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
Explanation
Choice A rationale:
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the synthesis of prostaglandins.
Prostaglandins are chemicals in the body that promote inflammation, pain, and fever.
By blocking their production, ibuprofen reduces these symptoms.
Specifically, it inhibits the activity of the enzymes cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2), which are involved in prostaglandin synthesis.
This mechanism of action makes ibuprofen effective in alleviating pain, reducing inflammation, and lowering fever in pediatric patients.
Choice B rationale:
This choice is incorrect.
Ibuprofen does not bind to opioid receptors or alter pain perception.
It has a different mechanism of action as an NSAID.
Choice C rationale:
Ibuprofen does not enhance neurotransmitter activity to increase the pain threshold.
Its primary action is on prostaglandin synthesis and inflammation, not neurotransmitters.
Choice D rationale:
Ibuprofen does not block calcium channels or reduce pain signal transmission in the manner described.
Its primary mechanism is the inhibition of prostaglandin synthesis.
Correct Answer is C
Explanation
Choice A rationale:
Increased blood flow to the area Cold therapy, such as ice packs, is commonly used to reduce swelling and inflammation.
When cold is applied to an area, it causes vasoconstriction, which means that blood vessels in the area constrict or narrow.
This leads to a reduction in blood flow to the affected area, which, in turn, reduces inflammation and swelling.
Therefore, the rationale for Choice A is incorrect, as cold therapy does not increase blood flow to the area.
Choice B rationale:
Relaxation of muscles around the knee Cold therapy can have a temporary muscle relaxing effect due to its numbing properties, but this is not the primary purpose of using cold therapy.
The main goal of cold therapy in this context is to reduce inflammation and alleviate pain.
Choice B is not the correct answer.
Choice C rationale:
Reduction in inflammation and numbing of the area The primary purpose of using cold therapy in this case is to reduce inflammation and numb the area, which helps alleviate pain and discomfort.
Cold therapy causes vasoconstriction, which decreases blood flow to the area and reduces inflammation.
Additionally, the numbing effect can provide pain relief.
This is the correct choice because it aligns with the intended outcome of using cold therapy.
Choice D rationale:
Increased perception of pain Using cold therapy would not lead to an increased perception of pain in this scenario.
In fact, it is typically used to reduce pain and discomfort by numbing the area and decreasing inflammation.
Choice D is not the correct answer.
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