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A 76-year-old client with a med...
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Patient Data
History and Physical
A 76-year-old client with a medical history that includes osteoarthritis,
hypothyroidism, and coronary artery disease.
Vital signs: BP 124/76 sitting, Pulse 106 bpm at rest, RR 20/min,
Temperature 97.9°F (36.6°C). Additionally, the client reports decreased
appetite related to pain.
Client describes pain as aching, throbbing, and burning to right knee. He
rates his pain as 4 out of 10 on a numeric pain intensity scale at rest, and it
gets as high as 7 out of 10 before administration of the next pain
medication. Client tells the nurse he typically has stiffness to right knee in
the morning, but, after taking his pain medication, he ambulates in home
without using an assistive device.
Daughter tells the nurse he usually takes acetaminophen 500 mg po twice a
day routinely. He does not usually report pain to his knee.
A 76-year-old client is brought to his primary healthcare provider office by his daughter because he has been
having increased pain to his right knee for the last 1 week, more than his usual level of pain.
Complete the diagram by dragging from the choices area to specify which condition the client is most likely
experiencing, two actions the nurse would take to address that condition, and two necessary additional
assessments the nurse would perform.
Action to Take
Action to Take
Action to Take
Educate client on pain as an
expected finding with age
Prepare client for a computed
topography (CT) of the
abdomen
Ask client about his attitude
and beliefs regarding the use
of prescription pain
medications, such as opioids
Potential Condition
Necessary Additional Assessment
Necessary Additional Assessment
Potential Condition
Necessary Additional Assessment
Chronic pain
Visceral pain
Age-related pain
Lightly brush cotton ball on
right knee
Palpate abdomen
Palpate right knee
Inspect right knee
Check electrocardiogram
(ECG) rhythm
Neuropathic pain