The nurse would expect a client with neuropathic pain to report which of the following?

Questions 33

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Client Comfort and End of Care Questions

Question 1 of 5

The nurse would expect a client with neuropathic pain to report which of the following?

Correct Answer: B

Rationale: The nurse expects a burning sensation in neuropathic pain, as it arises from nerve damage (e.g., diabetes, shingles), producing distinct sensationsburning, tingling, or shootingunlike somatic pain's mechanical feel. This reflects altered nerve signaling. Choice A, dull ache, suits somatic pain (e.g., arthritis), not neuropathy's sharp, electric quality. Choice C, muscle spasms, may accompany somatic issues (e.g., injury), but neuropathic pain is sensory, not motor. Choice D, localized swelling, indicates somatic inflammation (e.g., sprains), not nerve-based pain, which lacks physical signs. Choice B is correct, guiding nurses to recognize neuropathic hallmarksburning prompts adjuvants like gabapentin over standard analgesics, ensuring treatment matches the pain's neural origin, distinct from musculoskeletal complaints.

Question 2 of 5

The nurse is assessing a client who reports pain in the right arm. Which finding would suggest the pain is somatic rather than neuropathic?

Correct Answer: C

Rationale: A dull ache suggests somatic pain, as it arises from musculoskeletal tissues (e.g., muscles, bones) due to injury or strain, producing a localized, aching qualityunlike neuropathic pain's neural quirks. Choice A, burning sensation, fits neuropathy (e.g., nerve damage), not somatic's mechanical feel. Choice B, tingling, also indicates neuropathy (e.g., pinched nerve), not somatic's deeper pain. Choice D, numbness, reflects nerve dysfunction, not painsomatic pain is felt, not absent. Choice C is correct, guiding nurses to identify somatic paine.g., from arm strainprompting treatments like rest or NSAIDs, distinct from neuropathic options, ensuring accurate care based on the pain's tissue origin.

Question 3 of 5

A female patient is diagnosed with deep-vein thrombosis. Which nursing diagnosis should receive highest priority at this time?

Correct Answer: D

Rationale: Deep-vein thrombosis (DVT) involves a blood clot in a deep vein, typically in the leg, obstructing venous return and causing impaired blood flow. The nursing diagnosis 'Altered peripheral tissue perfusion related to venous congestion' (Choice D) takes priority because it directly addresses the primary pathophysiological issue: reduced circulation distal to the clot, risking tissue ischemia or infarction. Impaired gas exchange (Choice A) is incorrect because DVT primarily affects venous, not arterial, flow, and gas exchange relates to pulmonary issues like embolism, not the initial DVT state. Fluid volume excess (Choice B) isn't indicated, as DVT doesn't inherently cause systemic fluid overload; edema is localized. Risk for injury related to edema (Choice C) is a concern but secondary, as it's a symptom rather than the core problem. Prioritizing tissue perfusion aligns with the ABCs (airway, breathing, circulation) and Maslow's hierarchy, where physiological needs like circulation supersede safety risks. If untreated, poor perfusion can lead to tissue damage or pulmonary embolism, making Choice D the most urgent and correct diagnosis.

Question 4 of 5

A male client in a behavioral-health facility receives a 30-minute psychotherapy session, and provider uses a current procedure terminology (CPT) code that bills for a 50-minute session. Under the False Claims Act, such illegal behavior is known as:

Correct Answer: C

Rationale: Under the False Claims Act, billing for a higher level of service than provided is illegal. Using a CPT code for a 50-minute psychotherapy session when only 30 minutes were delivered is upcoding (Choice C), as it inflates reimbursement by misrepresenting the service's intensity or duration. Unbundling (Choice A) involves billing separate components of a bundled service individually, not applicable here. Overbilling (Choice B) is a broader term for excessive charges but doesn't specifically describe coding mismatches. Misrepresentation (Choice D) is vague and not a legal term in this context. Upcoding violates federal regulations, risking penalties, because it falsely claims more resources were used. For example, CPT code 90834 (45-50 minutes) pays more than 90832 (30 minutes), and choosing the former for a shorter session is fraudulent. Accurate coding ensures ethical billing, making Choice C the precise and correct answer.

Question 5 of 5

Nurse Danny has been teaching a client about a high-protein diet. The teaching is successful if the client identifies which meal as high in protein?

Correct Answer: A

Rationale: A high-protein diet emphasizes foods rich in amino acids for tissue repair, muscle maintenance, or recovery. Baked beans, hamburger, and milk (Choice A) are protein powerhouses: beans (7-10 g/cup), hamburger (20-25 g/patty), and milk (8 g/cup) total over 35 g per meal, far exceeding others. Spaghetti with cream sauce, broccoli, and tea (Choice B) leans carbohydrate-heavy (pasta), with broccoli offering minimal protein (3 g/cup) and tea none. Bouillon, spinach, and soda (Choice C) provide negligible proteinspinach has 5 g/cup, but bouillon and soda contribute little. Chicken cutlet, spinach, and soda (Choice D) include protein from chicken (25-30 g), but spinach and soda add little, totaling less than Choice A. For a client needing 50-60 g daily, Choice A's variety and quantity signal successful teaching, making it the correct answer.

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