Pain

Question 1

At 7 months after back injury and subsequent back surgery, a patient complains of tenderness at the operative site and appears depressed and unwell. Other symptoms include depression, fatigue, and sleep disturbances. Which nursing diagnosis is a priority for this patient?
A: acute pain
B: chronic pain
C: infection
D: lethargy

Answer 1

B: chronic pain:

greater than 3months
Vitals are normal (adaptive)
- paleo tract, C fibres, non-myelinated

Question 2

What information about pain must the nurse understand when designing a plan of care to manage pain
A: anxiety related to pain:
B: the predictability of the impact of pain experiences
C: how accustomed the client is to pain
D: past experiences regarding pain

Answer 2

D: past experiences regarding pain

ex: repeated exposure: decreases threshold making pain get worse after each stimuli

Question 3

The nurse caring for a client with suspected appendicitis, knows that the pain associated with appendicitis is:
A: cutaneous pain
B: visceral pain
C: superficial pain
D: somatic pain

Answer 3

B: visceral pain

ex: kidney stones

Question 4

In providing care to a client with chronic pain, which of the following characteristics or client responses should the nurse expect?
A: heart rate, blood pressure, and pulse rate may be normal while the client is experiencing pain
B: Opioid-based analgesics may have little if any effect on reducing the quality of chronic pain
C: the client may have adapted so successfully to the presence of chronic pain that measures for relief are unnecessary
D: The actual intensity of chronic pain is difficult to assess because the client may complain constantly

Answer 4

A: physiological adaptation

Question 5

which physiologic or behavioural manifestations is more commonly associated with acute pain rather than chronic pain?
A: reduced tendency to touch or move the affected area
B: psychosocial withdrawals
C: inability to concentrate
D: dry skin and moist oral mucous membranes

Answer 5

C