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Christy Leigh is complaining of a burning, searing pain along the lateral aspect of her left foot. When you assess Christy's foot, you see no wounds or abnormalities. She tells you that she has not injured the foot but has been having this pain intermittently for approximately 1 month. Upon reviewing her chart, you read that Christy has severe diabetes. Which type pain do you think Christy is having?
- A. Neuropathic pain
- B. Cutaneous pain
- C. Visceral pain
- D. Nociceptive pain
Correct Answer: A
Rationale: Neuropathic pain, common in diabetes, presents as burning or searing without visible injury, due to nerve damage.
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Joseph Walker is suffering from chronic back pain and is requesting pain medication. Upon reviewing his medical administration record, you notice it is too early to have pain medication. What nonpharmacologic methods can you use to relieve his pain?
- A. Massage
- B. Hot and cold packs
- C. Transcutaneous electrical nerve stimulation
- D. Acupressure
- E. Relaxation
Correct Answer: A,B,C,D,E
Rationale: Nonpharmacologic methods like massage, heat/cold, TENS, acupressure, and relaxation can reduce chronic pain.
Alex Ganner has pancreatic cancer in the advanced stages and has been at home. He has been attempting to get relief of severe abdominal pain with prescription opioids for 6 days, but the pain is not responding. He finally agrees to be admitted for treatment of pain. Which type of pain is Mr. Ganner experiencing?
- A. Cutaneous pain
- B. Neuropathic pain
- C. Chronic pain
- D. Intractable pain
- E. Referred pain
Correct Answer: D
Rationale: Intractable pain is severe, persistent, and resistant to standard treatments, as seen in advanced cancer.
Which of the following individuals is the expert regarding the amount of pain Brad Monett is experiencing?
- A. The nurse
- B. The health-care provider
- C. Brad
- D. The pain clinic representative
Correct Answer: C
Rationale: The patient is the expert on their own pain experience, as pain is subjective.
Captain Julius James, a veteran of the Vietnam War, lost his right foot in combat. He is hospitalized with pneumonia, and you are assigned to admit and care for him during your shift. While interviewing Captain James, he tells you that he has right foot pain a lot in the evenings. You would document this as ____ pain in the admission assessment.
- A. Phantom pain
- B. Referred pain
- C. Neuropathic pain
- D. Intractable pain
Correct Answer: A
Rationale: Phantom pain is pain perceived in a missing limb, common in amputees.
Which of the following are NSAIDs?
- A. Hydrocodone
- B. Codeine
- C. Ibuprofen
- D. Naproxen
- E. Meperidine
- F. Aspirin
Correct Answer: C,D,F
Rationale: Ibuprofen, naproxen, and aspirin are NSAIDs, which reduce inflammation and pain, unlike opioids.