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    HESI RN Exit VI Proctored Exam
    Select All That Apply

    The nurse is assessing a 3-month-old client who had a pyloromyotomy yesterday. This child should be medicated for pain based on which finding(s)? Select all that apply.

    Explanation & Rationale

    A. Peripheral pallor is not a typical pain indicator.B. Restlessness can be a sign of discomfort or pain in infants.C. Increased respiratory rate can indicate pain or distress.D. Increased temperature is more indicative of infection than pain.E. Clenched fists can be a sign of pain or discomfort in infants.F. Increased pulse rate is a common physiological response to pain.

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