When the patient with a spinal cord injury complains of pain, the nurse must assess multiple factors that impact the pain experience
The rationale for assessing cerebral cortex function in the spinal cord injured patient is to 1. describe the peptides influencing pain.
2. determine the patient's ability to analyze pain.
3. label the type of pain the patient is experiencing.
4. identify sensory receptors that receive painful stimuli.
2
Rationale: Analytical functioning takes place in the cerebral cortex. Patients with cerebral cortex functioning can analyze pain messages and determine the characteristics of their pain. Assessing cerebral cortex function during a physical exam is not a routine method for describing peptides that influence pain, labeling the type of pain experienced, or identifying the sensory receptors that receive painful stimuli.
You might also like to view...
After conducting a physical assessment for an adult client, the nurse discusses the assessment with a co-worker and states that the client's beliefs and actions regarding common health practices seem "weird."
Based on this data, which action by the nurse is the most appropriate? A) Repeat the assessment later in the day. B) Determine the culture with which the client identifies. C) Write a nursing diagnosis to address the "weird" beliefs and actions. D) Communicate the findings to the health-care team.
The nurse sees a client with coronary artery disease 3 months after stenting
The client states he is doing "great.". He indicates he has read of the benefits of alcohol on coronary artery disease and has incorporated this theory into his lifestyle. When asked describe his lifestyle, he mentions he arises at 9 AM, has a bloody Mary, works at his computer until lunch and again after lunch, enjoys "a couple of Manhattans" before dinner, has a good dinner with some red wine and then finishes the bottle of wine during the evening. The nurse can make the assessment that the client is a. at risk for substance abuse disorder. b. grieving for lost abilities. c. self-medicating for anxiety. d. using protective denial.
A client with heart disease who had a myocardial infarction 2 months ago comes to the clinic for a follow-up visit
While assessing the client, the nurse would be alert most likely for the development of which of the following responses? Select all that apply. A) Personality disorder B) Depression C) Substance abuse disorder D) Anxiety disorder E) Delirium
Which maternal event is abnormal in the early postpartum period?
a. Diuresis and diaphoresis b. Flatulence and constipation c. Extreme hunger and thirst d. Lochial color changes from rubra to alba