A 7-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain.Physical exam and all ordered lab work have been normal
The statement by the nurse working with this child that would be most likely to help determine the etiology of this child's abdominal pain is
1. "Have there been any changes inyour child's school or home life recently?"
2. "Tell me what your child usually eatson a normal day."
3. "Are your child's immunizations upto date?"
4. "Has your child had any fevers orviral illnesses in the last three months?"
Answer:1
Rationale: With a normal exam and lab work there is a high probability that this child's abdominal pain is stress related,and it is most important to identify the possible stressors in this child's life to aid in diagnosis and treatment. The other questions are also important to ask but are 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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