A nurse is caring for a child who has been experiencing pain for the past few months.
The child appears tired, has a decreased appetite, and has been withdrawing from activities.
The nurse understands that these are common signs of a specific type of pain.
Which of the following statements would be most appropriate for the nurse to say?

“This child is likely experiencing acute pain.”..

“This child is likely experiencing nociceptive pain.”..

“This child is likely experiencing neuropathic pain.”..

“This child is likely experiencing chronic pain.”..

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Acute pain is usually associated with a recent injury or illness, and it is of short duration.

The child in the scenario has been experiencing pain for the past few months, which indicates a more prolonged pain experience.

Acute pain typically serves as a warning sign of a new or ongoing injury or issue, but in this case, the pain has become chronic.

Choice B rationale:

Nociceptive pain is the result of the stimulation of nociceptors by tissue damage or inflammation.

While it can be acute or chronic, the description of the child's symptoms, such as being tired, having a decreased appetite, and withdrawing from activities for the past few months, suggests a pain that goes beyond the typical characteristics of nociceptive pain.

Therefore, this choice is not the most appropriate.

Choice C rationale:

Neuropathic pain is typically characterized by sensations like burning, tingling, or shooting pain, often due to nerve damage.

The child's symptoms, such as tiredness, decreased appetite, and withdrawal from activities, do not align with the typical presentation of neuropathic pain.

Neuropathic pain is more often associated with conditions like diabetic neuropathy or nerve compression.

Choice D rationale:

Chronic pain is defined as pain that lasts for an extended period, typically more than three months.

The child's experience of pain for the past few months and the associated symptoms of tiredness, decreased appetite, and withdrawal from activities are indicative of chronic pain.

This choice is the most appropriate because it aligns with the child's clinical presentation.

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Correct Answer is A

Explanation

Choice A rationale:

This response is correct.

The nurse is describing acute pain, which is sudden and directly related to a specific injury or surgical procedure.

Acute pain is short-term and serves as a protective mechanism to alert the body to potential harm.

Choice B rationale:

Chronic pain is not the appropriate answer because the nurse's description focuses on the pain being "sudden" and "directly related to the surgical procedure.”..

Chronic pain is long-lasting and persists over an extended period, often beyond the expected recovery time.

Choice C rationale:

The nurse describes the pain as being directly related to surgery, which is more characteristic of acute pain.

Choice D rationale:

Neuropathic pain is also not the correct answer because the nurse's description does not indicate any nerve damage or dysfunction.

The pain is described as a direct result of the surgical procedure, which aligns with acute pain rather than neuropathic pain.

A. Somatic pain. B. Visceral pain. C. Neuropathic pain. D. Oncologic pain.

Correct Answer is C

Explanation

Neuropathic pain.

Choice A rationale:

Somatic pain Somatic pain is typically described as a sharp or aching sensation arising from the skin, muscles, or bones.

It is not typically associated with the burning or tingling sensations mentioned by the client.

Choice B rationale:

Visceral pain Visceral pain is pain originating from internal organs and is often described as a dull, crampy, or aching sensation.

It is not characterized by burning or tingling sensations.

Choice C rationale:

Neuropathic pain Neuropathic pain is characterized by abnormal processing of pain signals by the nervous system.

It often presents with burning, tingling, or shooting sensations.

The client's description of their pain as a burning or tingling sensation is indicative of neuropathic pain.

Choice D rationale:

Oncologic pain Oncologic pain is pain associated with cancer and its treatment.

It can have various qualities, but the description provided by the client, particularly the burning or tingling sensation, is more characteristic of neuropathic pain than oncologic pain.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who recently had surgery and is experiencing pain.The nurse explains, "The pain you're feeling is sudden and directly related to the surgical procedure you underwent.”..What type of pain is the nurse describing?

Correct Answer is A

Explanation

A client tells the nurse, "My pain feels different; it's like a burning or tingling sensation.”..What type of pain is the client describing?

Correct Answer is C

Explanation

A client's family member inquires about the suitable interventions for managing a child's pain.What information should the nurse provide to the family member regarding non-pharmacological interventions for pediatric pain management?

A client complains to the nurse, "I have this persistent pain that just won't go away, and it has been bothering me for months.”..What type of pain is the client likely experiencing?

A nurse is assessing a child's pain and uses a validated tool to assess pain intensity, functional status, and its impact on daily life.What type of assessment tool is the nurse utilizing?

A client expresses concern about the use of opioids for managing a child's pain.What information should the nurse provide to address this concern and explain the use of opioids in pediatric pain management?

A client’s child has been complaining of a deep, crampy, or colicky pain and has been experiencing nausea.The nurse recognizes these symptoms as indicative of a certain type of pain.Which of the following statements would be most appropriate for the client to say?

A nurse is explaining to a family that their child’s pain management will include both non-pharmacological and pharmacological treatment options. Which of the following factors should the nurse consider when planning this approach?

A nurse caring for pediatric patients must understand the challenges in assessing pain, especially in pre-verbal and developmentally disabled children.Select the appropriate methods or tools used in place of self-report of pain by these patients.Select all that apply)

A client is a 5-year-old boy who is recovering from a broken leg.He is experiencing pain in his leg.The nurse is assessing the client's pain.Which of the following statements by the nurse is most appropriate?