A nurse is collecting data on a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?
Bradycardia.
Decreased respiratory rate.
Hypoglycemia.
Hypertension.
The Correct Answer is D
Choice A rationale:
Bradycardia, a slow heart rate, is not typically associated with acute pain. In response to pain, the body usually experiences increased heart rate (tachycardia) as part of the stress response.
Choice B rationale:
A decreased respiratory rate is not an expected finding in response to acute pain. Acute pain often leads to increased respiratory rate as the body attempts to manage the pain and stress.
Choice C rationale:
Hypoglycemia, a low blood sugar level, is not a typical physiological response to acute pain. Acute pain is more likely to induce a release of stress hormones, such as cortisol and adrenaline, which can lead to increased blood sugar levels.
Choice D rationale:
Hypertension, or elevated blood pressure, is an expected physiological response to acute pain. Pain activates the body's stress response, leading to increased sympathetic nervous system activity, which can cause vasoconstriction and increased blood pressure. This response helps prepare the body to cope with the pain and stress. Monitoring blood pressure in a client reporting acute pain is essential to assess the impact of pain and determine appropriate pain management strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A rationale:
Oxymorphone is not an NSAID (Non-Steroidal Anti-Inflammatory Drug). It is an opioid analgesic, which is used for more severe pain relief. It is not suitable for managing swelling and pain caused by an injury.
Choice B rationale:
Ibuprofen is an NSAID and is an appropriate choice for managing pain and swelling associated with injuries like the patient's knee injury. NSAIDs work by reducing inflammation, which can help alleviate pain and discomfort in such cases.
Choice C rationale:
Acetaminophen is not an NSAID. It is classified as an analgesic and antipyretic, and while it can help with pain relief, it may not be as effective in reducing inflammation, which is essential in cases of swelling due to an injury.
Choice D rationale:
Aspirin is an NSAID, but it is not the best choice for this patient. Aspirin is known to have a higher risk of gastrointestinal side effects, and there are other NSAIDs like ibuprofen that are generally preferred for pain management and inflammation without the same level of side effects.
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