriate pain scale (e.g., FACES, Numeric Rating Scale) and assessing pain characteristics, intensity, and location.
✓
C.
Observing facial expressions only.
✓
D.
Asking if the pain is gone.
✓
A.
Allowing unlimited fluids.
✓
B.
Educating the child and family about the rationale for the restriction, providing measured amounts of fluid, and offering ice chips.
✓
C.
Ignoring fluid intake.
✓
D.
Encouraging sugary drinks.
✓
A.
Administering laxatives.
✓
B.
Preparing for a pneumatic or hydrostatic enema to reduce the intussusception, or surgical intervention if reduction fails.
✓
C.
Observing for spontaneous resolution.
✓
D.
Encouraging oral feeds.
✓
A.
Stop insulin and avoid monitoring.
✓
B.
Continue insulin (do not omit doses), monitor blood glucose and ketones frequently, and ensure adequate fluid intake.
✓
C.
Increase food intake significantly.
✓
D.
Rely only on oral medications.
✓
A.
Administering antiemetics after vomiting begins.
✓
B.
Administering antiemetics routinely before chemotherapy and on a schedule as prescribed to prevent nausea.
✓
C.
Giving small doses of antiemetics.
✓
D.
Withholding antiemetics if the child is not eating.
✓
