A nurse is caring for a pediatric patient who presents with sharp or throbbing pain, tenderness at the site of injury, and localized erythema or swelling.
Based on these clinical manifestations, which type of pain should the nurse identify?
Acute Pain
Chronic Pain
Nociceptive Pain
Neuropathic Pain.
The Correct Answer is C
Choice A rationale:
Acute Pain Acute pain is typically a sudden and intense pain that serves as a warning sign for the body.
It is usually associated with recent tissue damage or injury.
The clinical manifestations mentioned in the question, such as sharp or throbbing pain, tenderness at the site of injury, and localized erythema or swelling, are consistent with acute pain.
However, these symptoms alone do not provide enough information to confirm acute pain, and the other options are more suitable explanations.
Choice B rationale:
Chronic Pain Chronic pain is characterized by long-lasting discomfort that persists beyond the expected time for tissue healing.
The symptoms described in the question, such as sharp or throbbing pain, tenderness, erythema, and swelling, are not typically associated with chronic pain.
Chronic pain is more commonly linked to persistent, dull, and aching sensations, often lasting for extended periods.
Therefore, this choice does not align with the clinical manifestations presented.
Choice C rationale:
Nociceptive Pain Nociceptive pain is pain that results from the activation of nociceptors, which are specialized pain receptors that respond to tissue damage.
Clinical manifestations of nociceptive pain include sharp or throbbing pain, tenderness at the site of injury, and localized erythema or swelling.
This choice is the most appropriate answer because the symptoms described in the question align with nociceptive pain.
Choice D rationale:
Neuropathic Pain Neuropathic pain is associated with nerve damage or dysfunction.
It typically involves symptoms such as burning or shooting pain, numbness or tingling, and abnormal sensitivity to touch.
While some of these symptoms were mentioned in the question, the presence of localized erythema and swelling is not characteristic of neuropathic pain.
Therefore, this choice is not the most suitable option for the clinical manifestations presented.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Non-pharmacological interventions include only distraction techniques.”..
This statement is incorrect.
Non-pharmacological interventions for pain management in children encompass a wide range of techniques, including but not limited to distraction.
It's essential to provide accurate information to the family member.
Choice B rationale:
Non-pharmacological interventions are ineffective in managing pediatric pain.”..
This statement is also incorrect.
Non-pharmacological interventions can be highly effective in managing pediatric pain, and they are often used in combination with pharmacological approaches.
Dismissing their effectiveness is not accurate.
Choice C rationale:
Non-pharmacological interventions encompass techniques such as relaxation, guided imagery, and massage.”..
This is the most appropriate choice.
It provides accurate information to the family member about the variety of non-pharmacological interventions available for pediatric pain management.
These techniques can be highly effective in reducing pain and promoting comfort.
Choice D rationale:
Non-pharmacological interventions are limited to pre-verbal and developmentally disabled children.”..
This statement is inaccurate.
Non-pharmacological interventions are used for a broad range of pediatric patients, not limited to specific groups.
They can be adapted to suit the developmental stage and needs of each child.
Correct Answer is A
Explanation
Choice A rationale:
It's okay to cry.
I know you're in pain.”..
This response is the most appropriate because it acknowledges the child's pain and provides comfort and empathy.
It encourages the child to express their discomfort and emotions, which is essential for effective pain management in pediatric patients.
Validating the child's pain and offering emotional support is a crucial aspect of nursing care.
Choice B rationale:
You're not supposed to be crying.
You're just trying to get attention.”
This response is not appropriate because it dismisses the child's pain and emotions.
It may cause the child to feel guilty or reluctant to express their discomfort.
Effective pain management in pediatric patients involves acknowledging their pain and providing appropriate interventions to address it, rather than attributing their crying to attention-seeking behavior.
Choice C rationale:
"You're not as bad as some of the other kids I've seen with tonsillectomies.”
Comparing the child's pain to that of other children is not a suitable response.
Each child's pain experience is unique, and making comparisons can minimize the child's suffering and discourage them from expressing their pain.
The focus should be on addressing the individual child's pain and providing the necessary care and comfort.
Choice D rationale:
You need to suck it up and stop crying.”..
This response is not appropriate and is insensitive to the child's pain.
It dismisses the child's discomfort and discourages them from expressing their pain.
Effective pain management in pediatric patients involves acknowledging their pain, providing appropriate interventions, and offering emotional support.
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