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A client asks a nurse about how opioids work to reduce their child’s moderate to severe pain.
How should the nurse respond?

Opioids increase the perception of pain in the peripheral nervous system.

Opioids work primarily in the central nervous system to reduce pain perception.

Opioids have no effect on either the central or peripheral nervous system.

Opioids enhance the perception of pain in the central nervous system.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Opioids do not increase the perception of pain in the peripheral nervous system.

Instead, they act primarily in the central nervous system to reduce pain perception.

This choice is incorrect.

Choice B rationale:

Opioids primarily work in the central nervous system to reduce pain perception.

They bind to specific receptors in the brain and spinal cord, altering the perception of pain.

This choice is correct and accurately describes how opioids function in pain management.

Choice C rationale:

This choice is incorrect.

Opioids do have an effect on the central nervous system, and they are not inert substances with no effect on pain perception.

Choice D rationale:

Opioids do not enhance the perception of pain in the central nervous system.

Instead, they have the opposite effect by reducing pain perception.

This choice is incorrect.

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Correct Answer is B

Explanation

Chronic pain.

Choice A rationale:

Acute pain Acute pain is characterized by a sudden onset and is typically short-lived, often related to a specific injury or illness.

It is not persistent, as described by the client.

The client's pain has been bothering them for months, which is more indicative of chronic pain.

Choice B rationale:

Chronic pain Chronic pain is pain that lasts for an extended period, usually defined as lasting for at least three to six months.

It can result from various causes, such as injury, inflammation, or underlying medical conditions.

The client's description of persistent pain for months aligns with the characteristics of chronic pain.

Choice C rationale:

Musculoskeletal pain Musculoskeletal pain is pain that originates from the muscles, bones, ligaments, tendons, and other structures related to the musculoskeletal system.

While the client's pain may involve musculoskeletal components, the description provided suggests a broader, chronic pain experience that is not exclusively musculoskeletal in nature.

Choice D rationale:

Nociceptive pain Nociceptive pain results from the activation of pain receptors (nociceptors) due to tissue damage or inflammation.

It is typically associated with acute pain.

The client's description of persistent pain for months does not align with the characteristics of nociceptive pain, which is usually short-lived.

A. The child may have an injury causing nociceptive pain. B. The child may have a condition causing neuropathic pain. C. The child may have a condition causing oncologic pain. D. The child may have a condition causing psychogenic pain. E. The child may have a condition causing musculoskeletal pain.

Correct Answer is ["A","E"]

Explanation

Choice A rationale:

The child may have an injury causing nociceptive pain.

Nociceptive pain results from tissue damage or inflammation, often due to injury.

Symptoms such as dull, aching, or throbbing pain that worsen with movement or pressure can be indicative of nociceptive pain.

Therefore, this choice is a potential source of the child's pain.

Choice B rationale:

The child may have a condition causing neuropathic pain.

Neuropathic pain can result from nerve damage, and the symptoms described, including dull, aching, or throbbing pain, can sometimes be attributed to neuropathic pain.

However, it's important to note that neuropathic pain is typically associated with sensations like burning or tingling, which are not mentioned in the scenario.

So, while it's a possibility, it may not be the primary source of the child's pain.

Choice C rationale:

The child may have a condition causing oncologic pain.

Oncologic pain is pain associated with cancer and its treatment.

The child's symptoms, such as dull, aching, or throbbing pain that worsens with movement or pressure, do not specifically suggest oncologic pain.

This choice may be a potential source if the child has an underlying cancer condition, but it is not clearly indicated in the scenario.

Choice D rationale:

The child may have a condition causing psychogenic pain.

Psychogenic pain is typically related to psychological factors, and it is not associated with physical factors like movement or pressure.

The child's symptoms do not align with psychogenic pain.

Choice E rationale:

The child may have a condition causing musculoskeletal pain.

Musculoskeletal pain is often associated with pain in muscles, bones, or joints, and symptoms like dull, aching, or throbbing pain that worsens with movement or pressure can be indicative of musculoskeletal pain.

Therefore, this choice is a potential source of the child's pain.

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A client asks a nurse about how opioids work to reduce their child’s moderate to severe pain.How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client complains to the nurse, "I have this persistent pain that just won't go away, and it has been bothering me for months.”..What type of pain is the client likely experiencing?

Correct Answer is B

Explanation

A nurse is conducting a comprehensive pain assessment for a child who has been complaining of a dull, aching, or throbbing pain that worsens with movement or pressure. The nurse should consider which of the following as potential sources of the child’s pain? (Select all that apply).

Correct Answer is ["A","E"]

Explanation

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A client asks a nurse about how opioids work to reduce their child’s moderate to severe pain.
How should the nurse respond?