A 49-year-old patient who reports pain in the foot that moves up along the calf says, "My left foot feels like it is on fire." The patient reports that the pain started yesterday, and they have no prior history of injury or falls. Which components of pain assessment has the patient reported?
Aggravating and alleviating factors.
Exacerbation, with associated signs and symptoms.
Intensity, temporal characteristics, and functional impact.
Location, quality, and duration.
The Correct Answer is D
A. Aggravating and alleviating factors: The patient has not identified any factors that worsen or relieve the pain.
B. Exacerbation, with associated signs and symptoms: There is no indication of exacerbating factors or associated symptoms in this description.
C. Intensity, temporal characteristics, and functional impact: The intensity (e.g., 1-10 scale), temporal characteristics (pattern over time), or functional impact on daily activities were not mentioned.
D. Location, quality, and duration. The patient described: Location: The foot and calf. Quality: "Feels like it is on fire" (neuropathic pain). Duration: Pain began yesterday.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Aggravating and alleviating factors: The patient has not identified any factors that worsen or relieve the pain.
B. Exacerbation, with associated signs and symptoms: There is no indication of exacerbating factors or associated symptoms in this description.
C. Intensity, temporal characteristics, and functional impact: The intensity (e.g., 1-10 scale), temporal characteristics (pattern over time), or functional impact on daily activities were not mentioned.
D. Location, quality, and duration. The patient described: Location: The foot and calf. Quality: "Feels like it is on fire" (neuropathic pain). Duration: Pain began yesterday.
Correct Answer is A
Explanation
A. Level of sedation. Assessing sedation is the priority because excessive sedation could indicate opioid toxicity, which may precede respiratory depression.
B. Pain level. While assessing pain is essential, it is not the priority when evaluating the safety of opioid administration.
C. Pulse oximetry. Monitoring oxygenation is critical but follows the assessment of sedation, which directly relates to the risk of respiratory depression.
D. Blood pressure. Blood pressure monitoring is important but not as immediate a concern as sedation and respiratory function.
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