Nursing Concepts Pain Management Exam 35 Questions with Verified Answers
Pain is always? - CORRECT ANSWER Subjective
Severe pain should always bee
... [Show More] treated as a? - CORRECT ANSWER Medical emergency
Acute pain - CORRECT ANSWER rapid onset, varies in intensity
When cause of pain is resolved, pain goes away
Physiological responses to acute pain - CORRECT ANSWER SNS increase pulse, respiratory rate, and BP
Diaphoretic, dilation of pupils
Anxious/restless
Cry, guarding
Chronic pain - CORRECT ANSWER persistent pain (longer than 3 months)
May not have identifiable cause
Physiological responses to chronic pain - CORRECT ANSWER PNS response
Normal vital signs
May cause depression
Pt. may not verbalize pain
Mild pain - CORRECT ANSWER 1-3
Moderate pain - CORRECT ANSWER 4-6
Severe pain - CORRECT ANSWER 7-10
Radiating pain - CORRECT ANSWER pain starts somewhere, pain radiates out to other places
Referred pain - CORRECT ANSWER pain in an area different from where it originated
Neuropathic pain - CORRECT ANSWER result of an injury of the peripheral nerves
Characterized by burning or stabbing sensation
result of an injury to the peripheral nerves
Phantom pain - CORRECT ANSWER When a client has pain in an appendage that is no longer attached
Pain threshold - CORRECT ANSWER the least amount of stimuli necessary for a person to label a sensation as pain
Pain tolerance - CORRECT ANSWER the most pain an individual is willing or able to tolerate before taking evasive actions
Post herpetic neuralglia - CORRECT ANSWER pain occurs after shingles abates
Fibromyalgia - CORRECT ANSWER chronic disordered characterized by widespread musculoskeletal pain and fatigue
Likely problem with CNS pain processing functioning
Infant pain response - CORRECT ANSWER respond to pain by crying
as they get older, they will turn away from painful stimuli
Toddler/preschooler pain response - CORRECT ANSWER gain the ability to describe pain intensity and location
respond to pain by crying
School age children pain response - CORRECT ANSWER able to respond to pain and describe its location and intensity
progressive pain causes regression in pain response development
Adolescent pain response - CORRECT ANSWER slow to acknowledge pain b/c of desire to appear brave in front of peers
Adult pain response - CORRECT ANSWER often ignore pain due to fear of what it means
Aging adult pain response - CORRECT ANSWER often experience pain associated with multiple conditions
may have decreased sensation to pain
Lethargy, anorexia, and fatigue accompany pain
Environmental/support people pain factors - CORRECT ANSWER If mom says toe is fine, they will think they need to suck it up b/c nothing is really wrong with them
What are the 4 phases of pain - CORRECT ANSWER 1. Transduction
2. Transmission
3. Perception
4. Modulation
COLD SPA Pain History - CORRECT ANSWER Character
Onset
Location
Duration
Severity
Pattern
Associated factors
When planning on how to deal with a pt.'s pain, who decides on the goals? - CORRECT ANSWER both the nurse and the pt
Nursing interventions to address pain in the implementation stage - CORRECT ANSWER 1. pt education
2. pharmacologic pain management
3. non-pharmacologic pain management
What to address in pt pain education (pain nursing intervention) - CORRECT ANSWER misconceptions about addiction
poor communication about the pain experience
Pharmacologic pain management (analgesics) - CORRECT ANSWER 1. opioid analgesics
2. nonopioid analgesics
3. Adjuvant medications
Opioid analgesics - CORRECT ANSWER For moderate pain:
- hydrocodone
- tramadol
For severe pain:
- Fentanyl
- Oxycodone
- Morphine
Nonopioid analgesics - CORRECT ANSWER - acetaminophen
- aspirin
- celebrex
- NSAID's (like ibuprofen)
Adjuvant medications - CORRECT ANSWER medications such as antidepressants that are combined with opioid or nonopioid analgesics to relieve pain
WHO 3 step analgesic ladder - CORRECT ANSWER Mild pain (1-3) = nonopioid analgesic +- adjuvant
Moderate pain (4-6) = moderate pain opioid +- nonopioid +- adjuvant
Severe pain (7-10) = severe pain opioid +- nonopioid +- adjuvant
delivered at scheduled doses until pain is relieved
Nonpharmacologic pain management - CORRECT ANSWER - Massage
- Heat and cold application
- Distraction (music, TV, crossword puzzles)
- Immobilization (for episodes of acute pain)
- Acupressure
- Transcutaneous electrical nerve stimulation [Show Less]