What type of pain does a client experience immediately after spraining their ankle?
Visceral
Chronic
Acute
Referred
The Correct Answer is C
Choice A reason: Visceral pain arises from internal organs due to stretching or inflammation, not from musculoskeletal injuries like an ankle sprain. An ankle sprain causes localized tissue damage, producing sharp, immediate pain, not the dull, diffuse pain typical of visceral sources, making this incorrect.
Choice B reason: Chronic pain persists beyond three months, often from ongoing conditions like arthritis. An ankle sprain causes immediate, short-term pain due to acute tissue injury, not prolonged pain, making chronic pain incorrect for the immediate aftermath of a sprain.
Choice C reason: Acute pain occurs immediately after injury, like an ankle sprain, due to tissue damage, inflammation, and activation of nociceptors. It is sharp and localized, resolving with healing, matching the description of pain right after a sprain, making this the correct choice.
Choice D reason: Referred pain is felt in a different area from the injury source, such as shoulder pain from a heart attack. An ankle sprain causes localized pain at the injury site, not referred pain, making this choice incorrect for the described scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Coronary artery vasospasm causes transient vessel constriction, reducing blood flow to the myocardium, leading to ischemia and potentially infarction. This is a recognized cause, particularly in variant angina, making this a correct mechanism for myocardial infarction.
Choice B reason: A thrombus forming in a coronary artery, often due to plaque rupture, obstructs blood flow, causing myocardial ischemia and infarction. This is the most common cause of myocardial infarction, making this a correct mechanism.
Choice C reason: Chest wall bruising from trauma does not directly cause myocardial infarction, which requires coronary artery occlusion. Trauma may cause cardiac contusion but not infarction, making this choice incorrect for myocardial infarction development.
Choice D reason: An embolus, such as from a clot elsewhere, can block a coronary artery, stopping blood flow to the myocardium, causing infarction. Though less common than thrombosis, it is a valid mechanism, making this a correct choice.
Choice E reason: Systemic infection with hyperthermia does not directly cause myocardial infarction. It may increase cardiac demand, potentially exacerbating ischemia, but infarction requires coronary occlusion, not just fever, making this choice incorrect.
Correct Answer is D
Explanation
Choice A reason: Photophobia, sensitivity to light, is not associated with hypothyroidism. It occurs in conditions like migraines or meningitis. Hypothyroidism slows metabolism, causing fatigue, not light sensitivity, making this choice incorrect.
Choice B reason: Exophthalmos, protruding eyes, is associated with hyperthyroidism (Graves’ disease) due to orbital inflammation. Hypothyroidism does not cause eye protrusion, making this choice incorrect for hypothyroidism manifestations.
Choice C reason: Weight loss is typical of hyperthyroidism due to increased metabolism. Hypothyroidism slows metabolism, causing weight gain, not loss, due to reduced energy expenditure, making this choice incorrect.
Choice D reason: Hypothyroidism reduces thyroid hormone levels, slowing metabolism and causing lethargy, fatigue, and reduced energy. This is a hallmark symptom due to decreased cellular activity, making this the correct choice.
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