The nurse is caring for a 6-year-old child who had surgery that morning. The child is awake and lying very still in bed and won't respond when the nurse asks about pain. The nurse will perform which action?
a. Ask the child to rate the pain on a scale of 1 to 10.
b. Encourage the child to request pain medication when needed.
c. Evaluate the child's pain using an "ouch" scale.
d. Plan to administer pain medication if the child begins to cry.
ANS: C
Some children will not verbalize discomfort even when they have severe pain because they fear injections. Nurses may use an "ouch" scale or a faces scale to evaluate pain if the child won't respond. Waiting for severe pain is not appropriate.
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