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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lifting heavy loads alone can increase the risk of injury. It is important to use proper lifting techniques and to get help when needed.
B. Taking breaks allows nurses to rest and reduce the risk of musculoskeletal injuries. It helps to prevent fatigue, which can lead to poor posture and other ergonomic problems.
C. Reaching can strain muscles and increase the risk of injury. It is better to move closer to the object before lifting it.
D. Working long hours can lead to fatigue and increased stress, which can contribute to ergonomic problems. It is important to have adequate rest and recovery time.
Correct Answer is C
Explanation
A. Peripheral neuropathy is a type of chronic pain that results from nerve damage, often characterized by numbness, tingling, and pain. It is typically long-lasting and not classified as acute pain.
B. Rheumatoid arthritis is a chronic inflammatory condition that causes ongoing pain, swelling, and stiffness in the joints. While it can have acute flare-ups, the overall condition is classified as chronic pain.
C. Acute pain typically arises suddenly and is usually associated with a specific cause, such as injury, surgery, or illness. A surgical incision leads to immediate pain that is expected to diminish as the healing process progresses.
D. Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and tenderness. The pain associated with fibromyalgia is persistent and varies in intensity, making it a chronic pain condition.
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