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Pain and inflammation med Surg ATI Ch 4 Flashcards | StudBud
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Pain and inflammation med Surg ATI Ch 4
Pain and inflammation med Surg ATI Ch 4
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Answers
1
Risk factors for under treatment of pain
Exaggerated fear of respiratory depression
Fear of addiction
Too much knowledge
No fear of respiratory depression
Lack of knowledge
Cultural and so societal attitudes
2
Clients have a right to adequate assessment and management of pain. Nurses are accountable for the assessment of pain.
True
False
3
Breakthrough pain is an acute exacerbation of a pain beyond the level. The client typically experiences.
True
False
4
Populations at risk for under treatment of pain
Infants
Clients have substance use disorder
Children
Middle-age men
Older adults
Client do not have substance use disorder
5
This pain arises from damage or information of tissues, other than that of the peripheral and central nervous system
Neuropathic pain
Nociceptive pain
Acute pain
Chronic pain
6
This pain is not protective. Ongoing or reoccurs frequently longer than three months & persisting beyond tissue healing
Nociceptive pain
Chronic pain
Acute pain
Neuropathic pain
7
transitioning a client from IV to oral anagelsia a larger dose is required for oral full dose does not reach bloodstream
False
True
8
Pain typically is managed using adjuvant medication (antidepressants, antispasmodic agents, skeletal muscle relaxants)
Nociceptive pain
Neuropathic pain
9
This pain arises from abnormal or damaged pain nerves.
Nociceptive pain
Neuropathic pain
Acute pain
Chronic pain
10
Osteoarthritis and neuropathy. Are not examples of chronic pain
True
False
11
Neuropathic pain includes which of the following
Throbbing, aching, and localized
Phantom limb pain
Pain below the level of a spinal cord injury
Pain produced by Surgical incision or wounds from injury
Intense, shooting, burning, or described as pins and needles
Diabetic neuropathy
12
Treat mild to moderate pain often added to opioids for treatment of more intense pain, antipyretic anti-inflammatory
Adjuvant analgesics
Adjuvant analgesics
Non-opioid analgesics
Patient controlled analgesia PCA
13
This type of nociceptive pain is in internal organs such as the stomach or intestines it can cause referred pain
Somatic
Visceral
14
Which of the following findings should the nurse identify as adverse effects of opioid analgesics
Urinary retention
Urinary incontinence
Bradypnea
Nausea
Orthostatic hypotension
Diarrhea
15
It is safe to administer acetaminophen concurrently with NSAIDs, because the medication’s act in different ways
True
False
16
Chronic pain includes
Behavioral responses include grimacing, moaning, flinching, and guarding
Ongoing or reoccurs frequently lasting longer than three months
Protective temporary usually self limiting resolves with tissue healing
Can Have depression, fatigue, decreased level of function or disability
Do not usually increase by the signs vital signs can be lower than normal
Might not have a known cause, and it might not respond to Interventions
17
Pain is whatever the person experiencing it says it is and it exist whenever the person says it does.
False
True
18
Effective pain management uses the use of pharmacological and nonpharmacological pain management therapies
False
True
19
Adjuvant, analgesics, enhance the effect of non opioids& help alleviate other manifestations that aggravate pain
True
False
20
Opioid analgesics include
More severe pain, acetaminophen, mixed with NSAIDs
More sever pain: Hydromorphone fentanyl, morphine, oxycodone methadone
Transdermal, transmucosal, buccal routes
Moderate pain acetaminophen
Moderate pain, tramadol, hydrocodone, and codeine
Can cause constipation, orthostatic hypotension, urinary retention, nausea
21
Mixed pain is pain that is difficult to define for conditions, such as fibromyalgia
True
False
22
Physiological responses dont usually increase vital signs. Vital signs can be lower than normal in response to what pain
Chronic pain
Acute pain
23
Nociceptive pain includes
The result of activation of normal processing of painful stimuli
Include somatic and visceral types of pain
Described as throbbing, aching, and localized
This pain is managed using opioids, and non-opioid medication
Arises from damage or inflammation of tissues other than peripheral & CNS
Abnormal process of painful stimuli
24
This type of nociceptive pain is in the bones, joints, muscles, skin, or connective tissues
Visceral
Somatic
25
Meperidine is recommended for regularly use and does not have adverse effects of the medication
False
True
26
Which statement by client indicates understanding of how to use a patient controlled analgesia PCA
I’ll wait to use the device until it’s absolutely necessary
I’ll be careful about pushing the button so I don’t get an overdose
I will ask my son to push the dose button when I am sleeping
I should tell the nurse if the pain doesn’t stop after I use this device
27
Client experiencing mild acute pain after spraining ankle which anagelsia should the nurse expect to administer
Ketamine
Methadone
Meperidine
Ketorolac
28
Medically delivered system that allows clients to self administer safe doses of opioids
Patient controlled analgesia PCA
Opioid analgesics
Adjuvant analgesics
Non-opioid analgesics
29
Cancer PT takes extended release opioids 2/day reports increase in localized achy pain over last few days. Document as
Mixed pain
Neuropathic pain
Breakthrough pain
Phantom limb pain
30
Chronic pain is classified as chronic cancer pain or chronic noncancer pain. May not have known cause or respond to trmt
True
False
31
Phantom, limb, pain is pain that is perceived to be initiated from part of the body that is no longer present
True
False
32
Discussing pain with a newly licensed nurse, which of the following information should the nurse include
Objective data are essential in assessing pain and always present
Penis whatever the client says it is
Pain must have an identifiable source to justify the use of opioids
Most clients exaggerates their level of pain
33
Non-opioid analgesics include acetaminophen, NSAIDs, (ibuprofen, aspirin, celecoxib naproxen) ketorolac
False
True
34
Fight or flight, tachycardia, hypertension, anxiety, diaphoresis, and muscle tension, common with which pain
Acute pain
Chronic pain
35
Appropriate for treating moderate to severe pain term narcotic not synonymous with this analgesics
Non-opioid analgesics
Opioid analgesics
Adjuvant analgesics
Patient controlled analgesia PCA
36
Nociceptive pain is the result of activation of normal processing of painful stimuli. Throbbing, aching, localized
True
False
37
Adjuvant medication’s include the following
Tramadol, hydrocodone codeine
Tricyclic, antidepressants, amitriptyline and anti-histamine hydroxyzine
Anticonvulsants, carbamazepine, and antianxiety agents diazepam
Analgesics, ketamine
Fentanyl, morphine, oxycodone
Glucocorticoids, dexamethasone, and antiemetic ondanserton
38
This pain is protective, temporary usually self-limiting and resolves with tissue healing
Nociceptive pain
Chronic pain
Acute pain
Neuropathic pain