A client is a 5-year-old boy who is recovering from a broken leg.
He is experiencing pain in his leg.
The nurse is assessing the client's pain.
Which of the following statements by the nurse is most appropriate?
"You should be feeling better soon.”..
"Is the pain getting worse or better?".
"I know you're hurting, but it's important to be brave.”..
"You must be in a lot of pain.”..
The Correct Answer is B
Choice A rationale:
The statement, "You should be feeling better soon," is not the most appropriate response because it assumes the client's condition will improve without assessing the current pain level or understanding the client's experience.
Pain is subjective, and the nurse should first gather information about the pain's intensity and character before making such an assumption.
Choice B rationale:
This is the most appropriate response among the options provided.
It shows the nurse's concern for the client's pain and seeks to understand the pain's trajectory.
By asking if the pain is getting worse or better, the nurse is addressing the client's current experience and providing an opportunity for the child to express their feelings, which is essential in pediatric nursing.
Choice C rationale:
The statement, "I know you're hurting, but it's important to be brave," while well-intentioned, does not address the client's pain assessment.
It focuses more on encouraging bravery rather than gathering information about the pain, which should be the primary concern during the assessment.
Choice D rationale:
The statement, "You must be in a lot of pain," is somewhat presumptive and doesn't actively involve the client in the assessment process.
It assumes the client's level of pain without allowing the child to express their feelings or provide more information about the pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
This choice is correct.
Release of inflammatory mediators, such as prostaglandins, can sensitize pain receptors and contribute to the perception of pain.
This process is characteristic of nociceptive pain.
Choice B rationale:
Disruption of nerve pathways resulting in abnormal pain signaling is a valid mechanism involved in different types of pain.
This disruption can occur in conditions like neuropathic pain, where damaged nerves send abnormal pain signals.
Choice C rationale:
Altered pain processing is a key mechanism in the perception of pain.
This can involve changes in how the brain processes pain signals and is a factor in chronic pain conditions.
Choice D rationale:
Activation of the immune system leading to an allergic reaction is not typically a mechanism involved in the perception of pain.
Allergic reactions are more related to immune responses and may involve itching or discomfort rather than pain.
Choice E rationale:
Increased production of red blood cells is not a mechanism related to the perception of pain.
This is more related to conditions like polycythemia, which can lead to changes in blood composition but not directly to pain perception.
I hope this information is helpful in understanding the questions and their answers.
Correct Answer is C
Explanation
Choice A rationale:
Non-pharmacological interventions include only distraction techniques.”..
This statement is incorrect.
Non-pharmacological interventions for pain management in children encompass a wide range of techniques, including but not limited to distraction.
It's essential to provide accurate information to the family member.
Choice B rationale:
Non-pharmacological interventions are ineffective in managing pediatric pain.”..
This statement is also incorrect.
Non-pharmacological interventions can be highly effective in managing pediatric pain, and they are often used in combination with pharmacological approaches.
Dismissing their effectiveness is not accurate.
Choice C rationale:
Non-pharmacological interventions encompass techniques such as relaxation, guided imagery, and massage.”..
This is the most appropriate choice.
It provides accurate information to the family member about the variety of non-pharmacological interventions available for pediatric pain management.
These techniques can be highly effective in reducing pain and promoting comfort.
Choice D rationale:
Non-pharmacological interventions are limited to pre-verbal and developmentally disabled children.”..
This statement is inaccurate.
Non-pharmacological interventions are used for a broad range of pediatric patients, not limited to specific groups.
They can be adapted to suit the developmental stage and needs of each child.
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