Author Question: Headaches and migraines are common in children and adolescents. In assessing the severity of the ... (Read 32 times)

EAugust · **on:** Jun 27, 2018

Headaches and migraines are common in children and adolescents. In assessing the severity of the headaches in children, the nurse must understand the ability of the child to describe his/her symptoms.

What would be an incorrect step for a nurse to take when assessing headache pain in a young child? 1. Use an approved pain scale, such as the Wong-Baker Faces Pain Rating Scale.
2. Note the mother or caregiver's report.
3. Note the child's behavior.
4. Note the nurse's own beliefs about children's perception of pain.

Question 2

The nurse taking into consideration the toileting needs of a 20-month-old toddler is aware that this age child:

a. Has voluntary control of the sphincters, but may not be ready for toilet training
b. Will be completely potty trained
c. Should be waking up dry after a night's sleep
d. Should be waking up dry after a daytime nap

pocatato · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
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1. Pain scales enable the patient to describe the level of pain for documentation and therapy purposes.
2. Caregivers and parents of children are the best sources for information because they know the child the best and can more accurately assess the pain.
3. A child in pain will exhibit irritability and want to pull away from any painful stimulus.
4. Pain is a subjective phenomenon. Young children are often unable to verbalize their symptoms and must be helped when describing their feelings by use of approved pain scales and words that they can understand.

Answer to Question 2

A
The child will likely not be potty-trained. Children at this age have achieved voluntary control of the sphincters but are not usually ready to begin potty training until later. It is highly unlikely that the child wakes up dry from naps or from a night's sleep.