A 75-year-old female patient presented to the office for an annual wellness visit. During the nurse's assessment, the patient explains she has been experiencing bilateral knee pain for the past eleven months. Based on the duration of the patient's symptoms, how would the nurse categorize the patient's pain?
Acute Pain
Intermittent Pain
Chronic Pain
Idiopathic Pain
The Correct Answer is C
Choice A reason:
Acute pain is typically sudden in onset and is usually the result of a specific injury or illness. It is characterized by its sharp quality and tends to last for a short duration, generally not longer than six months. Since the patient's knee pain has persisted for eleven months, it does not fall under the category of acute pain.
Choice B reason:
Intermittent pain is pain that comes and goes at intervals. Although the patient's pain could be intermittent, the classification based on duration would not be described as intermittent. This term refers more to the pattern of the pain rather than its chronicity or cause.
Choice C reason:
Chronic pain is defined as pain that persists for longer than six months, often continuing even after the injury or illness that caused it has healed. The patient's bilateral knee pain has been present for eleven months, which exceeds the six-month threshold, thus categorizing it as chronic pain.
Choice D reason:
Idiopathic pain refers to pain that arises without a clear cause. It is not categorized based on the duration of the pain but rather on the absence of an identifiable underlying reason. Since the patient's pain has a specific duration, it is not appropriate to classify it as idiopathic without further information regarding its cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Positioning the arm below waist level is not recommended when measuring blood pressure. It can result in an inaccurate reading, typically showing a higher blood pressure due to the effects of gravity on the blood column. The arm should be positioned at heart level for an accurate measurement.
Choice B Reason:
While palpating the radial artery to confirm a pulse is present is part of the overall assessment of circulation, it is not a necessary step immediately before measuring blood pressure. The focus should be on ensuring the client is in the correct position and is relaxed to avoid any factors that might artificially alter the blood pressure reading.
Choice C Reason:
Asking the client to sit quietly in a chair for 5 minutes is the correct procedure before measuring blood pressure. This allows the client's heart rate and blood pressure to stabilize, providing a more accurate measurement. Any activity or stress can temporarily raise blood pressure, so this quiet time is crucial.
Choice D Reason:
The arm selected for blood pressure measurement should not be covered with clothing. Clothing can constrict the blood pressure cuff and interfere with the accuracy of the reading. The cuff should be placed on bare skin to ensure it inflates and deflates correctly and that the stethoscope can accurately detect the sounds of the blood flow.
Correct Answer is B
Explanation
Choice a reason:
Educational Prevention is not a recognized level of prevention in healthcare. While education is a key component in all levels of prevention, it is not a standalone category. Education is typically included in primary prevention as it involves informing the public about health practices to prevent the onset of disease.
Choice b reason:
Tertiary Prevention is the level of prevention that aims to manage and treat an existing disease to prevent further complications or deterioration. In the case of immobile stroke patients, tertiary prevention would involve measures to prevent skin breakdown and other complications associated with immobility and the stroke's long-term effects.
Choice c reason:
Secondary Prevention involves early detection and prompt intervention to prevent the progression of a disease. For stroke patients, secondary prevention might include monitoring for signs of skin breakdown so that early treatment can be initiated. However, the scenario described focuses on managing an existing condition rather than early detection.
Choice d reason:
Primary Prevention aims to prevent the disease or injury before it occurs. This would involve strategies to prevent strokes in the first place, such as controlling high blood pressure or encouraging healthy lifestyle changes. It does not directly relate to the prevention of skin breakdown in patients who have already had a stroke.
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