The nurse is preparing to assess a 1-year-old client for signs of discomfort. When conducting the assessment, which action by the nurse is the most appropriate?
A) Asking the client to rate the pain on a scale of 0-10 during the assessment process
B) Asking the parent to hold the client in the lap during the assessment process
C) Reading a book to the client during the assessment process
D) Recommending that the parent leave the room during the assessment process
Answer: B
Children may be fearful of physical assessment. To promote comfort, allow the child to sit on the parent's or guardian's lap during the assessment process. A numeric pain scale is not appropriate until the client is older. Reading a book during the assessment process is not age appropriate.
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