A nurse is assessing a child's pain level.
Which of the following factors would NOT be considered?
The child's age.
The child's developmental level.
The child's cultural background.
The child's reported pain level.
The Correct Answer is A
The child's age.
Choice A rationale:
Age is an essential factor to consider when assessing a child's pain level.
Children of different age groups may perceive and express pain differently.
Infants, for example, may not be able to verbalize their pain, while older children can communicate more effectively.
Understanding the child's age allows healthcare providers to adapt their pain assessment techniques accordingly.
Choice B rationale:
The child's developmental level is an important factor to consider when assessing pain.
Developmental factors can impact a child's ability to communicate their pain and their understanding of pain management.
However, the question asks for a factor that would NOT be considered, and developmental level is typically considered when assessing a child's pain.
Choice C rationale:
The child's cultural background is a crucial consideration in pain assessment.
Cultural beliefs and practices can influence how pain is perceived and expressed.
It's important to be culturally sensitive and take into account the child's cultural background when assessing pain.
However, this choice is about factors that would NOT be considered, so cultural background is indeed considered in pain assessment.
Choice D rationale:
The child's reported pain level is a critical factor to consider when assessing pain.
It is a direct and reliable source of information about the child's pain experience.
Dismissing the child's self-reported pain level would be inappropriate and contrary to best practices in pain assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Acetaminophen is indicated for mild to moderate pain and fever.
Acetaminophen is an analgesic and antipyretic medication commonly used to relieve mild to moderate pain and reduce fever.
It is suitable for various pediatric conditions, making it a valid choice for pain management in children.
Choice B rationale:
NSAIDs are contraindicated in patients with known hypersensitivity to NSAIDs, active bleeding, and renal impairment.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) can cause adverse effects, including gastrointestinal bleeding, and should be avoided in patients with active bleeding.
Additionally, patients with known hypersensitivity to NSAIDs or renal impairment are at an increased risk of experiencing side effects when taking these medications, making choice B accurate.
Choice C rationale:
Opioids work by increasing blood flow to the affected area.
This statement is incorrect.
Opioids work by binding to opioid receptors, altering the perception and response to painful stimuli.
They do not increase blood flow to the affected area.
Opioids are central nervous system depressants that act on the brain and spinal cord to modify the perception of pain.
Choice D rationale:
The dosage of Acetaminophen and NSAIDs is based on age.
This statement is partially accurate.
While age can be a factor in determining the appropriate dosage of these medications in pediatric patients, it is not the sole determinant.
Weight and specific patient characteristics may also play a role in dosing decisions.
Choice E rationale:
Opioids work by binding to opioid receptors, altering perception and response to painful stimuli.
This statement is accurate.
Opioids are a class of medications that act on specific receptors in the central nervous system, altering the perception of pain and the body's response to painful stimuli.
They do not increase blood flow to the affected area but instead modulate pain at the neurological level.
Correct Answer is D
Explanation
Choice A rationale:
Taking ibuprofen with food is a common recommendation to reduce the risk of gastrointestinal irritation.
It is a responsible choice, and the client's statement indicates understanding.
Choice B rationale:
Avoiding ibuprofen if the client has asthma is a prudent decision.
Ibuprofen and other NSAIDs can exacerbate asthma symptoms in some individuals, so this statement also shows good awareness on the client's part.
Choice C rationale:
Avoiding ibuprofen during pregnancy or while breastfeeding is a necessary precaution.
Ibuprofen is not recommended during pregnancy, especially in the third trimester, as it can have adverse effects on the developing fetus.
It can also pass into breast milk and affect the nursing infant.
This statement reflects appropriate knowledge.
The correct answer is choice D because the statement "I will take ibuprofen as needed, up to the maximum recommended daily dose" indicates a potential lack of understanding.
It's important for clients to be aware of the maximum recommended dose of ibuprofen, as exceeding this limit can lead to adverse effects, including gastrointestinal problems and an increased risk of bleeding.
Clients should be advised to follow the dosing instructions provided by their healthcare provider or on the medication label to ensure safe and effective use of the medication.
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