Pain Management, Comfort,Rest ,and Sleep

Question 1

What’s nature of pain

Answer 1

Pain is a complex , abstract, personal subjective experience

Question 2

Definition of pain

Answer 2

Pain is an unpleasant sensory and emotional experience

Question 3

Type of pain, referred pain, acute pain, chronic pain,

Answer 3

Referred pain felt at a site other than the injured or diseased organ.acute pain intense shot duration lasting less than 6 months.chronic pain lasting longer than 6 months.

Question 4

Synergistic

Answer 4

Fatigue, sleep disturbance,and depression , two or more factors together achieve a greater effect

Question 5

Short term-acting IV push

Answer 5

Best for rapidly increasing pain 3 to 6 hours

Question 6

What is IM (muscle):

Answer 6

Good for quick administration

Question 7

Common patient reactions

Answer 7

Fear of the unknown,loss of identity

Question 8

Disorientation

Answer 8

Loss appetite, disrupted sleep cycle

Question 9

Separation anxiety

Answer 9

Fears and loliness

Question 10

Gate control theory

Answer 10

Pain impulses are regulated blocked by gating mechanism, located along the nervous system,

Question 11

What is endorphins

Answer 11

The body produces morphine like substances called endorphins, stress and pain active endorphins

Question 12

Pain

Answer 12

Is the fifth vital sign

Question 13

Non invasive pain relief measures

Answer 13

No pharmacologic intervention for pain ,deep tissue massage, exercise, transcutaneous electric,heat or cold application, acupuncture floating therapy

Question 14

Invasive pain relief measures

Answer 14

Nonopiod vs opioid analgesics, tolerance addiction

Question 15

Lifespan consideration

Answer 15

Older adults pain control

Question 16

Nursing principles for administering analgesics

Answer 16

Know the patient previous response to analgesics,select proper medication when more then one is order , know the optimal dose,choose the right route, determined the right time

Question 17

Nursing assessment of pain

Answer 17

Objective sign pulse ,BP, physiological signs , behavioral signs grimacing, moaning

Question 18

Nursing intervention

Answer 18

Position patient in anatomic alignment,check tape to prevent pulling skin, tighten wrinkled bed linens

Question 19

Sleep and rest factor affecting them

Answer 19

Stress, lifestyle, physical illness, anxiety depression, drug and substances, environment

Question 20

Lifespan consideration physiology of sleep

Answer 20

Stage 1- last few minutes,stage 2-last 10-20minutes ,stage 3 - 15-30 minutes,stage 4 15 -30 minute deepest stage of sleep

Question 21

Common patient reactions to admissions

Answer 21

The stress of being in a health care facility,the change in environment and daily routine

Question 22

Culture considerations

Answer 22

Culture play a vitals role in the patient ability to cope with stress and illness

Question 23

Patient room orientation should include

Answer 23

Explanation of policies,how to adjust bed and light, the location of the lounge area ECT

Question 24

Discharging patient a patient

Answer 24

Discharge planning is defined as the systematic process

Question 25

Nursing process for patients discharge

Answer 25

Every patient required discharge planning which is initiated on admission

Question 26

Discharge against medical advice AMA

Answer 26

If a patient refused to sign AMA form do not detain the patient doing so it a violation of the patient right