A 7-year-old child has been seen in the pediatric clinic three times in the last 2 months for complaints of abdominal pain. Physical exam and all ordered lab work have been normal
Which statement or question by the nurse working with this child would be most helpful to determine the etiology of this child's abdominal pain? 1. "Have there been any changes in your child's school or home life recently?"
2. "Tell me what your child usually eats on a normal day.".
3. "Are your child's immunizations up to date?"
4. "Has your child had any fevers or viral illnesses in the last 3 months?"
1
Rationale:
1. With a normal exam and lab work, there is a high probability that this child's abdominal pain is stress-related, and it is important to identify the possible stressors in this child's life to aid in diagnosis and treatment.
2. Although this is an important question to ask, it is not as relevant to this child's symptoms as "Have there been any changes in your child's school or home life recently?"
3. Although this is an important question to ask, it is not as relevant to this child's symptoms as "Have there been any changes in your child's school or home life recently?"
4. Although this is an important question to ask, it is not as relevant to this child's symptoms as "Have there been any changes in your child's school or home life recently?"
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