Nur 245 / Nur245 Exam 1. Questions With 100% Correct Answers.

palpation applies sense of touch to assess -texture, temp. moisture, organ location and size, swelling/vibration, rigidity, creation, presence of lumps or masses -avoid any situation where palpation could cause internal injury or pain Percussion tapping persons skin with short, sharp stroke to assess underlying structures -direct: striking hand directly contacts body wall -indirect: using both hands the striking hand contacts stationary hand fixed on persons skin Auscultation listening to sounds of the body using stethoscope Health literacy understanding and following directions that lead to effective communication between the patient and the healthcare provider Neuropathic pain abnormal processing of pain message -types: diabetes, herpes, shingles, HIV/AIDs etc. Visceral pain originates from larger interior organs ex. kidney or stomach Deep somatic pain comes from sources such as blood vessels, joints, tendons, muscles, and bone Cutaneous pain derived from skin surface and subcutaneous tissues; injury is superficial with sharp, burning sensation Psychogenic pain linking pain to mental disorder referred pain felt at a particular site but originates from another location PQRST for pain P: provocative or palliative what makes it better or worse? Q: quality or quantity what is it like? R: region or radiation where is it? S: severity how bad is it? T:timing when did it start? McGill Pain Questionnaire asks patient to rank list of descriptors in terms of their intensity rating to his or her pain Acute pain behaviors guarding, grimacing, moaning, restlessness, stillness Systolic pressure max pressure felt on artery during left ventricular contraction diastolic pressure elastic recoil, or resting pressure that blood exerts constantly between each contraction auscultation listening to sounds produced by the body A complete health history includes all of the following: a. functional assessment b. review of systems c. physical assessment d. family history For older postoperative patients, poorly controlled acute pain places them at a higher risk for: a. atelectasis b. increased myocardial oxygen demand c. impaired wound healing d. all of the above 30-yr old women reports having persistent intense pain in her right arm related to trauma sustained from a car accident 5 months ago. she states that the slightest touch or clothing can exacerbate the pain. this report is suggestive of: a. referred pain b. psychogenic pain c. complex regional pain 1 d. cutaneous pain -a chronic progressive nerve condition characterized by burning, pain, swelling, stiffness, and discoloration of the affected extremity -key feature is brush of cotton ball or clothing that can cause a severe intense painful response CRIES is an appropriate assessment tool for: a. cognitively impaired older adults b. children ages 2-8 c. infants and children d. preterm and neonates Pain in the aging adult is considered to be: a. part of the normal degenerative process b. perceived to a lesser degree c. an expected finding d. unrelated to the aging process d. unrelated to the aging process Which is considered a common physiological change that occurs with pain? a. polyuria b. hyperventilation c. hyperactive bowel sounds d. tachycardia A patient is requesting pain medication and expresses a pain level of 9/10; however, the patient is up and smiling. how should you proceed? a. complete a full physical exam b. reposition patient but withhold pain medication based on behavior c. call the provider and suggest a substance abuse consult d. use therapeutic communication techniques to determine the patients pain scale goal and history of chronic pain