The nurse is caring for four clients who are reporting pain. Based on the following assessments and histories, which client's pain is most likely chronic in nature?
a. Foley catheter inserted 30 minutes ago with a heart rate of 100 beats/min
b. History of heart disease with a heart rate of 120 beats/min
c. History of fibromyalgia with a blood pressure of 110/70 mm Hg
d. Hip replacement surgery with a blood pressure of 170/90 mm Hg
C
The definition of chronic pain involves the length of time the pain is experienced and/or the pro-gressive nature of the problem causing the pain. Both heart disease and fibromyalgia could fit into this category. However, pain of a chronic nature does not call the sympathetic nervous sys-tem into play. Therefore, a rise in heart rate and blood pressure is not seen in a client who has chronic pain. The client with fibromyalgia who is having pain is not experiencing the increased blood pressure that would be seen with acute pain.
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