209) ANSWER
C) Ask him to choose a face on the Wong FACES pain rating scale.
RATIONALE
Pain management is a high priority following gastric surgery, and the nurse should use age-appropriate tools to assess for pain, such as the Wong FACES rating scale. A gastrostomy tube or nasogastric tube placed during surgery is kept in place to maintain gastric decompression. The child is kept NPO until bowel function returns. The use of a pH probe to measure gastric acidity is not necessary. The core issue of the question is knowledge of appropriate interventions in the first 24 hours following gastric surgery. Use knowledge that the gastric tube should not be manipulated or used for feeding to eliminate some options. Use nursing knowledge of routine postoperative care and the process of elimination to make a final selection.
C) Ask him to choose a face on the Wong FACES pain rating scale.
RATIONALE
Pain management is a high priority following gastric surgery, and the nurse should use age-appropriate tools to assess for pain, such as the Wong FACES rating scale. A gastrostomy tube or nasogastric tube placed during surgery is kept in place to maintain gastric decompression. The child is kept NPO until bowel function returns. The use of a pH probe to measure gastric acidity is not necessary. The core issue of the question is knowledge of appropriate interventions in the first 24 hours following gastric surgery. Use knowledge that the gastric tube should not be manipulated or used for feeding to eliminate some options. Use nursing knowledge of routine postoperative care and the process of elimination to make a final selection.
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