nur 103

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Author:
golfdiva
ID:
142258
Filename:
nur 103
Updated:
2012-03-18 18:10:48
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nursing
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Description:
test 1
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  1. Define the nursing process in 4 points.
    • 1. decision-making approach that enhances critical
    • 2. thinking. is the focus of nursing care addresses the
    • 3. response of the client to illness primary purpose of NCP
    • 4. is communication with the health care team
  2. What are some methods of data collection used in assessment?
    • Sources of data:
    • Client – usually most reliable
    • Family & significant others
    • Medial records other nurses
  3. Define critical thinking.
    • Purposeful,
    • outcome-directed thinking
    • judge using scientific evidence
    • Self-directed thinking what to believe or do in certain situations
    • Evidenced-based nrsg care based on research and critical thinking
  4. Characteristics of acute pain:
    • sudden onset,
    • usually temporary
    • usually localized
  5. 3 Types of Acute Pain:
    • Somatic pain
    • Visceral pain
    • Referred pain
  6. Describe somatic pain:
    • sharp, cutting, burning, or dull and diffuse,
    • cuteaneous, tissue, muscles, bones, skin,
    • relieved by topical stuff
    • accompanied by nausea and vomiting
  7. Describe visceral pain:
    • deep,
    • dull
    • poorly localized
    • hypotension
    • restlessness
  8. Describe referred pain:
    • perceived in an area distant from the site
    • i.e. heart attack, - left arm
    • gallbladder stones - right shoulder
  9. Body response to acute pain:
    • Stressor -
    • initiates fight-or-flight, automatic response pain can cause anxiety and vise versa
    • Physical responses
    • increased heart rate rapid, shallow respir dilated pupils sweaty
    • Psychological response
    • anxiety/fear
  10. Describe the characteristics of chronic pain:
    • prolonged, usually lasting longer than 6 months
    • not always an ID cause
    • Lowers pain threshold
    • depression of serotonin and endorphin levels leads to depression and irritability
    • More complex & poorly understood than acute pain
  11. Describe the body's response to chronic pain:
    • Physiologic adaptation results in normal vital signs Hormonal stress responses persists, higher blood pressure
    • Person develops depression, withdrawal, irritability, immobility, & may be demanding & controlling
  12. Descrive neuropathic pain:
    • pain caused by damage to the CNS or PNS.
    • Includes:
    • i) phantom pain, burning, tingling,
    • ii) peripheral neuropathy,
    • most commonly caused by a complication of DM
    • carpal tunnel
    • post shingles
  13. Describe breakthrough pain:
    exceeds baseline treated pain getting pain meds, but pain comes back before next dose
  14. Describe psychogenic pain:
    • experienced in the absence of any diagnosed physiologic cause or event.
    • very real
    • leads to physiological changes
  15. What is a pain threshold?
    • a person's preception of pain
    • all people precieve pain at about the same intensity
  16. What is pain tolerance?
    • The amount of pain a person can endure before outwardly responding to it.
    • It's very individual.
  17. T or F
    Pain is a result, not a cause.
    False, pain has an effect on healing.
  18. T or F
    Chronic pain is really a masked form of depression.
    F

    They are 2 different things, but can co exist.
  19. T or F
    Narcotic medication is too risky to be used to treat chronic pain.
    • F
    • Others should be tried first, but narcotics should be considered if necessary.
  20. T or F
    It is best to wait until a client has pain before giving medications
    • F
    • anticipate pain, lowers the amount of pain, keeps pain under control
  21. T or F
    Many clients lie about the existence or severity of their pain.
    • F
    • in general few clients lie about pain
  22. T or F
    Postoperative pain is best treated with IM injections.
    • F
    • not true,
    • best is probably IV
    • then oral,
    • IM least helpful
  23. T or F
    Pain relief interferes with diagnosis.
    • F
    • no proof, doesn't mask symptoms
    • except sometimes head injury shouldn't give pain relief

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