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A client with chronic cancer pain describes the pain as "sharp, tingling, with numbness. The nurse would document the pain as what?

A.

Cutaneous pain

B.

Parasympathetic pain

C.

Visceral pain

D.

Deep somatic pain

E.

Neuropathic pain

Answer and Explanation

The Correct Answer is E

A. Cutaneous pain refers to pain from the skin and subcutaneous tissues, which is not described here.

 

B. Parasympathetic pain is not a recognized category of pain.

 

C. Visceral pain arises from internal organs and does not typically present as sharp, tingling, or numb.

 

D. Deep somatic pain is related to muscles, joints, and bones and typically does not have the sharp, tingling quality described.

 

E. Neuropathic pain is characterized by sharp, tingling sensations and numbness, often resulting from nerve damage, which fits the client's description.


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Correct Answer is C

Explanation

A. Curved prongs fitting the nasal passages correctly is appropriate practice for comfort and effective delivery.

B. Padding pressure areas on the skin is a best practice to prevent skin breakdown and is indicative of proper care.

C. An oxygen flow rate of 10 L/min is excessively high for a nasal cannula, which typically accommodates 1-6 L/min; this indicates a need for further education on proper flow rates.

D. Posting clear no smoking and no open flame signs is essential for safety in oxygen therapy, reflecting good practice.

E. Proper adjustment of cannula tubing under the neck is necessary to ensure a secure fit without causing discomfort.

Correct Answer is C

Explanation

A. A respiratory rate of 20 is within the normal range for adults (12-20 breaths per minute), especially in someone experiencing dyspnea.

B. Vesicular sounds in the lung periphery are normal findings, particularly in healthy lung areas.

C. A capillary refill time of 5 seconds indicates poor perfusion and could suggest systemic issues or hypoxia, which is concerning in a patient with dyspnea.

D. An anteroposterior (AP) diameter of 1:2 is normal; a barrel chest might indicate chronic respiratory conditions but is not an immediate concern in this context.

E. Equal chest expansion is a normal finding and indicates effective respiratory mechanics.

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