Comfort

Question 1

pain can be

Answer 1

psychological and emotional stressors

Question 2

decreased sleep =

Answer 2

increased perception of pain

Question 3

if we manage pain we have

Answer 3

decrease suffering
decrease hospital readmission for pain
prevent acute from turning into chronic pain syndromes

Question 4

pain is

Answer 4

unpleasant sensory and emotional experience associated with actual or potential tissue damage

Question 5

pain is what the

Answer 5

person says it is, existing whenever they say it does

Question 6

if past experience of pain is bad/untreated

Answer 6

increased anxiety

Question 7

people respond to pain based on

Answer 7

ability to tolerate pain and past experiences with pain

Question 8

what affect pain

Answer 8

gender and culture

Question 9

pain is accompanied by

Answer 9

suffering

Question 10

inadequate pain refief hastens

Answer 10

death

Question 11

how does inadequate pain relief hasten death

Answer 11

increase psychologic stress
decrease mobility
- pnumonia
- thromboemboli
- increase work of breathing
- increase oxygen demand of myocardium

Question 12

HCAPs survery

Answer 12

answer call light
treat pain

Question 13

sickle cell crisis

Answer 13

fluid
oxygen
pain meds

Question 14

as nurses we need to removed what surrounding pain

Answer 14

biases and judgements

Question 15

when are opiods good

Answer 15

post op
- allows to get up and move
- reverse anestheitcs
- reflexes return
- bowels move
- lung expansion
- eat and drink
- healing
- decrease PONV
- decreases pain

Question 16

who thinks they will get additvcted

Answer 16

older adults

Question 17

why do we not want to wait to use an opiod until it is really needed

Answer 17

it will take longer to get pain controlled if it is a 10/10 rather than a 3/10

Question 18

when do we treat pain

Answer 18

as soon as patient says they are in pain

Question 19

what should we educate patients about unpleasant side efefcts

Answer 19

we have meds to treat that

Question 20

what is one opioid that isn’t a shot

Answer 20

fentynal
patch

Question 21

with the opioid crisis what is happening

Answer 21

prescribed less
decrease treatment of pain

Question 22

transduction

Answer 22

activation od pain receptors

Question 23

what is converted to electrical impulse in transduction

Answer 23

stimulus

Question 24

what are peripheral pain receptors

Answer 24

nocieptors

Question 25

transmission

Answer 25

impulse traveling up spinal cord to higher center

Question 26

perception

Answer 26

awareness of the characteristics of pain

Question 27

pain threshold

Answer 27

lowest intensity of a stimulus that causes you to recognize pain

Question 28

is threshold same or different in people

Answer 28

same

Question 29

pain tolerance

Answer 29

greatest level of pain that a subject is ale to endure

Question 30

is tolerance the same or different

Answer 30

different

Question 31

modulation

Answer 31

inhibition or modification of pain

Question 32

gate control theory explains why

Answer 32

different people interpret similar painful stimuli differently

Question 33

gate open

Answer 33

allow sensations to be felt

Question 34

gate closed

Answer 34

less transmission up to brain

Question 35

gating mechanisms determines the impulse

Answer 35

that reaches the brain

Question 36

what are some things that close the gate

Answer 36

music back rub warm compress

Question 37

duration of pain

Answer 37

acute chronic

Question 38

acute pain

Answer 38

sudden onset result of clearly defined cause heals when underlying cause heals

Question 39

chronic

Answer 39

any pain that lasts beyond normal healing peroid

Question 40

patients with chronic pain have difficultly

Answer 40

describing pain because it is poorly localized

Question 41

3 responses to pain

Answer 41

physiologic behavioral affective

Question 42

physiologic

Answer 42

increase in pulse, BP, RR

Question 43

who might not have a physiologic response

Answer 43

chronic pain because they have adapted to pain

Question 44

is physiologic response always present

Answer 44

no

Question 45

behavioral is voluntary or involuntary

Answer 45

voluntary

Question 46

examples of behavioral responses

Answer 46

protecting, grimacing, moaning

Question 47

affective response

Answer 47

pain causes fear, anger, depression

Question 48

anxiety does what to pain

Answer 48

aggravate pain

Question 49

is pain a part of aging

Answer 49

no

Question 50

do babies feel pain

Answer 50

yes

Question 51

if past experience with pain is poor (untreated) how will the person feel now

Answer 51

increase anxiety

Question 52

pain assessment is

Answer 52

asking and believing the patient

Question 53

non verbal pain indicators is what response

Answer 53

behavioral voluntary

Question 54

examples of nonverbal pain indicators

Answer 54

moaning crying grimacing guarded position reduced social interactions difficulty concentration changes in eating

Question 55

when should pain be assessed

Answer 55

regular intervals new report of pain after pharm and non pharm intervention

Question 56

what do we assess with pain

Answer 56

sedation

Question 57

why do we assess after pharm and non pharm

Answer 57

if it worked evaluation

Question 58

why is it important to asses sedation

Answer 58

because it helps us decide best intervention because if the patient is sedated we do not want to give a opioid because they are depressors

Question 59

steps of pain assessment

Answer 59

intesnity location quality aggravating and alleviating factors goals

Question 60

FLACC

Answer 60

faces, legs, arms, cry, consoability

Question 61

1-10

Answer 61

numerical used in patient who can talk

Question 62

PAINAD

Answer 62

advanced dementia

Question 63

baker wong faces

Answer 63

peds

Question 64

somatic means

Answer 64

body

Question 65

somatic descriptors

Answer 65

aching, deep, dull, gnawing, throbbing, sharp, stabbing

Question 66

examples of somatic

Answer 66

muscle, tendon, bone

Question 67

visceral means

Answer 67

organ

Question 68

visceral discriptors

Answer 68

cramping, squeezing, pressure, referred

Question 69

visceral examples

Answer 69

gallstones, kidney stones, pancreatitis

Question 70

referred pain

Answer 70

perceived at another location other than site of painful stimulis

Question 71

neuropathic descriptor

Answer 71

burning, numbness, radiating, shooting, tingling, touch, sensitive

Question 72

neuropathic examples

Answer 72

herpes zoster, peripheral neuropathy

Question 73

cutaneous

Answer 73

superficial, skin, subq, sharp with a burning sensation

Question 74

phantom limb pain

Answer 74

perception of sensations that occur following partial or complete amputation

Question 75

atractable pain

Answer 75

severe constant, relentless, debilitating pain, uncurable

Question 76

atractable pain leads to

Answer 76

boedbound/house bound early death

Question 77

how does phantom limb pain resolve

Answer 77

with time

Question 78

aggravating/alleviating factors

Answer 78

what makes it worse better affected by movement or postion does nonpharm help

Question 79

do we rely on vital sign change

Answer 79

no

Question 80

we need to educate patient to tell us

Answer 80

when pain starts

Question 81

non pharm relief

Answer 81

complementary alternative therapies

Question 82

can nonpharm be used with pharm

Answer 82

yes or alone

Question 83

are non pharm orders

Answer 83

no they are independent nursing interventions

Question 84

what are some examples of nonpharm

Answer 84

distractors humor music imagery relaxation cutaenous acupuncture hypnosis biofeedback touch animal

Question 85

acetaminophen over max does affects

Answer 85

renal

Question 86

NSAIDS do not work on

Answer 86

GI irritation/stomach bleeding

Question 87

common opiods

Answer 87

morphine, codeine, fentynal

Question 88

what is adjuvant

Answer 88

used for other reasons but enhances the affect of opoids

Question 89

level one of pyramid

Answer 89

nonopoid and adjuvant

Question 90

level 2 of pyramid

Answer 90

opioid nonopioid adjuvant

Question 91

level 3 of pyramid

Answer 91

increased does or frequency of opoiod, nonopoid, adjuvant

Question 92

goal of pyrimid

Answer 92

freedom of pain

Question 93

morphine

Answer 93

gold standard

Question 94

common side affect with morphine

Answer 94

nausea and vomiting, morphien itch

Question 95

codeine can have what issues

Answer 95

stomach

Question 96

hydromophone

Answer 96

deluded

Question 97

methadone

Answer 97

dolaphine

Question 98

fentnyal takes how long

Answer 98

12 hours - give meds until reaches 12 hours

Question 99

how much stronger is fentynal than morphine

Answer 99

8-10

Question 100

how long does fentynal last

Answer 100

3 days

Question 101

adjuvant drugs

Answer 101

anticonvulsants, tricyclic antidepressants, steroids, anti anxiety

Question 102

PCA

Answer 102

patient controlled anesthesia

Question 103

what does the pateint have to be for PCA

Answer 103

alert and oriented

Question 104

what does PCA inhibit

Answer 104

overdose

Question 105

PCA can be incombination with

Answer 105

continuous infusion

Question 106

what is the common drugs for PCA

Answer 106

morphine, fentynal, hydromorphone

Question 107

PCA has what settings

Answer 107

lock out

Question 108

break through pain

Answer 108

flare up of moderate to severe pain that occurs even when the patient is taking around the clock meds

Question 109

what should we have ordered for break through pain

Answer 109

PRN

Question 110

physical dependence

Answer 110

the body physiologically adapts to the presence of an opioid and suffers withdrawal symptoms if the opioid is suddenly stops

Question 111

is physical dependence addiction

Answer 111

no

Question 112

psychological dependence

Answer 112

pattern of compulsive drug use characterized by continued craving for an opioid and the need to sue the opioid for effects other than pain relief

Question 113

is psychological dependence addiction

Answer 113

yes

Question 114

tolerance

Answer 114

common physiological result of chronic opioid use, a larger dose of opioid is required to maintain the same level of analgesia

Question 115

placebo

Answer 115

harmless pill prescribed for for the psychological benefit of the patient than the physiological

Question 116

is placebo ethical

Answer 116

no

Question 117

is pain a process of aging

Answer 117

no

Question 118

pain is often unreported in elderly which leads to

Answer 118

higher risk for patient experiencing pain

Question 119

are adverse effects of pain meds more dramatic in elderly

Answer 119

yes

Question 120

why do elderly have more dramatic affects to pain meds

Answer 120

decreased liver and renal

Question 121

elderly have more

Answer 121

prolonged effect and we need to watch for cumulative affect

Question 122

metabolized

Answer 122

liver

Question 123

excreted

Answer 123

kidney