NUR 4125: Chapter 14 Somatosensory Function, Pain, and
Temperature Questions With Complete SOLUTIONS
A 33-year-old client is brought into the emergency room with a
core temperature of 39°C (102.2°F). The client is red in the face,
chest, and back due to significant cutaneous vasodilation. The
client is likely in which stage of fever?
Third
First
Fourth
Second Correct Answer A
A client asks if pain threshold and pain tolerance are the same.
The best response by the health care provider would be:
"Pain threshold is the point at which a stimulus is perceived as
painful."
"Pain threshold is not varied from person to person."
"Pain tolerance is not affected by psychological, familial,
cultural, and environmental factors."
"Pain tolerance is the minimum intensity of pain a client will
endure." Correct Answer a
A client comes to the clinic for evaluation of a sharp,
intermittent, severe, stabbing facial pain that she describes as
"like an electric shock." The pain occurs on only one side of her
face. It seems to be triggered when she chews, brushes her teeth,
or sometimes when she merely touches her face. Often it is
accompanied by involuntary grimacing. What diagnosis is most
likely?
Migraine headache
Postherpetic neuralgia
,Complex regional pain syndrome
Trigeminal neuralgia Correct Answer d
A client has a mild headache and fatigue. He also states he has
some aches and pains. Which stage of fever does the nurse
determine the client is experiencing?
Chill
Prodrome
Flush
Defervescence Correct Answer b
A client has been diagnosed with a fever of unknown cause. The
nurse recognizes this as:
A prolonged fever that does not have an identified source
A fever that only occurs in adults
A fever that has responded well to several medications
A fever of new onset Correct Answer a
A client has been diagnosed with osteomyelitis and admitted to
the hospital. The client's fever persists throughout most of the
day but returns to normal at least twice a day. Which pattern of
fever is this client displaying?
Intermittent
Remittent
Erratic
Relapsing Correct Answer a
A client has recently been diagnosed with chronic back pain that
requires the daily use of hydromorphone, an opioid analgesic.
For the first few weeks, the client achieved relief with 4 mg
every 6 hours. However, the client now requires 6 mg doses to
, achieve the same effect. How should the nurse best interpret this
phenomenon?
The opioid should likely be replaced with a nonsteroidal anti-
inflammatory drug (NSAID)
The client is exhibiting the early signs of opioid addiction
The client's medication should be replaced with
nonpharmacologic interventions
The client is developing opioid tolerance, which is expected
Correct Answer d
A client is experiencing a cluster headache. The client would
most likely manifest:
nausea with vomiting.
symptoms aggravated by physical activity.
sensitivity to light.
severe pain behind the eye. Correct Answer d
A client is experiencing anorexia, myalgia, arthralgia, headache,
and fatigue. The nurse should assess for:
Urinary output
Respirations
Hypothermia
Temperature Correct Answer d
A client is experiencing chest pain that radiates to the left arm
and neck. The nurse would interpret this pain as:
Referred
Somatic
Cutaneous
Visceral Correct Answer d
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