N 106-109

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Author:
ndarlenebeck
ID:
291397
Filename:
N 106-109
Updated:
2014-12-12 18:16:52
Tags:
Comfort Pain
Folders:
Comfort and pain
Description:
Comfort and Pain
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  1. Pain is impervious to therapeutic interventions:
    A) Acute pain
    B) Intractable pain
    C) Neuropathic pain
    D) Chronic pain
    B) Intractable pain
    (this multiple choice question has been scrambled)
  2. Pain is related to tissue injury and will abate with healing:
    A) Acute pain
    B) Chronic pain
    C) Intractable pain
    D) Neuropathic pain
    A) Acute pain
    (this multiple choice question has been scrambled)
  3. Pain lasts longer than 6 months and often limits normal functioning:
    A) Neuropathic pain
    B) Intractable pain
    C) Acute pain
    D) Chronic pain
    D) Chronic pain
    (this multiple choice question has been scrambled)
  4. Pain described as shooting or stabbing- results from a disorder of the peripheral or central nervous system:
    A) Neuropathic pain
    B) Phantom pain
    C) Radiating pain
    D) Referred pain
    A) Neuropathic pain
    (this multiple choice question has been scrambled)
  5. Pain perceived at the source and extends to nearby tissue:
    A) Radiating pain
    B) Neuropathic pain
    C) Phantom pain
    D) Referred pain
    A) Radiating pain
    (this multiple choice question has been scrambled)
  6. Painful sensation seeming in a missing body or paralyzed body part:
    A) Phantom pain
    B) Referred pain
    C) Neuropathic pain
    D) Radiating pain
    A) Phantom pain
    (this multiple choice question has been scrambled)
  7. Pain felt in a part of the body that is noticeable removed from the tissues affected:
    A) Radiating pain
    B) Neuropathic pain
    C) Phantom pain
    D) Referred pain
    D) Referred pain
    (this multiple choice question has been scrambled)
  8. Which is the most accurate portrayal of pain:
    A) Pain is highly subjective and is whatever the client says it is.
    B) Pain is always a sign that serious physiological problems exist.
    C) Verbal reports of pain are not sufficient cause for treatment
    D) You should try to delay pain medication to prevent drug dependence.
    A) Pain is highly subjective and is whatever the client says it is.
    (this multiple choice question has been scrambled)
  9. Which statement about pain is true?
    A) Fast pain fibers release substance patient, which is slow to build up at the synapse and slow to be destroyed.
    B) The cerebral cortex is though to play a role in interpretation and localization of pain.
    C) All pain sensations received by nociceptors pass the pain gate and are carried to the brain
    D) Pain impulses may be transmitted to the brain thru fast pain or slow pain pathways-impulse is transmitted in the same fashion, but the speed of transmission id different.
    B) The cerebral cortex is though to play a role in interpretation and localization of pain
    (this multiple choice question has been scrambled)
  10. According to the gate control theory, you could affect pain perception by ascending modulation.  What is consistent with this approach?
    A) Education and emotional support
    B) Relaxation
    C) Massage
    D) Use of options
    C) Massage
    (this multiple choice question has been scrambled)
  11. Which of the following would be the least likely to affect pain?
    A) Expectation of significant others
    B) Ethnic and Cultural values
    C) Age
    D) Education level
    D) Education level
    (this multiple choice question has been scrambled)
  12. Assessment of pain should be performed:
    A) Immediately after administration of IV morphine
    B) Only when the patient states he/she is having pain
    C) Once per day
    D) And initiated by the nurse
    D) And initiated by the nurse
    (this multiple choice question has been scrambled)
  13. Chronic pain is often distinguished by:
    A) Absence of behavioral or physiologic response
    B) Elevation of blood pressure, pulse and respiration
    C) Overt behavioral responses such as rocking, immobilization of the body part, or tossing and turning
    D) Dull or piercing pain
    A) Absence of behavioral or physiologic response
    (this multiple choice question has been scrambled)
  14. What statement about opioids is true?
    a) Respiratory depression is the most serious side effect of opioid analgesia
    b) Physical dependence is not a sign of addiction
    c) Constipation is a common side effect
    d) All of the above
    d) All of the above
  15. Preferred route of delivery for opioids is?
    A) Oral
    B) IM
    C) IV
    D) Transdermal
    A) Oral
    (this multiple choice question has been scrambled)
  16. Which patient would be the most likely candidate for PCA?
    A) A post-op patient who is A&O with pain
    B) A post-op patient with a diagnosis of Alzheimer's
    C) A 20 year old woman with severe neurological deficits
    D) a 4 year old with pain from a fractured femur
    A) A post-op patient who is A&O with pain
    (this multiple choice question has been scrambled)
  17. Your patient is Post-op with severe pain and has received an opioid IM.  Which Nonpharmacologic independent pain management strategy could you implement to supplement pain relief?
    A) TENS
    B) Immobilization
    C) Acupuncture
    D) Massage
    D) Massage
    (this multiple choice question has been scrambled)
  18. Pain threshold and pain tolerance are about the same in all patients:

    a) True
    b) False
    b) False
  19. All patients who are Post-op appendectomy have similar pain levels?

    a) True
    b) False
    b) False
  20. The Wong/Baker FACES pain scale is designed for children under 3?

    a) True
    b) False
    b) False
  21. Pain is classified as chronic when it persists for:
    A) 1-2 months
    B) 3-5 months
    C) 3 months
    D) greater than 6 months
    D) greater than 6 months
    (this multiple choice question has been scrambled)
  22. Acute pain:
    A) Is associated with a specific injury
    B) Does not usually respond well to treatment
    C) Responds well to placebos
    D) Serves no useful purpose
    A) Is associated with a specific injury
    (this multiple choice question has been scrambled)
  23. A physiologic response not usually associated with acute pain is:
    A) increased metabolic rate
    B) decreased cardiac output
    C) altered insulin response
    D) retention of fluids
    D) retention of fluids
    (this multiple choice question has been scrambled)
  24. A chemical substance thought to inhibit the transmission of pain is:
    A) Enkephalin
    B) Histamine
    C) Bradykinin
    D) Acetylcholine
    A) Enkephalin
    (this multiple choice question has been scrambled)
  25. Chronic pain can be described as:
    A) Separate from any central or peripheral pathology
    B) Rapidly occurring and subsiding with treatment
    C) Attributable to a specific cause
    D) Prolonged in duration
    D) Prolonged in durgation
    (this multiple choice question has been scrambled)
  26. An example of chronic benign pain is:
    A) A migraine headache
    B) Sickle cell crisis
    C) Exacerbation of rheumatoid arthritis
    D) Low-back pain
    D) Low-back pain
    (this multiple choice question has been scrambled)
  27. The following about endorphins are true EXCEPT:
    A) They represent the same mechanism of pain relief as non-narcotic analgesics
    B) They are endogenous neurotransmitters structurally similar to opioids
    C) Their release inhibits the transmission of painful impulses
    D) They are found in heavy concentration in the CNS
    A) They represent the same mechanism of pain relief and non-narcotic analgesics.
    (this multiple choice question has been scrambled)
  28. When assessing for pain, you should:
    A) Believe a patient when he/she states that pain is present
    B) Realize that patients frequently imagine pain
    C) Doubt that pain exists if no physical origin can be found
    d) All of the above
    A) Believe a patient when he/she states that pain is present
    (this multiple choice question has been scrambled)
  29. When you ask your patient to describe the quality of his pain, an expected descriptive term would be:
    A) Burning
    B) Intermittent
    C) Severe
    D) Chronic
    A) Burning
    (this multiple choice question has been scrambled)
  30. A physiologic indicator of acute pain is:
    A) Bradycardia
    B) Diaphoresis
    C) Decreased respiratory rate
    D) Hypotension
    B) Diaphoresis
    (this multiple choice question has been scrambled)
  31. A nursing measure to manage anxiety during the anticipation of pain should include:
    a) Teaching about the nature of the impending pain and associated relief measures
    b) Focusing the patient attention on another problem
    c) Using an anxiety-reducing technique such as desensitization
    d) Any or all of the above
    d) Any or all of the above
  32. Pain in the elderly requires careful assessment because older people
    A) Have a decreased pain threshold
    B) Experience reduced sensory perception
    C) Are expected to experience chronic pain
    D) Have a increased sensory perception
    B) Experience reduced sensory perception
    (this multiple choice question has been scrambled)
  33. Admin. of analgesics to the elderly requires careful patient assessment because older people:
    A) Metabolize drugs more rapidly
    B) Are more sensitive to drugs
    C) Have increased hepatic, renal and gastrointestinal function
    D) Have lower ratios of body fat and muscle mass
    B) Are more sensitive to drugs
    (this multiple choice question has been scrambled)
  34. A nursing plan of care for pain management should include:
    a) Altering factors that influence the pain sensation
    b) Selecting goals for nursing intervention
    c) Determining responses to the patients behavior toward pain
    d) all of the above
    d) all of the above
  35. The advantage of using intraspinal infusion  to deliver analgesics is:
    a) Reduced side effects of systemic analgesic
    b) Reduced effects on pulse, respiration and blood pressure
    c) Reduced need for frequent injections
    d) all of the above
    all of the above
  36. The preferred drug for epidural administration is:
    A) Demerol
    B) Dilaudid
    C) Morphine
    D) Codeine
    C) Morphine
    (this multiple choice question has been scrambled)
  37. The most worrisome adverse effect of epidural opioids is:
    A) Asystole
    B) Tachycardia
    C) Hypertension
    D) Bradypnea
    D) Bradypnea
    (this multiple choice question has been scrambled)
  38. With NSAIDs, a preventive approach to pain relief means that the medication is given
    A) Before the pain becomes severe
    B) When the level of pain tolerance has been exceeded
    C) Before the pain is experienced
    D) When pain is at its peak
    C) Before the pain is experienced
    (this multiple choice question has been scrambled)
  39. Cutaneous stimulation is helpful in reducing painful sensations, because it
    a) Provides distraction from the pain source and decreases awareness
    b) Stimulates large nerve fibers and reduces the intensity of pain
    c) Releases endorphins
    d) Accomplishes all of the above
    d) Accomplishes all of the above
  40. Your major area of assessment for a patient receiving PCA is assessment of the:
    A) Neurologic system
    B) Cardiovascular system
    C) Integumentary system
    D) Respiratory system
    D) Respiratory system
    (this multiple choice question has been scrambled)
  41. The patient is a 40 year old healthy adult who fell off his son's skateboard and struck his forehead on the cement sidewalk.  There was no LOC, but he did sustain a mild concussion and a hematoma that is 5 cm wide and protrudes outward about 5 cm.  He experienced acute pain at the site of injury and complained of a throbbing headache.  Based on Bob's description, an immediate assessment of the localized pain is that it should be:
    A) Brief in duration
    B) Mild in intensity
    C) Recurrent for 3-4 months
    D) Persistent after healing has occurred
    A) Brief in duration
    (this multiple choice question has been scrambled)
  42. During the assessment, the nurse attempts to determine Bob's physiologic and behavioral response to his pain experience.  A behavioral response indicative of acute pain is:
    A) physical inactivity
    B) an expressionless face
    C) Muscle tension
    D) clear verbalization stimulation
    C) Muscle tension
    (this multiple choice question has been scrambled)
  43. You use distraction to help Bob cope with his pain.  a suggested activity is:
    a) using cutaneous stimulation
    b) promoting relaxation
    c) playing music or using a videotape
    d) any and all of the above
    d) any and all of the above
  44. After treatment Bob is discharged while still in pain.  You should:
    a) Remind him that acute pain may persist for several days
    b) Clarify that he knows what type of pain signals a problem
    c) Review methods of pain management
    d) All of the above
    d) All of the above
  45. Assess cognitively impaired patients by
    a) asking caregiver about recent changes in function, gait, mode, and behavior
    b) Noting increased vocalization- moaning, groaning, and crying
    c) Observing behavior grimacing, guarding, irritability, reluctance to move an extremity, etc
    d) All of the above
    d) All of the above
  46. To manage side effects with opioids use in an elderly patient:
    a) Monitor for sedation, delirium, impaired cognitive function
    b) Monitor for constipation, urinary retention
    c) Monitor for respiratory depression
    d) All of the above
    d) all of the above
  47. Non-narcotic drugs and comfort measures are appropriate for:
    A) Moderate acute pain
    B) Deep pain
    C) Mild superficial pain
    D) Chronic pain
    D) Chronic pain
    (this multiple choice question has been scrambled)
  48. NSAIDs are appropriate for:
    A) somatic pain
    B) deep pain
    C) mild superficial pain
    D) chronic pain
    C) mild superficial pain
    (this multiple choice question has been scrambled)
  49. Combination of narcotic and non-narcotic drugs are appropriate for:
    A) Deep pain
    B) Chronic pain
    C) Moderate acute pain
    D) Mild superficial pain
    C) Moderate acute pain
    (this multiple choice question has been scrambled)
  50. Narcotic drugs are appropriate for:
    A) somatic pain
    B) deep pain
    C) chronic pain
    D) mild superficial pain
    B) deep pain
    (this multiple choice question has been scrambled)

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