Ch 36

Question 1

Arthritis, diabetes, asthma are examples of what kind of pain?

Answer 1

Chronic pain

Question 2

Heart attacks, bronchopneumonia, and fractures are examples of what kind of pain?

Answer 2

Acute pain

Question 3

Describe nociceptive pain and examples.

Answer 3

between sharp/burning and dull/cramping

i.e. chemical burns, sunburns, cuts, appendicitis, bladder distention

Question 4

Deep somatic pain

Answer 4

Muscles, tendons, fasciae, and leones

localized or diffused

dull, aching, cramping w/ tenderness

Question 5

How does chemotherapy affect the child’s lifestyle?

Answer 5

May affect the participation of normal activity

Question 6

Facial expressions body movements, and crying are what indicators of pain?

Answer 6

Behavioral pain

Question 7

Vital signs, vagal tone, palmar sweating, plasma, cortisol, catecholamine are what kind of indicators of pain?

Answer 7

Physiologic Pain

Question 8

Examples of pain experience who received morphine.

Answer 8

• Addiction to narcotics is rare
• Children may avoid pain to avoid painful procedure, embarrassment, or loss of control
• adverse effects of narcotics is same as adults

Question 9

Why should you use the same pain assessment tool to assess the child?

Answer 9

Make comparisons and determine the effective intervention

Question 10

What pain scale should be used for children >8/o?

Answer 10

Numeric Pain Scale

Question 11

What pain scale should be used for children 4 y/o?

Answer 11

FACES, oucher

Question 12

Short, concise phrases of positive ideas and promote the child the sense of control describes what kind of communication to child?

Answer 12

Thought stopping

Question 13

Therapeutic, nonpharmacologic methods to manage [cancer] pain (3)

Answer 13

• Begin using technique before child experiences the procedure
• be honest and concise: use words like pushing, pulling, pinching, heat
• offer praise and positive reinforcement, hugs, and support

Question 14

What analgesic is used to treat arthritis, joint, bone, muscle pain, H/A, dental pain, menstruation?

Answer 14

Nonopioid Analgesic (mild-moderate pain)

Question 15

What analgesic is used to treat cancer, broken bones, and post op healing?

Answer 15

Opioid analgesic (moderate-severe pain)

Question 16

How often should medication be administered for continuous pain from internal injuries?

Answer 16

Administer around the medication around the clock

[prn not recommended]

Question 17

Anesthesia is administered for what kind of pain?

Answer 17

Predicted pain

Question 18

Why should the nurse not wait until the child reports the pain?

Answer 18

Therapeutic levels become hard to reach

Question 19

When to give EMLA cream for superficial procedure?

Answer 19

at least 1 hour prior

Question 20

When to give EMLA cream for deeper lumbar procedure?

Answer 20

2-3 hours prior procedure

Question 21

Purpose of TAC cream

Answer 21

Treat sutures (i.e. chin laceration)

Question 22

What should the nurse do if a pain medication is not as effective as it was before, or not working?

Answer 22

Obtain different medication if the first medication is not longer effective.

Question 23

What are the affects of heat application for pain relief ? (2)

Answer 23

1. Increased blood flow.
2. Altered capillary permeability
   (decreased swelling and decreased pressure on nociceptor fibers; triggers the release of endogenous opioids, mediate pain response)

Question 24

Pentazocine is kind of pain med?

Answer 24

Mixed opioid agonist-antagonist

• treat moderate pain