A 3-year-old who has suffered a bee sting on the foot is screaming and cannot be consoled. The patient's response indicates that
1. The child lacks previous remembered experience with pain and is frightened.
2. The bee sting is extremely painful.
3. There may be something wrong in addition to the bee sting, because bee stings do not usually hurt this much.
4. The child has suffered bee stings or similar injuries before and is expressing the remembered pain, as well as responding to current discomfort.
Question 2
A patient asks the nurse, Why has my primary care physician ordered an antidepressant for me? I'm not depressed. I'm just in pain. The nurse could appropriately explain:
1. It was ordered because it is known to potentiate the pain medication that you are taking.
2. Anyone who is suffering from pain will eventually begin to suffer from depression, so your physician wants to prevent that.
3. Everyone experiences depression at one time or another.
4. I guess your primary care physician must have misunderstood you. I'll talk to the physician later.
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Gangrene of the toes and foot as a result of an infection often means eventual amputation.
Apply scissoring between metatarsals and figure-8s on toe joints to mobilize the foot.
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