Compared with acute pain, which of the following statements is true of persistent pain?

Can bring about long-term changes in lifestyle

Is generally gone within 4 months

Is usually described as a burning pain

Leads to significantly altered vital signs

Answer and Explanation

The Correct Answer is A

Choice A reason: Can bring about long-term changes in lifestyle is true because persistent pain, also known as chronic pain, is pain that lasts for more than three months or beyond the expected healing time. Persistent pain can affect the physical, psychological, social, and emotional aspects of a person's life, and may require adjustments in daily activities, work, hobbies, relationships, and self-care.

Choice B reason: Is generally gone within 4 months is false because persistent pain does not have a clear end point and may persist for years or even a lifetime. Persistent pain is different from acute pain, which is pain that is sudden, sharp, and usually related to an injury or illness. Acute pain typically lasts for a short time and resolves when the underlying cause is treated.

Choice C reason: Is usually described as a burning pain is false because persistent pain can have various descriptions, depending on the cause, location, and intensity of the pain. Some common words that people use to describe persistent pain are aching, throbbing, stabbing, shooting, tingling, or numbness.

Choice D reason: Leads to significantly altered vital signs is false because persistent pain does not usually cause noticeable changes in vital signs, such as blood pressure, heart rate, respiratory rate, or temperature. This is because the body adapts to persistent pain over time and does not react as strongly as it does to acute pain. However, this does not mean that persistent pain is less severe or less important than acute pain.

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Correct Answer is ["A","B"]

Explanation

Choice A reason: Grab bars in place are important for preventing falls, as they provide support and stability for the patient when moving around the room, especially in the bathroom. Grab bars can help the patient maintain their balance and avoid slipping or tripping.

Choice B reason: Appropriate footwear is important for preventing falls, as it can reduce the risk of slipping, sliding, or stumbling. Appropriate footwear should fit well, have non-skid soles, and be comfortable and easy to put on and take off.

Choice C reason: Outdoor grounds are not a factor in the patient care environment that should be routinely assessed to decrease the risk of falls, as they are not part of the indoor setting where most falls occur. However, outdoor grounds may pose a fall hazard for patients who go outside for recreation or therapy, and should be checked for uneven surfaces, obstacles, or slippery conditions.

Choice D reason: All four bed rails raised are not a factor in the patient care environment that should be routinely assessed to decrease the risk of falls, as they may actually increase the risk of falls and injuries. Bed rails may create a false sense of security, encourage the patient to climb over them, or entrap the patient between the rails and the mattress. Bed rails should be used only when indicated and with the patient's consent.

Choice E reason: None of the above is not the correct answer, as there are two factors in the patient care environment that should be routinely assessed to decrease the risk of falls.

A. Low back pain B. Hypoproteinemia C. Headaches D. Osteoarthritis E. Hip replacement

Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Low back pain is a common condition that affects many older adults, as it can be caused by degenerative changes in the spine, disc herniation, spinal stenosis, osteoporosis, or muscle strain. Low back pain can be chronic, meaning it lasts for more than three months, and can interfere with daily activities and quality of life.

Choice B reason: Hypoproteinemia is a condition where the level of protein in the blood is abnormally low, which can be caused by malnutrition, liver disease, kidney disease, or inflammation. Hypoproteinemia can cause symptoms such as edema, fatigue, weakness, or hair loss, but it does not usually cause chronic pain.

Choice C reason: Headaches are a common symptom that can affect people of any age, but they are not necessarily chronic or related to aging. Headaches can be caused by various factors, such as stress, dehydration, sinus infection, migraine, or medication. Headaches can be acute, meaning they last for a short time, or chronic, meaning they occur for more than 15 days a month.

Choice D reason: Osteoarthritis is a degenerative joint disease that affects many older adults, as it causes the cartilage that cushions the joints to wear away, resulting in pain, stiffness, swelling, and reduced mobility. Osteoarthritis can affect any joint, but it is more common in the knees, hips, hands, and spine. Osteoarthritis can be chronic, meaning it worsens over time, and can limit the ability to perform daily tasks and enjoy life.

Choice E reason: Hip replacement is a surgical procedure that replaces a damaged or diseased hip joint with an artificial one, which can improve pain, function, and quality of life. However, hip replacement can also cause chronic pain, either due to complications, such as infection, dislocation, or loosening of the implant, or due to persistent inflammation, nerve damage, or scar tissue.

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Compared with acute pain, which of the following statements is true of persistent pain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which factors in the patient care environment should be routinely assessed to decrease the risk of falls? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

Which conditions are likely to cause an older adult chronic pain? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

When assessing your client who has a history of falls, you should pay particular attention to which of the following? (Select all that apply.)

Which is the most likely reason that thyroid disorders are often difficult to diagnose in older adults?

For a cognitively impaired patient who cannot accurately report pain, which assessment tool would be most useful?

Which of the following is a true statement about heart disease in Kenya?

An older adult admitted for back surgery asks for opioid pain medication. The nurse knows the client asks for pain medication 30 minutes before it is due. Which recommendation should the nurse implement?

When an older female adult client complains of itching and pain and several days later shows you a rash, what do you realize she has?

An older adult client has been admitted to a skilled nursing facility. Which of the following can be caused by physical restraints? (Select all that apply.)

An African American 58-year-old man in good health has a blood pressure of 120/73 mm Hg at his annual physical examination. Which of the following is the best goal for the nurse to use to assist him in maintaining his health and wellness into older age?