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A nurse caring for a pediatric patient recognizes the importance of effective pain assessment and management.
Which statement by the nurse best reflects the appropriate approach to assess and manage pain in children?

"Pain assessment scales are unnecessary as pain is subjective and individual.”..

"Nurses should rely solely on self-report of pain by the child for accurate assessment.”..

"Using a standardized tool and documenting it is crucial for effective pain management.”..

"Pain management should be initiated without involving the patient or family.”..

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Pain assessment scales are unnecessary as pain is subjective and individual.”..

This statement is not the best approach.

While pain is subjective, pain assessment scales are still valuable tools to help healthcare providers understand and quantify a patient's pain.

They aid in effective pain management and communication.

Choice B rationale:

Nurses should rely solely on self-report of pain by the child for accurate assessment.”..

While self-report is crucial, it's not always possible, especially in very young or non-verbal children.

Using a standardized tool in addition to self-report is essential for a comprehensive assessment and management of pediatric pain.

Choice C rationale:

Using a standardized tool and documenting it is crucial for effective pain management.”..

This statement is the most appropriate choice.

It emphasizes the importance of standardized pain assessment tools, which help in consistent and accurate pain assessment.

Proper documentation is also essential for tracking and managing a child's pain effectively.

Choice D rationale:

Pain management should be initiated without involving the patient or family.”..

This approach is not suitable for pediatric patients.

Involving the patient and their family in pain management decisions and plans is essential, as it ensures that the care provided is patient-centered and addresses their specific needs.

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Correct Answer is ["A","E"]

Explanation

Choice A rationale:

Abdominal organs Visceral pain is pain that originates from the internal organs.

Abdominal organs, such as the liver, stomach, and intestines, are common sources of visceral pain in children.

This pain is often described as dull, crampy, and poorly localized.

Choice B rationale:

Skeletal muscles Skeletal muscles are not considered sources of visceral pain.

Visceral pain is specific to the internal organs, and skeletal muscles are part of the musculoskeletal system, which generates somatic pain when injured or strained.

Choice C rationale:

Ligaments Ligaments are not considered sources of visceral pain.

Visceral pain arises from the internal organs and is different from pain related to connective tissues like ligaments.

Choice D rationale:

Joints Joints are not considered sources of visceral pain.

Visceral pain primarily arises from the internal organs and is distinct from joint-related pain.

Choice E rationale:

Chest organs Chest organs, such as the heart and lungs, are also common sources of visceral pain in children.

Visceral pain originating from the chest may present as a deep, aching sensation and is often associated with conditions like pneumonia or cardiac issues.

A. "I have a sharp, throbbing pain at the site of my injury.”.. B. "I feel a burning or shooting pain with numbness and tingling.”.. C. "My pain is deep and crampy, and I'm feeling nauseous.”.. D. "I have a dull, aching pain that worsens with movement.”..

Correct Answer is C

Explanation

Choice A rationale:

I have a sharp, throbbing pain at the site of my injury" describes a type of pain that is generally consistent with physical findings.

This kind of pain is usually associated with tissue damage or inflammation, and it is unlikely to be the type of pain mentioned in the question.

Choice B rationale:

I feel a burning or shooting pain with numbness and tingling" is indicative of neuropathic pain, which can be associated with neurological conditions or injuries.

While neuropathic pain may have some psychological aspects, it is not the best fit for the description in the question.

Choice C rationale:

My pain is deep and crampy, and I'm feeling nauseous" suggests visceral pain.

Visceral pain often presents as a deep, crampy discomfort in the abdominal or thoracic areas and can be associated with exaggerated responses and psychological distress.

This type of pain is inconsistent with physical findings and can be influenced by emotional and psychological factors.

Choice D rationale:

I have a dull, aching pain that worsens with movement" typically describes musculoskeletal pain, which is usually consistent with physical findings and may worsen with movement.

It is not the best fit for the description provided in the question.

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A nurse caring for a pediatric patient recognizes the importance of effective pain assessment and management.Which statement by the nurse best reflects the appropriate approach to assess and manage pain in children?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Select all that apply)A nurse caring for a child understands the various sources of pain.Which of the following are considered sources of visceral pain in children?

Correct Answer is ["A","E"]

Explanation

A client experiences pain that is inconsistent with physical findings, exaggerated responses, and psychological distress.What type of pain is the client likely experiencing?

Correct Answer is C

Explanation

A client asks a nurse about how opioids work to reduce their child’s moderate to severe pain.How should the nurse respond?

A nurse is assessing a child's pain.Select all the methods that can be used to assess pain in children who are pre-verbal or developmentally disabled.

A client’s child has been complaining of a deep, crampy, or colicky pain and has been experiencing nausea.The nurse recognizes these symptoms as indicative of a certain type of pain.Which of the following statements would be most appropriate for the client to say?

A nurse is teaching a group of parents about the different types and sources of pain in children. The nurse explains that one type of pain originates from skeletal muscles, ligaments, or joints. Which type of pain is the nurse referring to?

A nurse caring for a pediatric patient recognizes the importance of effective pain assessment and management.
Which statement by the nurse best reflects the appropriate approach to assess and manage pain in children?