A nurse is caring for a six-year-old child who had surgery that morning.
The child is awake and lying very still in bed.
What should the nurse do?
Use an “ouch” scale for pain assessment.
Encourage the child to request pain medication when needed.
Plan to administer pain medication if the child begins to cry.
Ask the child to rate their pain on a scale of 1 to 10.
The Correct Answer is A
Choice A rationale
Using an “ouch” scale, such as the Wong-Baker FACES Pain Rating Scale, is appropriate for young children. It allows them to express their pain intensity in a way that is understandable and relatable to their age group.
Choice B rationale
Encouraging a six-year-old to request pain medication may not be effective, as they might not understand when they need it or might be reluctant to ask.
Choice C rationale
Waiting to administer pain medication until the child begins to cry can delay pain relief, leading to unnecessary discomfort and anxiety.
Choice D rationale
Asking a young child to rate their pain on a scale of 1 to 10 might be confusing and less effective than using a more child-friendly method like the “ouch” scale.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Evidence of human fetal risk would categorize the drug as Category D or X, not Category B.
Choice B rationale
This statement aligns more with Category C drugs, where animal studies show adverse effects, but not Category B.
Choice C rationale
This describes Category A drugs, not Category B.
Choice D rationale
Category B drugs have shown no risk in animal studies but lack adequate human studies, fitting this description.
Correct Answer is D
Explanation
Choice A rationale
Determining the type of pain is secondary to assessing pain severity.
Choice B rationale
Intravenous opioids are strong and should be considered only after evaluating pain severity.
Choice C rationale
Administering acetaminophen without assessing pain severity first is not appropriate.
Choice D rationale
Asking the patient to rate their pain helps gauge severity, guiding further pain management steps.
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