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    Rn Hesi Pediatric And Women Health Proctored Exam
    Select All That Apply

    Exhibits Which other assessment data would the nurse want to collect before implementing pain management strategies? Select all that apply.

    Explanation & Rationale

    A. Blood pressure: Pain can elevate blood pressure due to sympathetic nervous system activation. Assessing BP helps determine the physiological impact of pain and evaluate response to interventions. B. Parents’ religious affiliation: While important for holistic care, it does not influence immediate assessment or management of postoperative pain in an infant. C. Blood type: Blood type is unrelated to pain assessment and has no relevance in determining pain intensity or management needs. D. Deep tendon reflexes: Reflexes assess neurological integrity, not pain. They are unnecessary in routine pain evaluation for postoperative infants. E. Heart rate: Pain commonly causes tachycardia as part of the stress response. Monitoring heart rate helps validate behavioral cues of pain in nonverbal patients. F. Level of consciousness: Assessing alertness helps ensure that pain is not masked by excessive sedation or altered neurological status, guiding safe administration of analgesics. G. Hearing acuity: Hearing ability does not affect pain assessment in infants and is not relevant for evaluating or managing postoperative discomfort.

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