CH 44 Fundamentals & ATI CH 41

Question 1

cancer pain is usually caused by tumor progression & related to pathological processes & Invasive procedures?

Accepted Answer

True

Question 2

what is the amount of pain a person is willing to bear?

Accepted Answer

pain tolerance

Question 3

which of the following indicates that the pt knows how to use a PCA pump?

Accepted Answer

I should tell the nurse if the pain doesn't stop while using this device

Question 4

where can a nurse go to find information about pain management?

Accepted Answer

APS, ANA, CDC

Question 5

what is the point at which a person feels pain?

Accepted Answer

pain threshold

Question 6

what is related to the Melzack and Wall's gate-control theory?

Accepted Answer

rubbing the painful area

Question 7

what route is best for chronic, non-fluctuating pain?

Accepted Answer

oral

Question 8

what first suggested that pain has emotional and cognitive components in addition to physical sensations?

Accepted Answer

Melzack and Wall's gate-control therory

Question 9

what is chronic pain with an unknown cause?

Accepted Answer

idiopathic pain

Question 10

what type of pain arises from damaged or inflamed tissue & is usually throbbing, aching and localized?

Accepted Answer

nociceptor pain

Question 11

if Kathy was in pain, what would she do to distract herself?

Accepted Answer

guided imagery

Question 12

how does fatigue affect pain?

Accepted Answer

heightens the perception of pain, decreases coping abilities

Question 13

what type of pain is protective?

Accepted Answer

acute pain

Question 14

what type of pain occurs sporadically over an extended period of time?

Accepted Answer

episodic pain

Question 15

self report using standardized pain scales in pts over the age of what?

Accepted Answer

7

Question 16

what is an example of allodynia?

Accepted Answer

feeling pain when the wind blows

Question 17

continuous, severe or deep pain typically involving the visceral organs activates what?

Accepted Answer

parasympathetic nervous system

Question 18

what is the point at which a person is aware of nociceptor impulses and perceives pain?

Accepted Answer

perception

Question 19

what are the risk factors for undertreatment of pain?

Accepted Answer

cultural & societal attitudes, lack of knowledge, fear of resp. depression, fear of addiction

Question 20

why is pain hard to treat?

Accepted Answer

every pain case is different, risk of addiction, lack of research, pain is subjective

Question 21

can pain itself be measured objectively?

Accepted Answer

False

Question 22

which of the following pts should the nurse identify as experiencing chronic pain?

Accepted Answer

a pt who has episodic back pain following a fall 2 years ago

Question 23

what is the best route for immediate, short term relief of pain?

Accepted Answer

parental

Question 24

what is an example of parasympathetic stimulation reactions to pain?

Accepted Answer

pallor

Question 25

what type of assessment is critical because of the potential impact of pain and fall risk?

Accepted Answer

mobility

Question 26

what type of pain serves no purpose?

Accepted Answer

chronic pain

Question 27

what occurs as the electrical impulses travel along nerve fibers, where neurotransmitters regulate it?

Accepted Answer

transmission

Question 28

when using ice massage for pain relief, which of the following is correct?

Accepted Answer

apply ice using firm pressure over the skin, use a slow, circular motion, apply ice for 5 min or until numbness occurs

Question 29

when using a TENS, which of the following is correct?

Accepted Answer

place electrodes directly over or near the pain site, remove any skin preparations before attaching it, it works peripherally & centrally on nerve receptors

Question 30

which of the following actions should the nurse take to determine the intensity of the pt's pain?

Accepted Answer

offer the pt a pain scale to measure their pain

Question 31

what is the greatest concern to a nurse when assessing the pt 1 hour after administering an opioid?

Accepted Answer

difficulty arousing the pt

Question 32

which of the following is most at risk for undertreatment of pain?

Accepted Answer

80 year old

Question 33

which of the following are a part of the physiological processes of nociceptors?

Accepted Answer

transmission, modulation, perception, transduction

Question 34

pts with a healthy liver should take no more than how many g/day of acetaminophen?

Accepted Answer

4

Question 35

what is the most common reason people seek healthcare?

Accepted Answer

pain

Question 36

stimulation of the sympathetic branch of the ANS results in what type of response?

Accepted Answer

physiological

Question 37

which of the following effects should the nurse identify as an adverse effect of opioids?

Accepted Answer

bradypnea, orthostatic hypotension, nausea

Question 38

what type of pain arises from abnormal or damaged nerves & is usually intense, burning and shooting?

Accepted Answer

neuropathic pain

Question 39

what is part of a sympathetic nervous system response?

Accepted Answer

diaphoresis, hypertension, muscle tension, tachycardia

Question 40

what is the conversion of painful stimuli to an electrical impulse through nociceptors?

Accepted Answer

transduction

Question 41

what occurs in the spinal cord, causing muscles to contract, moving the body away from painful stimuli?

Accepted Answer

modulation

Question 42

somatic pain is a type of nociceptor pain that occurs where?

Accepted Answer

bones, skin, connective tissues, joints, muscles

Question 43

what is defined as an observable activity in the nervous system in response to an adequate stimulus?

Accepted Answer

nociception

CH 44 Fundamentals & ATI CH 41

Questions 43

CH 44 Fundamentals & ATI CH 41

Questions 43