A nurse is evaluating a patient for signs of pain. Which of the following is an objective sign of pain?
The patient reports a burning sensation.
The patient grimaces when they move.
The patient rates their pain as an 8 on a scale of 0 to 10.
The patient states the pain is located in their abdomen.
The Correct Answer is B
Choice A rationale
A patient reporting a burning sensation is a subjective sign of pain. It relies on the patient’s personal experience and verbal report.
Choice B rationale
A patient grimacing when they move is an objective sign of pain. It is observable and does not rely on the patient’s verbal report.
Choice C rationale
A patient rating their pain as an 8 on a scale of 0 to 10 is a subjective sign of pain. It relies on the patient’s personal experience and verbal report.
Choice D rationale
A patient stating the pain is located in their abdomen is a subjective sign of pain. It relies on the patient’s personal experience and verbal report.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Vasogenic cerebral edema is the most common type of cerebral edema associated with stroke. It involves swelling outside of brain cells, and leaky blood vessels cause it.
Choice B rationale
Osmotic cerebral edema is not typically associated with stroke. It is more commonly seen in conditions like diabetes-related ketoacidosis and hyponatremia.
Choice C rationale
Cellular, or cytotoxic, cerebral edema can occur due to traumatic brain injury and stroke. However, it is not the most common type of cerebral edema associated with stroke.
Choice D rationale
Interstitial cerebral edema is not typically associated with stroke. It is more commonly seen in conditions like hydrocephalus and meningitis.
Correct Answer is B
Explanation
Choice A rationale
Cognitive behavioral therapy (CBT) is a type of psychological treatment that can be effective for a range of conditions, including chronic pain. However, it may not be the most suitable for acute pain management at home following a knee injury. CBT usually involves working with a trained therapist over multiple sessions, which may not be practical or immediately beneficial in this context.
Choice B rationale
Intermittent ice compress is a highly recommended non-pharmacological method for managing acute pain, especially following a knee injury. The cold temperature from the ice can help numb the area, reducing pain and inflammation. It’s a simple, cost-effective, and readily available method that can be easily applied at home.
Choice C rationale
Phototherapy, also known as light therapy, involves exposure to specific wavelengths of light using polychromatic polarised light, lasers, light-emitting diodes, fluorescent lamps, or dichroic lamps. While it has been used to treat conditions like seasonal affective disorder, skin conditions, and neonatal jaundice, its effectiveness in managing acute pain following a knee injury is not well-established.
Choice D rationale
Walking on a treadmill might not be suitable for a patient experiencing acute pain following a knee injury. Physical activity is generally beneficial for overall health and certain types of chronic pain. However, in the case of an acute knee injury, rest and immobilization are often recommended initially to allow the injured tissues to heal.
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