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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Asking the client to rate the pain: Pain rating provides a subjective measure of the intervention’s effectiveness in reducing discomfort.

B. Having the client perform range-of-motion of the affected arm: This assessment is not specific to determining the effectiveness of cold therapy; it is more related to mobility or rehabilitation.

C. Monitoring the client's pulse rate: While pain can affect pulse rate, this is an indirect and nonspecific measure of pain or swelling reduction.

D. Inspecting the site for reduced swelling: Swelling reduction can be an indicator of decreased inflammation, but it does not provide a direct assessment of the client’s pain levels.

A. Encouraging client feedback about satisfaction with the facility experience. B. Explaining unit rules and policies regarding unacceptable behaviors. C. Supporting the client's wish to refuse prescribed medications. D. Making sure the client understands expectations for client participation.

Correct Answer is C

Explanation

A. Encouraging client feedback about satisfaction with the facility experience: This reflects client-centered care but does not directly demonstrate autonomy.

B. Explaining unit rules and policies regarding unacceptable behaviors: This action involves setting expectations rather than promoting client autonomy.

C. Supporting the client's wish to refuse prescribed medications. Autonomy involves respecting a client's right to make their own decisions about their care, including the decision to refuse treatment, as long as they have the capacity to do so.

D. Making sure the client understands expectations for client participation: This is about ensuring clarity of expectations rather than honoring the client's right to self-determination.

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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?

Nursing Test Bank

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