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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Musculoskeletal pain is typically associated with pain in the muscles, bones, or joints and is often described as aching or throbbing.
The child's symptoms of deep, crampy, or colicky pain and experiencing nausea do not align with the typical characteristics of musculoskeletal pain.
Therefore, this choice is not the most appropriate.
Choice B rationale:
Neuropathic pain is often characterized by sensations like burning, tingling, or shooting pain and is associated with nerve damage.
The child's symptoms, such as deep, crampy, or colicky pain and nausea, do not align with the usual presentation of neuropathic pain.
Choice C rationale:
Visceral pain originates from the organs in the body and is often described as deep, crampy, or colicky.
It can also be associated with nausea, making it the most appropriate choice based on the child's symptoms.
Choice D rationale:
Psychogenic pain is typically related to psychological factors and is not related to the physical symptoms described by the child.
It does not align with the deep, crampy pain and nausea the child is experiencing.
Correct Answer is C
Explanation
Choice A rationale:
You're probably just exaggerating your pain.”..
This response is dismissive and lacks empathy.
It can make the client feel unheard and lead to a breakdown in the nurse-client relationship.
It's essential to acknowledge and validate the client's pain.
Choice B rationale:
Pain is a normal part of life.
Everyone experiences pain from time to time.”..
While this statement is true, it's not the most appropriate response in this context.
It doesn't address the client's distress and doesn't offer support or assistance in managing the pain.
Choice C rationale:
I understand that you're in pain.
I'm going to do everything I can to help you.”..
This response shows empathy and a commitment to assisting the client.
It acknowledges the client's pain and offers reassurance that the nurse is there to provide support and appropriate care.
It's the most appropriate choice.
Choice D rationale:
I don't know what to tell you.
I'm not a doctor.”..
This response is unhelpful and may make the client feel abandoned or unsupported.
Nurses should demonstrate empathy and provide appropriate care to clients.
Referring to not being a doctor doesn't address the client's pain and needs.
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