The nurse is caring for a postoperative client who is experiencing sweating, tachycardia, and increased blood pressure. The nurse recognizes these symptoms are due to:
1. phantom pain.
2. acute pain.
3. chronic pain.
4. postoperative shock.
Answer: 2
1. Phantom limb pain occurs after surgical or traumatic amputation of a limb.
2. The tissue injury caused from surgery produces acute pain and initiates the fight-or-flight response, resulting in physical responses of sweating, pallor, tachycardia, and blood pressure increase.
3. Chronic pain is prolonged pain or pain that persists after the condition causing it has resolved. There may not be an identifiable cause, and often it is unresponsive to conventional medical treatment.
4. Additional information would be needed before determining if the client is experiencing postoperative shock.
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