A client experienced a left above-the-knee amputation (AKA) due to a motorcycle accident one week prior. The client called the nurse, stating feeling burning pain on the surface of his left lower leg. The nurse understands the client is experiencing which of the following:
Cutaneous pain
Neuropathic pain
Visceral pain
Somatic pain
The Correct Answer is B
A. Cutaneous pain: Cutaneous pain originates from the skin and is superficial; while it may be described as burning, this scenario after amputation more commonly reflects a nerve-origin phenomenon.
B. Neuropathic pain: Burning, shooting, or electric-like sensations after nerve injury or amputation (including phantom limb pain) are characteristic of neuropathic pain caused by peripheral/central nervous system changes.
C. Visceral pain: Visceral pain arises from internal organs and is usually dull, poorly localized, and not described as a localized burning on a limb after amputation.
D. Somatic pain: Somatic pain comes from muscles, bones, joints, or connective tissue and is usually localized aching or throbbing; phantom/burning sensations after amputation are classically neuropathic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Wheal: A wheal (urticarial hive) is a transient, raised, edematous plaque that is typically pale and itchy, not filled with pus.
B. Macule: A macule is a flat, non-palpable discoloration of the skin (e.g., freckle), not an elevated, pus-filled lesion.
C. Pustule: A pustule is an elevated, pus-filled lesion (like acne or an infected follicle) and matches the description of a raised border containing pus.
D. Nodule: A nodule is a solid, palpable, often deeper lesion (larger than a papule) and is usually not characterized by visible pus.
Correct Answer is B
Explanation
A. Apply heat to bony prominences: Applying heat to pressure points can increase local tissue metabolic demand and may worsen ischemia; heat is not a preventive measure for pressure ulcers.
B. Reposition the client every 2 hours: Regular repositioning relieves prolonged pressure over bony prominences, redistributes weight, and is a primary preventive intervention to reduce pressure ulcer risk.
C. Massage reddened areas: Massaging areas of redness can further damage capillaries and underlying tissue and is generally discouraged; instead, avoid pressure and inspect frequently.
D. Increase fluid restriction: Adequate hydration supports skin integrity; restricting fluids can impair tissue perfusion and healing and would not prevent ulcers.
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