A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?
A client who has peritonitis reports generalized abdominal pain.
A client who has angina reports substernal chest pain.
A client who has pancreatitis reports pain in the left shoulder.
A client who is postoperative reports incisional pain.
The Correct Answer is C
Referred pain is pain that is felt in a location different from its source due to shared nerve pathways or central nervous system processing. A client who has pancreatitis may experience pain in the left shoulder due to irritation of the diaphragm by pancreatic enzymes or inflammation. This pain is referred from the abdominal cavity to the shoulder through the phrenic nerve.
A client who has peritonitis reports generalized abdominal pain that corresponds to the site of inflammation and infection in the peritoneum. A client who has angina reports substernal chest pain that reflects the ischemia and hypoxia of the myocardium. A client who is postoperative reports incisional pain that is caused by tissue damage and inflammation at the surgical site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The Ssegment is the portion of an electrocardiogram (ECG) that represents early ventricular repolarization, which occurs after ventricular contraction and before ventricular relaxation. The Ssegment can be elevated or depressed in cases ofmyocardial infarction (MI), indicating ischemia or injury to the myocardium due to reduced blood flow or oxygen supply.
Correct Answer is D
Explanation
The nurse should instruct the client to trim toenails straight across to prevent ingrown toenails and infection. The nurse should also advise the client to inspect the feet daily for any signs of injury or ulceration, to avoid applying lotion between the toes as this can cause maceration and fungal growth, and to avoid soaking the feet as this can dry out the skin and increase the risk of injury.
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