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RNSG 1430 Exam 1 – Comfort Questions With Verified Answers

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©BRIGHTSTARS EXAM SOLUTIONS 11/14/2024 12:19 PM 1 | P a g e RNSG 1430 Exam 1 – Comfort Questions With Verified Answers Define pain - answerPain is whatever the experiencing person says it is, existing whenever he says it does. Define pain - answerUnpleasant sensory and emptional experience associated with actual or potential tosshe damage. Define comfort - answerState of physical ease Acute pain - answerShort term/Opiods used for relief/ vitals sometimes help Chronic pain - answer3 months+ pain duration/ vitals DO NOT identify pain/ treated with NON opiods When should medication be administered? - answerRelative to patient needs & caregiver orders How is a patients pain affected by culture? - answerAwareness to correctly assess pain and interventions How is a patients pain affected by spirituality? - answerPatient may be more accepting and tolerant of pain gained through spiritual strength How is a patients pain affected by development? - answerInfluences how pain is interpreted and the ability to communicate pain How is a patients pain affected by tissue integrity? - answerNociceptive pain. Acute pain associated with tissue damage How is a patients pain affected by mobility? - answerSevere pain can immobilize patient. Unrelieved pain effects muscoskeleton system ie; impaired muscle, skeletal, or joint function ©BRIGHTSTARS EXAM SOLUTIONS 11/14/2024 12:19 PM 2 | P a g e How is a patients pain affected by functional ability? - answerPatients ability to ambulate and partake in physical therapy activities, prolong recovery, associated with higher complications ie; long term disability How is a patients pain affected by sleep disturbances? - answerContribute to increased pain perception & reduces ability to cope How is a patients pain affected by fatigue? - answerFurther impair mobility and functional ability How is a patients pain affected by mood and affect? - answerMore likely to rate their general health as poor, have suicidal thoughts, increased morality Primary intervention to pain - answerEducate Secondary intervention to pain - answerIdentify/assess/diagnose Tertiary intervention to pain - answerIntervention Adjuvants - answerDrugs used alone or with opiod or non opiod generally used for other purposes but is effective in treating pain. Enhance effects of non-opioids, useful for treating neuropathic pain, alleviates depression, seizures, inflammation When to reassess? - answerWith every new report of pain, before & after administering medication Subjective assessment - answerPain scale Objective assessment - answerPhysical exam PCA - answerPatient self administered opiods (morphine, hydromorphone, fentanyl) Minimal risk of overdose. Deliver specific doses & intervals NSAIDs pain scale - answerMild to moderate pain Negative side effects NSAIDs - answerGastrointestinal bleeding & helatotoxicity (chronic overdose of more than 3g/day, acute overdose, preexisting severe lover disease) How do NSAIDs work? - answerBlocking Cox - 1 & 2 enzymes. Reduce bodys production of prostaglandins(less pain & swelling) Opiod pain level - answerModerate to severe pain Opiod side effects - answerResperatory distress, sedation, dizziness, nausea, constipation

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©BRIGHTSTARS EXAM SOLUTIONS

11/14/2024 12:19 PM


RNSG 1430 Exam 1 – Comfort Questions
With Verified Answers


Define pain - answer✔Pain is whatever the experiencing person says it is, existing whenever he
says it does.

Define pain - answer✔Unpleasant sensory and emptional experience associated with actual or
potential tosshe damage.

Define comfort - answer✔State of physical ease

Acute pain - answer✔Short term/Opiods used for relief/ vitals sometimes help

Chronic pain - answer✔3 months+ pain duration/ vitals DO NOT identify pain/ treated with
NON opiods

When should medication be administered? - answer✔Relative to patient needs & caregiver
orders

How is a patients pain affected by culture? - answer✔Awareness to correctly assess pain and
interventions

How is a patients pain affected by spirituality? - answer✔Patient may be more accepting and
tolerant of pain gained through spiritual strength

How is a patients pain affected by development? - answer✔Influences how pain is interpreted
and the ability to communicate pain

How is a patients pain affected by tissue integrity? - answer✔Nociceptive pain. Acute pain
associated with tissue damage

How is a patients pain affected by mobility? - answer✔Severe pain can immobilize patient.
Unrelieved pain effects muscoskeleton system ie; impaired muscle, skeletal, or joint function




1|Page

, ©BRIGHTSTARS EXAM SOLUTIONS

11/14/2024 12:19 PM

How is a patients pain affected by functional ability? - answer✔Patients ability to ambulate and
partake in physical therapy activities, prolong recovery, associated with higher complications ie;
long term disability

How is a patients pain affected by sleep disturbances? - answer✔Contribute to increased pain
perception & reduces ability to cope

How is a patients pain affected by fatigue? - answer✔Further impair mobility and functional
ability

How is a patients pain affected by mood and affect? - answer✔More likely to rate their general
health as poor, have suicidal thoughts, increased morality

Primary intervention to pain - answer✔Educate

Secondary intervention to pain - answer✔Identify/assess/diagnose

Tertiary intervention to pain - answer✔Intervention

Adjuvants - answer✔Drugs used alone or with opiod or non opiod generally used for other
purposes but is effective in treating pain. Enhance effects of non-opioids, useful for treating
neuropathic pain, alleviates depression, seizures, inflammation

When to reassess? - answer✔With every new report of pain, before & after administering
medication

Subjective assessment - answer✔Pain scale

Objective assessment - answer✔Physical exam

PCA - answer✔Patient self administered opiods (morphine, hydromorphone, fentanyl) Minimal
risk of overdose. Deliver specific doses & intervals

NSAIDs pain scale - answer✔Mild to moderate pain

Negative side effects NSAIDs - answer✔Gastrointestinal bleeding & helatotoxicity (chronic
overdose of more than 3g/day, acute overdose, preexisting severe lover disease)

How do NSAIDs work? - answer✔Blocking Cox - 1 & 2 enzymes. Reduce bodys production of
prostaglandins(less pain & swelling)

Opiod pain level - answer✔Moderate to severe pain

Opiod side effects - answer✔Resperatory distress, sedation, dizziness, nausea, constipation


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