A client recently had an above knee amputation and complained of pain distal to the amputation. What type of pain is the client experiencing?
Nociceptive
Neuropathic
Cutaneous
Visceral
The Correct Answer is B
If a client who has recently undergone an above knee amputation complains of pain distal to the amputation, the type of pain that the client is experiencing is most likely neuropathic pain. Neuropathic pain is a type of pain that occurs as a result of damage or dysfunction to the nervous system. It is often described as a burning, tingling, or shooting sensation and can be difficult to manage with traditional pain medications.
In the case of an amputation, neuropathic pain can occur as a result of the nerve endings in the remaining portion of the limb sending signals to the brain that are interpreted as pain. This can lead to the perception of pain in the "phantom" limb, which is no longer present.
Visceral pain is a type of pain that arises from the internal organs of the body, such as the stomach, intestines, bladder, or uterus. It is often described as a deep, dull, or pressure-like ache that can be difficult to localize or pinpoint to a specific area.
Nociceptive pain is a type of pain that occurs as a result of the activation of nociceptors, which are specialized nerve fibers that respond to noxious stimuli such as heat, cold, pressure, or chemical irritants. Nociceptors are found in various tissues throughout the body, including the skin, muscles, bones, and organs.
Cutaneous pain is a type of pain that arises from the skin or subcutaneous tissues. It is often described as a sharp, burning, or prickling sensation and can be caused by a variety of factors, such as injury, inflammation, or infection of the skin.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The suggestion of utilizing lavender in addition to the use of lorazepam for anxiety is an example of alternative therapy. Alternative therapy refers to any healing practice that is not considered part of conventional medicine, such as the use of herbs, massage, acupuncture, or aromatherapy. In this case, the nurse is suggesting the use of lavender, an herb known for its calming properties, as an additional therapy for anxiety, rather than relying solely on the conventional medication, lorazepam.
Massage therapy is considered a complementary therapy, as it is often used in conjunction with conventional medicine to manage symptoms and improve overall well-being. Complementary therapies are used alongside conventional medicine and are generally not intended to replace it. In this case, the nurse is suggesting the use of massage therapy as a complementary therapy to medication for chronic leg pain.
Correct Answer is A
Explanation
The action by the nurse that best demonstrates cultural competence is asking the clients what matters most to them in their illness and treatment. This demonstrates respect for the clients' beliefs, values, and preferences, and acknowledges that healthcare is influenced by cultural factors. By asking the clients what matters most to them, the nurse can gain insight into their cultural practices, beliefs, and expectations, and use this information to provide care that is more meaningful and effective.
Telling the client that they should not continue taking herbs, asking if they utilize a shaman, or telling the clients to follow the provider's orders without regard for their cultural beliefs and practices can be disrespectful, dismissive, and may create a barrier to effective communication and care. Cultural competence requires understanding and respecting the cultural diversity of clients and incorporating this knowledge into the provision of care.
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