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AGACNP ANCC Board Review- Common Problems questions with correct answers

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Cutaneous Pain - Answer -localized on the skin or body surface -eg bad sunburn or blister Visceral Pain - Answer -poorly localized such as with internal organs eg. gallbladder pain, PUD pain Somatic Pain - Answer -non localized -originates in muscle, bone, nerves, blood vessels eg. soft tissue injury Neuropathic pain - Answer involves nerve pathway injury or compression WHO Pain Ladder - Answer Step 1: ASA, NSAIDs, tylenol +/- adjuvant (eg is a TCA like amitryptiline for migraine) Step 2: step 1 + codeine, hydrocodone, oxycodone, tramadol +/- adjuvants Step 3: morphine, hydromorphone, methadone, fentanyl plus non-opiods plus adjuvants Break-through cancer pain - Answer use of fentanyl patch for sustained release Stage 1 pressure ulcer - Answer intact skin w eryth


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