NursingPlex
    Sign In
    Rn Hesi Pediatric And Women Health Proctored Exam

    Exhibits Based on the FLACC score and the client's developmental level, mark which nurse actions would be appropriate, and which would not be appropriate. Each row must have one option selected.

    Explanation & Rationale

    • Perform guided imagery: Guided imagery requires abstract thinking and verbal instruction comprehension, which infants do not possess. It is useful for older children who can visualize scenarios for relaxation. • Encourage the baby's mother to breastfeed the baby: The infant is NPO to protect the surgical site and prevent reflux or vomiting that could compromise the fundoplication. Breastfeeding would violate postoperative dietary restrictions. • Wait 1 hour, reassess, and give medication if the FLACC score remains elevated: Delaying pain management risks prolonged discomfort and physiologic stress. Moderate postoperative pain should be addressed promptly using prescribed analgesics. • Ask the healthcare provider to prescribe a nonsteroidal anti-inflammatory drug: NSAIDs increase the risk of gastric irritation and bleeding, which is contraindicated after upper GI surgery such as fundoplication. Opioids or acetaminophen are safer alternatives. • Request a prescription for an opioid: The infant is post-operative and cannot yet take oral analgesics due to NPO status. Short-acting IV opioids such as morphine are appropriate for moderate pain (FLACC 5) after abdominal surgery in infants. • Consult a child life specialist: Child life specialists can teach parents comforting techniques, use soothing sensory stimulation, and promote bonding during hospitalization, supporting emotional and developmental needs. • Have one of the parents hold the baby: Physical contact provides comfort, reduces anxiety, and supports secure attachment. Kangaroo care or gentle holding is a safe, nonpharmacologic way to reduce distress in infants.

    🔒 Submit your answer to reveal
    📋 View Case Study