27 MedSurg

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27 MedSurg
2011-07-04 16:07:56

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  1. Relating to pain management, the health care organizations are expected to:

    (i.e. Joint Commission Standards)
    *Recognize the clients

    • *Assess pain in all clients
    • *Record the results
    • *Educate in pain assessment & Mng't

    • *Determine competency
    • *Establish policy and procedures
    • *Ensure pain doesn't interfere w/ participation and rehabilitation
    • *Include client's needs for sx mng't in discharge planning process
    • *Collect data to monitor appropriateness and effectiveness in pain mng't
  2. PQRST stands for? (i.e. Memory Trick) pg 581
    Onset - when did it start

    • *Provokes the pain (aggravating factors)
    • *Qualitiy of pain (gnawing, pounding)
    • *Region (location) and radiation to other body parts
    • *Severity (qty 1-10) 0=no pain & setting (what causes the pain)
    • *Timing (onset, duration, frequency)
  3. Gnawing, pounding, buring, stabbing, pinching, aching, throbbing, and crushing are examples of?
    Quality of pain
  4. _____ may ignore their pain, believing it is a consequence of aging.
    Older clients
  5. Combines cognitive, sensory, and emotional components - in addition psychologic aspects - can block the individual perception of pain is
    Gate Control Theory
  6. Asking the client what makes the pain worse and what makes the pain better is?
    Aggravating and Alleviating Factors
  7. Conduction of pain impulses - four processes are involved in the conduction of signal are?
    • 1. Transduction
    • 2. Transmission
    • 3. Perception
    • 4. Modulation
  8. Endogenous (opiate-like substances) bind to the opioid receptor sites and decrease the perception of pain is
  9. Pain modulation is controlled by two endogenous, they are?
    • Endorphins
    • Enkephalins
  10. Pain impulse is CARRIED via the spinothalamic tract to the brain is
  11. Cortex and limbic systems PERCEIVE the pain
    Perception of pain
  12. Neurotransmitters and endogenous opioids are REALEASED from the brainstem
  13. A ______ is likely to be LESS tolerate of pain than someone who doesn't do drugs.
    Drug abuser
  14. Substances the relieve pain is?
  15. Incorporation of pain assessment into the daily activities of a clinicians as the _____ after the joint commission initiated pain management quality standards of Care 2001.
    5th Vital Sign
  16. An organization describes pain as unpleasant sensory & emotional experience associated with actual or potential tissue damage ore described in terms of damage is
    International Association for the Study of Pain (IASP)
  17. T or F

    The nurse is the best judge of a client's pain

    Pain is subjective and only the client cand judge the level and severity of pain
  18. Underlying pathology is
    Noxious stimulus
  19. Nonlocalized & originates in support structures such as tendons, ligaments, and nerves; i.e. twisting an ankle
    Somatic pain
  20. Pain originating from the abdominal organs is
    Referred pain
  21. Which of the following Joint Commission pain mng't standards apply to the bedside nurse?
    • 1. Identify sx of pain
    • 2. Understand institutional standards of pain mng't
    • 3. Assess factors impacting the pain experience
    • 5. Implement pain mng't techniques
    • 6. Evaluate the effectiveness of techniques
  22. Which of the following is a useful tool for assessing the intensity of pain that is easy to use?
    Numeric pain scale
  23. Methods that can not only help influene the level of pain, but also help the client the client gain self-control is
    Cognitive-Behavioral Interventions
  24. Cognitive-Behavioral Interventions are?
    • Trusting Nurse-Client Relationship
    • Relaxation
    • Reframing
    • Distraction

    • Guided Imagery
    • Humor
    • Biofeedback
  25. Cutaneous stimulations are?
    • Hot Cold application
    • Acupressure and Massage
    • Mentolated rubs

    Transcutaneous Electrical Nerve Stimulation
  26. factors that affect pain
    • -age
    • -experience
    • -drug abuse
    • -cultural norms