Chapter 10 Pain Flashcards
Where are nociceptors located?
Skin, connective tissue, muscle, and thoracic, abdominal, and pelvic viscera
What are nociceptors?
Nociceptors are specialized nerve endings that detect painful sensations and transmit it to the CNS
What is transduction?
A traumatic or chemical injury occurs and takes place in the periphery.
What is transmission?
The pain impulse moves from the spinal cord to the brain.
What is perception?
The conscious awareness of a painful sensation
What is modulation?
The neurons from the brain stem release neurotransmitters that block the pain impulse.
What is neuropathic pain?
Neuropathic pain is an abnormal processing of the pain message from an injury to the nerve fibers.
Neuropathic pain
Neuropathic pain is the most difficult pain to treat!
The nurse is assessing a patient’s pain. The nurse knows that the most reliable indicator of pain would be the:
A. patient’s vital signs.
B. physical examination.
C. results of a computerized axial tomography scan.
D. subjective report.
D. Subjective report
The nurse is reviewing the principles of nociception. During which phase of nociception does the conscious awareness of a painful sensation occur?
A. Modulation
B. Transmission
C. Transduction
D. Perception
D. Perception
When assessing the quality of a patient’s pain, the nurse should ask which question?
A. “Is it a sharp pain or dull pain?”
B. “When did the pain start?”
C. “What does your pain feel like?”
D. “Is the pain a stabbing pain?”
What does your pain feel like?
A patient has been admitted to the hospital with vertebral fractures related to osteoporosis. She is in extreme pain. This type of pain would be classified as: A. deep somatic. B. visceral. C. cutaneous. D. referred.
A. Deep somatic
The articulation of the mandible and the temporal bone is known as the:
A. condyle of the mandible.
B. intervertebral foramen.
C. temporomandibular joint.
D. zygomatic arch of the temporal bone.
C. Temperomandibular joint
A patient states that the pain medication is "not working" and rates his postoperative pain at a 10 on a 1 to 10 scale. Which of these assessment findings indicates an acute pain response to poorly controlled pain? A. Increased blood pressure and pulse B. Confusion C. Hyperventilation D. Depression
A. Increased blood pressure and pulse
What is visceral pain?
Visceral pain originates from the larger interior organs (I.e. Kidneys, stomach, gall bladder, etc)
What typically accompanies visceral pain?
Nausea, vomiting, pallor, diaphoresis
What is deep somatic pain?
Pain comes from sources like blood vessels, joints, tendons, muscles, and bone.
What is cutaneous pain?
Pain that comes from the skin surfaces, and subcutaneous tissues. This type of pain is typically a sharp, burning sensation.