单选题 One day after an appendectomy, a 9-year-old rates his pain at 4 out of 5 on the pain scale but is playing video games and laughing with his friend. Which of the following would the nurse document on the child's chart

A、 The child is in no apparent distress, and no pain medication is needed at this time.
B、 The child rates pain at 4 out of 5. Pain medication administered as prescribed.
C、 The child doesn't understand the pain scale. Performed teaching to help child match his pain rating to how he appears to be feeling.
D、 The child rates his pain at 4 out of 5; however, he appears to be in no distress. Reassess when he's visibly showing signs of pain.

【正确答案】 B

【答案解析】Pain is what the child says it is, and the nurse must document what the child reports. If a child's behavior appears to differ from the child's rating of pain, believe the pain rating. A child who uses passive coping behaviors (such as distraction and cooperation) may rate pain as more intense than children who use active coping behaviors (such as crying and kicking). Nurses frequently make judgments about pain based on behavior, which can result in children being inadequately medicated for pain.