A 5-year-old child presents to the emergency department with a right arm fracture.
The child is crying and restless.
The nurse uses the Numeric Rating Scale (NRS) to assess the child's pain.
The child rates their pain as an 8/10.
Which of the following statements by the nurse is appropriate?
"I'm going to give you some pain medicine now.”..
"Your pain is not that bad. You'll be okay in a little while.”..
"You're probably just scared. There's no need to cry.”..
"I can tell that you're in a lot of pain. We're going to do everything we can to help you feel better.”..
The Correct Answer is D
We're going to do everything we can to help you feel better.”..
Choice A rationale:
Offering pain medication immediately is not appropriate without proper assessment and a healthcare provider's order.
It's essential to assess the child's pain properly before administering any medication.
Choice B rationale:
Dismissing the child's pain and telling them it's not that bad is not appropriate.
Pain is subjective, and the child's perception of pain is real.
It's essential to acknowledge their pain and provide appropriate care.
Choice C rationale:
Assuming the child is just scared and telling them not to cry is not the right approach.
Pain should be assessed and addressed appropriately, and the child's feelings should be validated.
Choice D rationale:
This is the correct choice.
The nurse acknowledges the child's pain, expresses empathy, and assures them that everything will be done to alleviate their pain.
This approach is comforting and therapeutic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
If the child marked a point close to "worst pain imaginable" on the Visual Analog Scale (VAS), it would indicate severe pain, not mild pain.
The child's indication suggests that they are experiencing a high level of pain.
Choice B rationale:
This is the correct answer.
When a child marks a point close to "worst pain imaginable" on the VAS, it indicates severe pain.
The VAS is a linear scale, with one end representing no pain and the other end representing the most severe pain.
Therefore, a mark close to the extreme end of severe pain suggests that the child's pain intensity is high.
Choice C rationale:
If the child marked a point close to "worst pain imaginable," it would not indicate that the child is pain-free.
It would actually suggest the opposite, that the child is in significant pain.
Choice D rationale:
The child's pain level can be determined from the given information.
By marking a point close to "worst pain imaginable" on the VAS, the child is indicating a high level of pain, which is consistent with the scale's interpretation.
Correct Answer is A
Explanation
Choice A rationale:
Please point to the face that best represents your pain.”..
This statement is appropriate for using the Wong-Baker FACES Pain Rating Scale.
The scale consists of faces with different expressions, and the child is asked to point to the one that best represents their pain intensity.
This choice aligns with the scale's methodology.
Choice B rationale:
Remember, the faces range from smiling to crying.”..
While this statement provides some information about the scale, it doesn't guide the child on how to express their pain level accurately.
It's essential to ask the child to point to the face that matches their pain, as mentioned in choice A.
Choice C rationale:
This scale is used to represent different levels of pain intensity.”..
This statement is informative but lacks the direct instruction for the child to choose a specific face.
To assess pain using the Wong-Baker FACES Pain Rating Scale, it's important to instruct the child explicitly.
Choice D rationale:
The face you choose will help us understand how much pain you are in.”..
This statement is informative but doesn't instruct the child to interact with the scale.
It's crucial to involve the child actively in the pain assessment by having them select the face that best represents their pain.
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