A patient is receiving an ice massage for relief of muscle spasms in the neck.
The patient complains that the ice is making the pain worse.
Most helpful response from the nurse would be:.

"I will go get an ice pack to place on your neck.”.

"I will stop these cold applications.

"The alteration of hot and cold application is very helpful for your spasms.”.

"I know it is uncomfortable right now, but it will get better in a few minutes.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Offering an ice pack to place on the neck would not be an appropriate response in this situation. The patient has already complained that the ice massage is making the pain worse, so providing additional cold application may exacerbate their discomfort.

Choice B rationale:

The most helpful response in this scenario is to acknowledge the patient's discomfort and stop the cold application. Not everyone responds positively to cold therapy, and it's essential to respect the patient's feedback and provide alternative methods for pain relief.

Choice C rationale:

Alternating hot and cold applications may be helpful for some patients, but in this case, the patient has already expressed that the ice massage is exacerbating their pain. Suggesting this approach without addressing the patient's immediate concern is not appropriate.

Choice D rationale:

While it's true that the discomfort from the ice massage may subside in a few minutes, it's important to prioritize the patient's comfort and address their pain immediately. Continuing an intervention that is causing increased pain is not in the patient's best interest.

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Correct Answer is D

Explanation

Choice A rationale:

Post-herpetic neuralgia. Post-herpetic neuralgia is a neuropathic pain that occurs as a complication of shingles (herpes zoster) and is characterized by severe, burning, or shooting pain in the affected area. It is not an example of nociceptive pain.

Choice B rationale:

Diabetic neuropathy. Diabetic neuropathy is another example of neuropathic pain and is caused by damage to the nerves due to diabetes. It typically presents as aching, burning, or tingling sensations and is not considered nociceptive pain.

Choice C rationale:

Phantom limb pain. Phantom limb pain is also a neuropathic pain that occurs after the amputation of a limb. Patients perceive pain or discomfort in the missing limb. It is not classified as nociceptive pain.

Choice D rationale:

Strained muscle. Strained muscle pain is a classic example of nociceptive pain. Nociceptive pain arises from the activation of pain receptors (nociceptors) due to tissue damage or inflammation. In the case of a strained muscle, the pain results from physical injury or overuse of the muscle, making it a nociceptive pain. Nociceptive pain can be further categorized into somatic and visceral pain. Somatic pain, as in the case of a strained muscle, arises from musculoskeletal structures, and it is typically well-localized, sharp, and aching. Understanding the nature of pain is essential for effective pain management and treatment selection. .

A. Phantom pain. B. Nociceptive pain. C. Neuropathic pain. D. Pain.

Correct Answer is A

Explanation

Choice A rationale:

Phantom pain is a type of pain that occurs after the loss of a body part, such as an amputation. It is often described as pain or discomfort in the missing limb. This pain is believed to result from the brain's attempt to adjust to the loss of sensory input from the missing body part.

Choice B rationale:

Nociceptive pain is not the correct choice in this context. Nociceptive pain is the result of damage or irritation to tissues and is not specific to the loss of a body part. It can occur in various situations, such as injuries or surgical procedures.

Choice C rationale:

Neuropathic pain is associated with nerve damage or dysfunction. While it can be present in cases of amputation, the specific type of pain occurring after the loss of a body part is termed "phantom pain.”.

Choice D rationale:

"Pain" is a vague and non-descriptive option. It doesn't specify any particular type of pain and doesn't provide a meaningful answer to the question.

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A patient is receiving an ice massage for relief of muscle spasms in the neck.The patient complains that the ice is making the pain worse.Most helpful response from the nurse would be:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a newly licensed nurse about pain.Which of the following is an example of nociceptive pain?

Correct Answer is D

Explanation

There are several different types of pain.Which type of pain occurs after the loss of a body part from an amputation?

Correct Answer is A

Explanation

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A patient is receiving an ice massage for relief of muscle spasms in the neck.
The patient complains that the ice is making the pain worse.
Most helpful response from the nurse would be:.