A nurse is preparing to assess a child’s pain.
The nurse understands that pain assessment is crucial for effective pain management.
The nurse plans to use a standardized tool and document which tool was used.
The nurse also plans to assess the impact of pain on the child’s daily activities, school performance, and sleep patterns.
Which of the following statements should the nurse make to the child’s family?

“Your child’s pain level is not important.”..

“We will only use medication to manage your child’s pain.”..

“The nature of pain is subjective and individual.”..

“Your child’s developmental level does not affect their perception of pain.”..

Answer and Explanation

The Correct Answer is C

Choice A rationale:

This choice is incorrect because it dismisses the child's pain, which is not an appropriate approach to pain assessment or management.

Pain assessment is a crucial part of effective pain management, and it should not be ignored.

Choice B rationale:

This choice is incorrect because it suggests using medication as the sole approach to managing the child's pain.

While medication can be a part of pain management, it's important to assess and understand the nature and impact of the pain before deciding on the best approach.

Choice C rationale:

This is the correct choice.

The nurse should inform the family that the nature of pain is subjective and individual.

Pain perception varies from person to person, and what one person experiences as severe pain may be different for another.

It is essential to acknowledge and address the child's pain, taking into consideration their unique experience.

Choice D rationale:

This choice is incorrect.

A child's developmental level does affect their perception of pain.

Children may experience and express pain differently depending on their age and developmental stage.

Ignoring this aspect can lead to inadequate pain assessment and management.

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Correct Answer is B

Explanation

Choice A rationale:

Opioids do not increase the perception of pain in the peripheral nervous system.

Instead, they act primarily in the central nervous system to reduce pain perception.

This choice is incorrect.

Choice B rationale:

Opioids primarily work in the central nervous system to reduce pain perception.

They bind to specific receptors in the brain and spinal cord, altering the perception of pain.

This choice is correct and accurately describes how opioids function in pain management.

Choice C rationale:

This choice is incorrect.

Opioids do have an effect on the central nervous system, and they are not inert substances with no effect on pain perception.

Choice D rationale:

Opioids do not enhance the perception of pain in the central nervous system.

Instead, they have the opposite effect by reducing pain perception.

This choice is incorrect.

A. “I don’t want my child to take any medication.”.. B. “Opioids are not effective in reducing pain.”.. C. “I understand that opioids can help manage my child’s pain.”.. D. “My child’s pain is not severe enough for opioids.”..

Correct Answer is C

Explanation

Choice A rationale:

This choice is incorrect because it indicates the client's reluctance to have their child take any medication.

While some parents may have concerns about medication, the nurse should provide information and education about the benefits and risks of opioid use in specific situations.

Choice B rationale:

This choice is incorrect because it suggests that opioids are not effective in reducing pain, which is not accurate.

Opioids are known to be effective in managing moderate to severe pain in both adults and children when used appropriately.

Choice C rationale:

This is the correct choice.

The nurse should expect the client to understand that opioids can help manage their child's pain.

It's important for the nurse to educate the client about the use of opioids, potential side effects, and the importance of proper pain management.

Choice D rationale:

This choice is incorrect.

If the child is experiencing moderate to severe pain, opioids may be a suitable choice for pain management, and it's not solely based on the severity of pain.

The decision should be made based on a comprehensive assessment and medical evaluation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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