A nurse is caring for a client who has phantom limb pain. The nurse should identify the client is experiencing which type of pain?

A. The objective portion of the SOAP note includes measurable and observable data obtained through physical examination, assessments, and diagnostic tests. Vital signs (such as blood pressure, heart rate, respiratory rate, and temperature) are considered objective data.
B. The subjective section includes information reported by the client, such as their feelings, perceptions, and experiences. This can include complaints of pain or descriptions of symptoms but does not include measurable data like vital signs.
C. The plan section outlines the interventions, treatments, and actions to be taken based on the assessment findings. While it may reference vital signs in terms of monitoring or interventions related to them, it does not contain the actual recorded vital sign values.
D. The assessment section includes the nurse’s clinical judgment based on the subjective and objective data. It may summarize findings or indicate potential diagnoses but does not include the actual vital sign measurements.

A. While it's important to use the PCA device responsibly, the device is designed to prevent overdose. The client should not be overly concerned about this.
B. This statement demonstrates an understanding of the PCA device's limitations and the importance of seeking additional pain relief if needed. The nurse is responsible for adjusting the medication dosage or providing alternative pain relief methods if the PCA device is not adequately controlling the client's pain.
C. Only the client should administer the medication through the PCA device. Family members or other individuals should not be allowed to use the device.
D. The PCA device is designed to provide pain relief as needed. The client should use it whenever they experience pain, rather than waiting until the pain becomes severe.