A nurse is working with a pediatric patient and their family to identify the level of pain before considering management options.
The nurse understands that pediatric patients may respond to pain differently than an adult because of their varied developmental levels.
Understanding the patient’s growth and development should be the nurse’s initial step in making a comprehensive pain assessment using a developmentally appropriate pain assessment tool.
Select all that apply:
The nurse should disregard the child’s developmental level when assessing pain.
The nurse should use an adult-focused tool for all pediatric patients.
The nurse should consider the child’s daily activities when assessing pain.
The nurse should document which assessment tool was used.
The nurse should ignore the impact of pain on school performance.
Correct Answer : C,D
Choice A rationale:
This choice is incorrect because the nurse should not disregard the child's developmental level when assessing pain.
Children of different ages may experience and express pain differently.
Ignoring their developmental stage can lead to inadequate pain assessment.
Choice B rationale:
This choice is incorrect because using an adult-focused pain assessment tool for all pediatric patients is not appropriate.
Pediatric patients require developmentally appropriate tools that consider their age and ability to communicate their pain effectively.
Choice C rationale:
This is a correct choice.
The nurse should consider the child's daily activities when assessing pain.
Pain can impact a child's daily life, including school performance and activities.
Understanding the child's daily activities helps in assessing the impact of pain and planning appropriate pain management.
Choice D rationale:
This is also a correct choice.
The nurse should document which assessment tool was used.
Proper documentation is essential for tracking the child's pain management over time and ensuring that the most appropriate assessment tool is consistently applied.
Choice E rationale:
This choice is incorrect.
The nurse should not ignore the impact of pain on school performance, as it is one of the aspects that should be considered when assessing a child's pain and its effect on their daily life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
Choice A rationale:
This choice is incorrect because the nurse should not disregard the child's developmental level when assessing pain.
Children of different ages may experience and express pain differently.
Ignoring their developmental stage can lead to inadequate pain assessment.
Choice B rationale:
This choice is incorrect because using an adult-focused pain assessment tool for all pediatric patients is not appropriate.
Pediatric patients require developmentally appropriate tools that consider their age and ability to communicate their pain effectively.
Choice C rationale:
This is a correct choice.
The nurse should consider the child's daily activities when assessing pain.
Pain can impact a child's daily life, including school performance and activities.
Understanding the child's daily activities helps in assessing the impact of pain and planning appropriate pain management.
Choice D rationale:
This is also a correct choice.
The nurse should document which assessment tool was used.
Proper documentation is essential for tracking the child's pain management over time and ensuring that the most appropriate assessment tool is consistently applied.
Choice E rationale:
This choice is incorrect.
The nurse should not ignore the impact of pain on school performance, as it is one of the aspects that should be considered when assessing a child's pain and its effect on their daily life.
Correct Answer is C
Explanation
Choice A rationale:
Musculoskeletal pain is typically associated with pain in the muscles, bones, or joints and is often described as aching or throbbing.
The child's symptoms of deep, crampy, or colicky pain and experiencing nausea do not align with the typical characteristics of musculoskeletal pain.
Therefore, this choice is not the most appropriate.
Choice B rationale:
Neuropathic pain is often characterized by sensations like burning, tingling, or shooting pain and is associated with nerve damage.
The child's symptoms, such as deep, crampy, or colicky pain and nausea, do not align with the usual presentation of neuropathic pain.
Choice C rationale:
Visceral pain originates from the organs in the body and is often described as deep, crampy, or colicky.
It can also be associated with nausea, making it the most appropriate choice based on the child's symptoms.
Choice D rationale:
Psychogenic pain is typically related to psychological factors and is not related to the physical symptoms described by the child.
It does not align with the deep, crampy pain and nausea the child is experiencing.
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