A 7-year-old child is brought to the emergency department complaining of arm pain after falling off a swing at school. The child rates the pain as an 8 on a scale of 1-10 . The best response by the nurse to this information is to
a. assume the child is too young to verbalize how much pain he/she is in.
b. give the child a narcotic pain medication.
c. obtain further information about the pain using an age-appropriate tool.
d. send the parents to the waiting room to see if the child "gets better" without them.
C
Clients in pain need a thorough pain assessment using the PQRST mnemonic. Children should be assessed using an age-appropriate tool such as the Faces scale. However, any score at 7 or above needs to be considered high risk, evaluated, and then treated appropriately.
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