NUR 356 EXAM 2 QUESTIONS AND ANSWERS
PAIN MANAGEMENT - CORRECT ANSWER✅✅
ACUTE PAIN - CORRECT ANSWER✅✅▪ Acute/transient: Protective, identifiable, short duration; limited
emotional response
pain that results from tissue damage, whether through injury or surgery (lasts less than 3 months)
CHRONIC PAIN - CORRECT ANSWER✅✅Chronic/persistent noncancer: is not protective, has no
purpose, may or may not have an identifiable cause.
Chronic episodic: occurs sporadically over an extended duration
sudden on slow onset of any intensity and is constant. (lasts longer than 3 months)
Breakthrough Pain - CORRECT ANSWER✅✅▪ burst of pain despite treatment. severe pain in a patient
with otherwise mild to moderate pain (opioid would be used to help treat the pain)
Cancer Pain - CORRECT ANSWER✅✅▪ Can be acute or chronic, related to cancer
nociceptive pain - CORRECT ANSWER✅✅damage to a somatic/cutaneous or visceral tissue, usually
localized
neuropathic pain - CORRECT ANSWER✅✅caused by damage to the peripheral nerves in the CNS
PQRSTU Assessment Data - CORRECT ANSWER✅✅P- Palliative of Provocative Measures (what makes it
worse better?)
Q- Quality (what do the symptoms feel like?)
R- Radiation/ Region (where is the pain located?)
S- Severity (scale 1-10)
T- Timing (onset and duration)
U- Effects of the pain on (YOU)
, ABCDE method to approach - CORRECT ANSWER✅✅A- ask about the pain, and assess the pain
B- believe the patient when they say they are in pain C- choose appropriate pain reliefs
D- deliver the pain relief to the patient in an timely manner, logically, and coordinated fashion
E- Empower the patient by speaking with and enable them to control their course
How to assess pain - CORRECT ANSWER✅✅Use a pain scale, same scale every time you access the
patient
Pharmacological Treatment of Pain - CORRECT ANSWER✅✅
Client education - CORRECT ANSWER✅✅possible side effects, how to prevent, explain alternatives
Non Pharmacological management - CORRECT ANSWER✅✅Warm water in a shower, warm compress
to the joints, PT/OT eval for safety equipment, cognitive and behavior, music, distraction, TENS, herbals,
reduce pain perception and reception
non-opiod analgesics - CORRECT ANSWER✅✅NSAIDS, acetaminophen, naproxen, silicate acid,
ketorolac, ibuprofen ; mild to moderate pain
Opiod analgesics - CORRECT ANSWER✅✅What type of pain they treat - moderate to severe
How they are managed - monitoring effects
Oral vs. Parenteral route
o Oral- route of choice with functioning GI system, doses are larger due to first pass, chronic pain
o Parenteral- IM, SQ, IV, immediate, short term relief of acute pain
What to monitor (Naloxone to reverse)
o Sedation- respiratory rate, can lead to respiratory depression
o orthostatic hypotension- sit or lie if dizzy, avoid sudden changes in position, help walk
o Urinary retention- I/O
o Nausea/vomiting- lie still move slowly ,antiemetics
o Constipation- preventative approach- monitor bowel, fluids, fiber, exercise, laxatives
PAIN MANAGEMENT - CORRECT ANSWER✅✅
ACUTE PAIN - CORRECT ANSWER✅✅▪ Acute/transient: Protective, identifiable, short duration; limited
emotional response
pain that results from tissue damage, whether through injury or surgery (lasts less than 3 months)
CHRONIC PAIN - CORRECT ANSWER✅✅Chronic/persistent noncancer: is not protective, has no
purpose, may or may not have an identifiable cause.
Chronic episodic: occurs sporadically over an extended duration
sudden on slow onset of any intensity and is constant. (lasts longer than 3 months)
Breakthrough Pain - CORRECT ANSWER✅✅▪ burst of pain despite treatment. severe pain in a patient
with otherwise mild to moderate pain (opioid would be used to help treat the pain)
Cancer Pain - CORRECT ANSWER✅✅▪ Can be acute or chronic, related to cancer
nociceptive pain - CORRECT ANSWER✅✅damage to a somatic/cutaneous or visceral tissue, usually
localized
neuropathic pain - CORRECT ANSWER✅✅caused by damage to the peripheral nerves in the CNS
PQRSTU Assessment Data - CORRECT ANSWER✅✅P- Palliative of Provocative Measures (what makes it
worse better?)
Q- Quality (what do the symptoms feel like?)
R- Radiation/ Region (where is the pain located?)
S- Severity (scale 1-10)
T- Timing (onset and duration)
U- Effects of the pain on (YOU)
, ABCDE method to approach - CORRECT ANSWER✅✅A- ask about the pain, and assess the pain
B- believe the patient when they say they are in pain C- choose appropriate pain reliefs
D- deliver the pain relief to the patient in an timely manner, logically, and coordinated fashion
E- Empower the patient by speaking with and enable them to control their course
How to assess pain - CORRECT ANSWER✅✅Use a pain scale, same scale every time you access the
patient
Pharmacological Treatment of Pain - CORRECT ANSWER✅✅
Client education - CORRECT ANSWER✅✅possible side effects, how to prevent, explain alternatives
Non Pharmacological management - CORRECT ANSWER✅✅Warm water in a shower, warm compress
to the joints, PT/OT eval for safety equipment, cognitive and behavior, music, distraction, TENS, herbals,
reduce pain perception and reception
non-opiod analgesics - CORRECT ANSWER✅✅NSAIDS, acetaminophen, naproxen, silicate acid,
ketorolac, ibuprofen ; mild to moderate pain
Opiod analgesics - CORRECT ANSWER✅✅What type of pain they treat - moderate to severe
How they are managed - monitoring effects
Oral vs. Parenteral route
o Oral- route of choice with functioning GI system, doses are larger due to first pass, chronic pain
o Parenteral- IM, SQ, IV, immediate, short term relief of acute pain
What to monitor (Naloxone to reverse)
o Sedation- respiratory rate, can lead to respiratory depression
o orthostatic hypotension- sit or lie if dizzy, avoid sudden changes in position, help walk
o Urinary retention- I/O
o Nausea/vomiting- lie still move slowly ,antiemetics
o Constipation- preventative approach- monitor bowel, fluids, fiber, exercise, laxatives
