A nurse is educating a group of parents about the different types of pain that children can experience.
The nurse explains that one type of pain is caused by the activation of pain receptors due to tissue damage.
Which of the following statements by a parent indicates an understanding of this type of pain?
“So, it’s like when my child falls and scrapes their knee.”..
“It’s like when my child has a headache for no apparent reason.”..
“It’s like when my child complains about a stomach ache.”..
“It’s like when my child feels pain after their chemotherapy.”..
The Correct Answer is A
Choice A rationale:
This statement correctly indicates an understanding of pain caused by the activation of pain receptors due to tissue damage.
When a child falls and scrapes their knee, the physical injury leads to the activation of pain receptors in the damaged tissue, causing pain.
This is a clear example of nociceptive pain, which results from tissue damage and inflammation.
Choice B rationale:
This statement is not correct.
Headaches can have various causes, including tension, migraines, or other medical conditions.
It may not necessarily be related to tissue damage or the activation of pain receptors due to injury.
Choice C rationale:
This statement is not entirely accurate.
While children can complain about stomachaches, they may not always be related to tissue damage or pain receptor activation.
Stomachaches can be caused by various factors, including gastrointestinal issues or emotional distress.
Choice D rationale:
This statement is not accurate in the context of nociceptive pain.
Pain after chemotherapy is more likely to be related to chemotherapy-induced tissue damage or inflammation rather than pain receptor activation.
It may involve other mechanisms as well, such as neuropathic pain.
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Correct Answer is C
Explanation
Choice C rationale:
Opioids remain the agent of choice for treating moderate to severe pain in both adults and children.”..
Opioids are effective in managing pain in pediatric patients when used appropriately.
They work by binding to opioid receptors in the central nervous system, primarily in the brain and spinal cord, to reduce pain perception.
Opioids can be safely used in children when prescribed and administered according to appropriate guidelines and dosing.
While there are potential side effects and risks associated with opioid use, the benefits of effective pain management usually outweigh the risks, especially for moderate to severe pain.
Choice A rationale:
Opioids work primarily in the peripheral nervous system to reduce pain perception" is an inaccurate statement.
Opioids primarily work in the central nervous system by binding to specific receptors in the brain and spinal cord.
While opioids can affect the peripheral nervous system indirectly, their main mechanism of action is central.
Choice B rationale:
Opioids are not suitable for managing pain in children due to potential side effects" is an overly negative and inaccurate statement.
Opioids can be suitable for managing pain in children, but their use should be carefully considered, and the potential side effects should be monitored and managed.
Choice D rationale:
Non-pharmacological interventions are more effective than opioids in pediatric pain management" is an oversimplified statement.
Non-pharmacological interventions have their place in pediatric pain management, but their effectiveness can vary depending on the type and severity of pain.
Opioids can be necessary and effective in many cases, and the choice of treatment should be based on a comprehensive assessment of the child's pain and individual needs.
Correct Answer is B
Explanation
Choice A rationale:
The statement, "Neuropathic pain is caused by damage or dysfunction to the nervous system," is accurate.
Neuropathic pain results from nerve damage or dysfunction, and this response correctly explains the nature of neuropathic pain.
Choice B rationale:
This is the most accurate response among the options provided.
Nociceptive pain is caused by the activation of pain receptors due to tissue damage.
Choice C rationale:
The statement, "Visceral pain is pain that originates from internal organs, such as the abdomen or chest," is accurate.
Visceral pain is indeed associated with internal organs.
However, it is not the most accurate response because it focuses on only one type of pain (visceral) and doesn't cover the broader categories of pain, as the question intended.
Choice D rationale:
The statement, "Somatic pain is pain that originates from skeletal muscles, ligaments, or joints," is accurate.
Somatic pain is associated with the musculoskeletal system.
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