A 14-Year-Old Boy Is Scheduled for Spinal Fusion with Implantation

question 7

Multiple Choice

A 14-year-old boy is scheduled for spinal fusion with implantation of rods from T₁0 to L2.During the preoperative interview and assessment,he asks the perioperative nurse how bad his pain will be when he wakes up and if he will have enough pain medicine available.He also wonders how the nurse will know when his pain is severe enough to give him pain medicine.The perioperative nurse assures the patient that he will have many options available to him to manage his pain after the surgery.An appropriate risk reduction strategy that the nurse can implement during the preoperative assessment is to:

• A) explain and demonstrate the adolescent pediatric pain tool.
• B) explain that he will have patient-controlled analgesia (PCA) and his parents can help manage his pain for him.
• C) tell him to teach his parents what he knows about the pain scale.
• D) request a consult with the pain service to explain the pain management plan to him.

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