A nurse in the emergency department is evaluating a client who was brought in by a neighbor after suddenly falling while walking.
What assessments should the nurse prioritize?

Choice A rationale

Cognitive behavioral therapy (CBT) is a type of psychological treatment that can be effective for a range of conditions, including chronic pain. However, it may not be the most suitable for acute pain management at home following a knee injury. CBT usually involves working with a trained therapist over multiple sessions, which may not be practical or immediately beneficial in this context.
Choice B rationale
Intermittent ice compress is a highly recommended non-pharmacological method for managing acute pain, especially following a knee injury. The cold temperature from the ice can help numb the area, reducing pain and inflammation. It’s a simple, cost-effective, and readily available method that can be easily applied at home.
Choice C rationale
Phototherapy, also known as light therapy, involves exposure to specific wavelengths of light using polychromatic polarised light, lasers, light-emitting diodes, fluorescent lamps, or dichroic lamps. While it has been used to treat conditions like seasonal affective disorder, skin conditions, and neonatal jaundice, its effectiveness in managing acute pain following a knee injury is not well-established.
Choice D rationale
Walking on a treadmill might not be suitable for a patient experiencing acute pain following a knee injury. Physical activity is generally beneficial for overall health and certain types of chronic pain. However, in the case of an acute knee injury, rest and immobilization are often recommended initially to allow the injured tissues to heal.

Choice A rationale
While emotional disorders and acute pain can occur after a traumatic brain injury (TBI), they are not considered secondary conditions. These are more immediate and direct results of the injury.
Choice B rationale
Loss of sensation and cognition difficulties are common secondary conditions that can develop after a TBI. These can be due to damage to specific areas of the brain during the injury.
Choice C rationale
Body dysmorphia and neurofibrillary tangles are not typically associated with TBI. Body dysmorphia is a psychological disorder, and neurofibrillary tangles are associated with neurodegenerative diseases like Alzheimer’s.
Choice D rationale
Decreased appetite and a lack of sleep can occur after a TBI, but they are more likely to be symptoms rather than secondary conditions. Secondary conditions are typically more long- term and are a result of changes in the brain after the injury.