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Ch. 21 Pain Flashcards | StudBud
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Ch. 21 Pain
Ch. 21 Pain
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Answers
1
Similar injuries: One patient has severe pain the other says feeling fine with low levels of pain. Which is most correct
The patient with less pain has lower levels of endorphins
The patient with severe pain has dysfunctional endorphins
The patient with severe pain has higher levels of endorphins
The patient with less pain has higher levels of endorphins
2
"Pain has exlusive use of the pathways ahead of other stimuli, according to the Gate Theory"
True
False
3
Which opioid is no longer a drug of choice for managing pain because its toxic complications, uch as causing seizures?
Merperidine
Morphine
Codeine
Fentanyl
4
Research indicates that the risk of significant opioid induced respiratory depression is?
Less than 1%
30%
20%
5%
5
Music Therapy is successful for at least 50% of people who try it
False
True
6
The Dr. is planning to use cutaneous stimulation management. Which is an example of this pain control method?
Nonsteroidal anti-inflamatory drugs (NSAIDS)
Patient Controlled Analgesia
Transcutaneous electric nerve stimulation (TENS)
Epidural analgesia
7
"Pain is a manifestation of an intricate chain of electrochemical events, according to Gate Theory"
True
False
8
Music Therapies success is limited to postoperative pain
True
False
9
Which route is most appropriate for treating rapidly escalating severe pain?
Oral
Transdermal
Intramuscular (IM)
Intravenous (IV)
10
Regarding Acetaminophen: This medication is limited to the management of mild pain
False
True
11
The dosage of Acetaminophen should be limited to 4000mg in a 24 hour period
False
True
12
A pt with severe cellulitis states: "I have severe burning 7/10 pain" is what kind of data collection?
Objective
Speculative
Deductive
Subjective
13
Acetaminophen is associated with gastrointestinal upset
True
False
14
What is the most important nursing intervention for an epideral catheter for fentanyl epidural analgesia?
Encourage ambulation
Assess respiratory status
Administer additional analgesic medication as needed
Change the epidural dressing every shift
15
After a surgery, what common Central Nervous System Analgesic is prescribed often to control pain?
Acetaminophen (Tylenol)
Ibuprofen (Motrin)
Morphine
Asprin
16
What drug delivery system is used to control pain via a portable computerized pump with a chamber for a syringe?
An intrathecal delivery system
A venous access device
Patient controlled analgesia
Transcutaneious Electric Nerve Stimulation
17
Pt says pain: radiates down her left arm to the pinkie finger and up to the jaw, what term classifies this type of pain?
Precicely located
Referred
Chronic
Intermittent
18
Excessive dosages of Acetaminophen are associated with hepatotoxicity
True
False
19
Music Therapy works best when selections are instrumental instead of songs containing words
True
False
20
What is the priority responsibility of the nurse related to pain?
Believe what the patient says about pain
Help the patient appear to not be in pain
Leave the patient alone to rest
Assume responsibility for eliminating the patients pain
21
"The gates of the pain pathways can be opened with therapeutic massage and heat treatments"
False
True
22
A pt admitted with deep vein thrombosis complains of excruciating pain in his left leg, what is most appropriate to say?
"I know you're in pain but it's more important to prevent opioid addiction"
"Pain is what you say it is, I will assist you in whatever way I can"
"Your pain is caused by inflammation to the vein and difficult to control"
"Your pain is one of the cardinal signs of inflammation"
23
What statement regarding unrelieved pain is most correct?
Unrelieved pain after major surgery is normal
Patients with cancer diagnosis can expect unrelieved pain
Physiologic and psychologic complications result from unrelieved pain
Unrelieved pain is stressful but its not as important as physiological need
24
Music Therapy is easily a self directed means of pain management
True
False
25
Music Therapy promotes relaxation and takes the focus away from the pain being experienced
True
False
26
"Memories and feelings may alter Gating mechanisms, according to Gate Theory"
False
True