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vvll vvll
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6 years ago
The nurse is using a postoperative pain management scale to determine if a newborn recovering from emergency surgery is experiencing pain. Which observations indicate that the child is experiencing level 3 pain this time? (Select all that apply.)
 
  A) High-pitched cry
  B) Baby is grimacing
  C) Baby has not fallen asleep
  D) Heart rate elevated to greater than 20 over the baseline
  E) Baby falls asleep for short periods and then wakes up crying
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#1
6 years ago
A, C, D
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Observations that the infant is experiencing pain at a level 3 include a high-pitched cry, not sleeping, and a heart rate elevated to greater than 20 over the baby's baseline. Grimacing and falling asleep for short periods indicate pain at a level 2.
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