Difficulty: Medium
Average Score: 95%
Simulated
A nurse is assessing a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?
Correct answer
B
Rationale
The correct answer is B: Elevated blood pressure. In response to pain, the sympathetic nervous system is activated, leading to increased release of stress hormones like adrenaline, causing vasoconstriction and elevated blood pressure. This physiological response is a common manifestation of acute pain. Reduced respiratory rate (choice A) is more indicative of respiratory distress than pain. Constricted pupils (choice C) are typically seen in bright light or with certain medications. Decreased heart rate (choice D) is not a common sign of acute pain but may occur with certain conditions like vasovagal response.