A client in the PACU with a left below-the-knee amputation complains of pain in her left big toe. Which of the following would the nurse do first?
Show the patient that her leg is gone
Administer the prescribed pain medication
Explain and educate the patient that the pain is real
Tell the patient that it is not possible to feel pain in her toes
The Correct Answer is B
Choice A reason: Showing the patient that her leg is gone does not address the immediate concern of pain management.
Choice B reason: Administering the prescribed pain medication is the first step in managing phantom pain, which is a common experience for amputees.
Choice C reason: While it is important to validate the patient's experience of pain, the first action should be to address the pain medically.
Choice D reason: Telling the patient that it is not possible to feel pain in her toes is incorrect and dismissive of the phenomenon of phantom pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A healthy stoma should be beefy red and moist, indicating good blood supply and hydration.
Choice B reason: A dusky maroon color could indicate compromised blood supply or ischemia.
Choice C reason: A pale and pink stoma may suggest anemia or reduced blood flow.
Choice D reason: A stoma that is pink and dry could be dehydrated, which is not ideal.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: Cluster headaches are one of the main types of primary headaches, characterized by severe, unilateral pain around the eye.
Choice B reason: Tension-type headaches are the most common type of primary headache, often described as a constant pressure or tightness.
Choice C reason: Migraine headaches are a major type of headache characterized by intense, throbbing pain, often accompanied by nausea and sensitivity to light or sound.
Choice D reason: Stress-induced headaches are not typically classified as a primary type of functional headache; they may be a trigger for other types of headaches.
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