Nursing 102 Pain Management 48 Questions with Verified Answers
Pain is the ______ vital sign. - CORRECT ANSWER 5th
T/F: Pain is subjective and
... [Show More] individual. - CORRECT ANSWER True
T/F: The inability to communicate pain DOES NOT mean it is not there (patients who cannot speak or have altered mental status, for example). - CORRECT ANSWER True
T/F: Pain is Protective. - CORRECT ANSWER True
Spinal cord injured patients need special precautions due to not: - CORRECT ANSWER feeling pain
_______ with decreased sensation to feet need vigilant assessment. - CORRECT ANSWER True
What injuries can cause a release of neurotransmitters? (3) - CORRECT ANSWER 1. Thermal
2. Mechanical
3. Chemical injury
- They surround pain fibers, spreading pain message and causing inflammatory response.
Nerve impulses travel two types of peripheral nerve fibers: (2) - CORRECT ANSWER 1. Large, fast myelinated A fibers
2. Small, unmyelinated C fibers
Largest, fast myelinated A fibers: - CORRECT ANSWER send sharp localized pain message
Small, slow unmyelinated C fibers: - CORRECT ANSWER are slow, and communicate generalized and persistent pain
After cutting finger with a knife, the patient feels sharp pain from: - CORRECT ANSWER A fiber transmission
After a few minutes of cutting a finger with a knife, the whole finger aches from: - CORRECT ANSWER C fiber stimulation
Pain impulses travel _____ the spinal cord to the brainstem and thalamus, and stimulates the ________________. - CORRECT ANSWER Up ; Autonomic Nervous System
T/F: Location, duration, and quality of pain information is perceived. - CORRECT ANSWER True
When a person perceives a painful impulse, the brain releases: - CORRECT ANSWER inhibitory neurotransmitters
Examples of neurotransmitters: (3) - CORRECT ANSWER 1. Opioids
2. Serotonin
3. GABA
What do inhibitory neurotransmitters produce? - CORRECT ANSWER An analgestic effect
Analgestic effect: - CORRECT ANSWER acting to relieve pain (soothing, heat)
Impulse travels along spinal cord, bypasses the brain, and travels to _________ ________ to withdraw from pain.
- (Example: Touch hot iron) - CORRECT ANSWER Skeletal muscle
Acute pain stimulates a: - CORRECT ANSWER stress response
T/F: Acute pain is transient and low to moderate pain (fight or flight response). - CORRECT ANSWER True
What are physiological responses in sympathetic nervous system? (7) - CORRECT ANSWER 1. Increase heart rate
2. Pupils dilate
3. Increase adrenaline
4. Decrease blood flow
5. Dry mouth
6. Increase respirations
7. Decrease voiding
Acute pain is transient with limited: - CORRECT ANSWER tissue damage
-common after acute injury, disease, or surgery
-patients are anxious, afraid, and want relief quickly
-self limiting with an end in sight
-has identifiable cause
-providers likely to treat aggressively
Acute pain affects: - CORRECT ANSWER 1. Patient activity
2. Ability to care for self
3. Mobility
4. Sleep
5. Would healing
6. Reception to patient education
(PROBLEMS)
What nonverbal cues would tell you that a patient is having Acute Pain? - CORRECT ANSWER -Facial expressions
-Clenching teeth
-Hold whatever hurts
Chronic pain: - CORRECT ANSWER unrelenting, deep, or severe pain (lasts longer)
T/F: Some elements of parasympathetic nervous system are activated with Chronic Pain. - CORRECT ANSWER True
What are symptoms of parasympathetic stimulation? - CORRECT ANSWER - Decrease in BP and HR
T/F: Patients can adapt to pain and vital signs will return to normal. - CORRECT ANSWER True
- Your patient may not have vital sign change with this type of pain
T/F: Sympathetic nervous system = Fight or Flight - CORRECT ANSWER True
T/F: Parasympathetic nervous system = Vital Signs - CORRECT ANSWER True
Inadequate treatment of acute pain can lead to: - CORRECT ANSWER chronic pain
Neuroplasticity: - CORRECT ANSWER Change in neural connections caused by learning or a response to injury.
Neuroplasticity changes due to: - CORRECT ANSWER unrelieved pain
T/F: Neuroplasticity is the ability of brain to form reorganized synaptic connections - CORRECT ANSWER True
Pain intensity, duration and distribution enhanced leads to: - CORRECT ANSWER chronic pain syndromes
Symptoms of Chronic Pain: (8) - CORRECT ANSWER 1. Insomnia
2. Anorexia
3. Weight loss
4. Apathy
5. Hopelessness
6. Anger
7. Hygiene
8. Social interaction
Insomnia: - CORRECT ANSWER Difficulty in falling asleep or staying asleep
Anorexia: - CORRECT ANSWER lack or loss of appetite
Apathy: - CORRECT ANSWER a lack of feeling, emotion, or interest
T/F: Chronic pain is prolonged with varying intensity. - CORRECT ANSWER True
Chronic pain lasts longer than ____ months and lasts beyond expected _______ ____. - CORRECT ANSWER 3; Healing time
Chronic pain affects: (6) - CORRECT ANSWER 1. Eating
2. Sleeping
3. Hygiene
4. Social interaction
5. Sexual function
6. Clarity of thought (ability to think clearly)
Age differences in reporting pain: Infants usually ___. - CORRECT ANSWER cry
Age differences in reporting pain: Children have varying ________ to describe pain. - CORRECT ANSWER vocabulary
Age differences in reporting pain: Toddlers and preschoolers will not recall ___________ of pain. - CORRECT ANSWER explanations
Age differences in reporting pain: Older adults may take pain for _____ or _____________ their pain. - CORRECT ANSWER granted ; underestimate
- (tend to think they have to live with the pain)
Older adults (how they show pain) : (4) - CORRECT ANSWER 1. Sometimes have more than one painful site, and hesitate to bother the health care provider
2. May believe they can't change their pain/must endure it
3. May have cognitive impairment
4. Must observe physical/behavior cues [Show Less]