A nurse is collecting data on a client for manifestations of pain. Which of the following findings is an objective indicator of pain?
The client rates their pain as an 8 on a scale of 0 to 10.
The client reports a burning sensation.
The client grimaces when they move.
The client states the pain is located on their abdomen.
The Correct Answer is C
A. This is a subjective indicator of pain. The pain rating is based on the client’s personal experience and perception of their pain intensity. It reflects the individual’s feelings rather than observable data.
B. This statement is also subjective. Describing pain as a "burning sensation" comes from the client's personal experience and interpretation of their symptoms, which cannot be measured or observed by others.
C. This is an objective indicator of pain. A grimace is an observable behavior that can indicate discomfort or pain. It is something that the nurse can see and assess, making it an objective finding.
D. This is another subjective indicator. While knowing the location of pain is important for diagnosis and treatment, the statement reflects the client’s personal experience of pain and cannot be measured or observed directly.
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Related Questions
Correct Answer is C
Explanation
A. Peripheral neuropathy is a type of chronic pain that results from damage to the peripheral nerves. It often manifests as numbness, tingling, or pain, and it typically lasts for a long period. This is not an example of acute pain.
B. Rheumatoid arthritis is a chronic inflammatory condition that causes pain, swelling, and stiffness in the joints. The pain associated with rheumatoid arthritis is usually ongoing and can flare up at times, but it is not considered acute pain.
C. This is the correct example of acute pain. Acute pain is typically short-term and has a clear cause, such as injury, surgery, or illness. A surgical incision causes immediate pain that usually diminishes as healing progresses.
D. Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. The pain is persistent and can fluctuate in intensity, making it a chronic pain condition rather than acute.
Correct Answer is C
Explanation
A. This approach can be frustrating for the client and may undermine their confidence and autonomy. It can also prevent the client from expressing themselves fully. Therefore, this is not an appropriate action.
B. Visual aids can enhance understanding and facilitate communication, especially for clients with speech impairments. Avoiding them would limit effective communication.
C. Providing extra time allows the client to process their thoughts and express themselves at their own pace. It shows respect for their communication needs and fosters a more supportive environment.
D. While open-ended questions encourage more detailed responses, they may be challenging for someone with impaired speech. Instead, closed-ended questions or offering choices can be more effective. Open-ended questions could lead to frustration if the client struggles to articulate their responses.
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