A client is a 10-year-old child who has been diagnosed with cancer.
The child has been experiencing dull, aching pain in their leg for the past week.
The pain is worse with movement and pressure.
Which of the following statements by the client would be most indicative of oncologic pain?
"The pain is sharp and stabbing.”..
"The pain is burning and tingling.”..
"The pain is deep and crampy.”..
"The pain is worse when I move my leg.”..
The Correct Answer is A
Choice B rationale:
Burning and tingling pain is more characteristic of neuropathic pain, often associated with nerve damage or dysfunction.
This type of pain is not typically associated with oncologic pain.
Choice C rationale:
Deep and crampy pain is more characteristic of nociceptive pain, which can be caused by tissue damage or inflammation.
It is not the primary descriptor of oncologic pain.
Choice D rationale:
Pain worsening with movement is not a specific indicator of oncologic pain.
It can be seen in various types of pain, including musculoskeletal or nociceptive pain.
The rationale for choice A is as follows: Oncologic pain, which is associated with cancer, is often described as sharp and stabbing.
This type of pain can result from the pressure exerted by the tumor on nearby tissues or nerve compression.
The fact that the pain is worse with movement and pressure is also consistent with oncologic pain, as tumors can become more painful when disturbed or pressed against other structures.
Therefore, the client's description of "sharp and stabbing" pain is indicative of oncologic pain and should be a cause for concern.
It is important for healthcare providers to further assess and manage this pain, considering the underlying cancer diagnosis.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Acute Pain Similar to the explanation in question 2, acute pain is not specifically related to the muscles, bones, joints, or connective tissues.
Acute pain can have various causes, including injuries, surgery, or other acute conditions.
Therefore, it is not the correct choice for this scenario.
Choice B rationale:
Somatic Pain Somatic pain is the correct answer, as it specifically involves the muscles, bones, joints, or connective tissues.
This type of pain is associated with injuries, inflammation, or trauma in these areas, and it is the most appropriate choice for the question.
Choice C rationale:
Visceral Pain Visceral pain, as mentioned earlier, originates from internal organs and is not related to the musculoskeletal system.
It is described as a deep, aching, or cramping pain and is not the correct choice for this question.
Choice D rationale:
Musculoskeletal Pain While musculoskeletal pain seems relevant, it is not a commonly recognized type of pain category.
Musculoskeletal pain can be considered a subset of somatic pain and is not a distinct type of pain.
Therefore, it is not the correct answer.
Correct Answer is C
Explanation
Choice C rationale:
Understand the patient's growth and development to choose an appropriate assessment tool" is the most appropriate step in making a comprehensive pain assessment using a developmentally appropriate pain assessment tool.
Children of different ages and developmental stages may express pain differently.
The choice of assessment tool should take into account the child's ability to communicate and understand pain.
Age-appropriate tools should be used to ensure accurate pain assessment.
Choice A rationale:
Assess the patient's pain level without considering their developmental stage" is not an appropriate approach.
Children's pain experiences and expressions vary significantly based on their developmental stage.
Failing to consider the child's developmental stage may result in an inaccurate assessment of pain.
Choice B rationale:
Focus only on physiological indicators of pain" is an incomplete approach.
While physiological indicators are important, they should be combined with behavioral and self-report assessments to create a comprehensive pain assessment.
Relying solely on physiological indicators may miss important aspects of the child's pain experience.
Choice D rationale:
Rely on the self-report of pain by the child for accuracy" is an appropriate approach when the child is capable of self-reporting their pain.
However, in cases of pre-verbal or developmentally disabled children, self-report may not be possible or reliable, and alternative assessment methods, such as behavioral and observational assessments, should be used.
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