RNSG 1430 Exam 1 – Comfort Questions
& Answers
Define pain - ANSWERSPain is whatever the experiencing person says it is, existing
whenever he says it does.
Define pain - ANSWERSUnpleasant sensory and emptional experience associated with
actual or potential tosshe damage.
Define comfort - ANSWERSState of physical ease
Acute pain - ANSWERSShort term/Opiods used for relief/ vitals sometimes help
Chronic pain - ANSWERS3 months+ pain duration/ vitals DO NOT identify pain/ treated
with NON opiods
When should medication be administered? - ANSWERSRelative to patient needs &
caregiver orders
How is a patients pain affected by culture? - ANSWERSAwareness to correctly assess
pain and interventions
How is a patients pain affected by spirituality? - ANSWERSPatient may be more
accepting and tolerant of pain gained through spiritual strength
How is a patients pain affected by development? - ANSWERSInfluences how pain is
interpreted and the ability to communicate pain
How is a patients pain affected by tissue integrity? - ANSWERSNociceptive pain. Acute
pain associated with tissue damage
How is a patients pain affected by mobility? - ANSWERSSevere pain can immobilize
patient. Unrelieved pain effects muscoskeleton system ie; impaired muscle, skeletal, or
joint function
How is a patients pain affected by functional ability? - ANSWERSPatients 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? - ANSWERSContribute to
increased pain perception & reduces ability to cope
, How is a patients pain affected by fatigue? - ANSWERSFurther impair mobility and
functional ability
How is a patients pain affected by mood and affect? - ANSWERSMore likely to rate
their general health as poor, have suicidal thoughts, increased morality
Primary intervention to pain - ANSWERSEducate
Secondary intervention to pain - ANSWERSIdentify/assess/diagnose
Tertiary intervention to pain - ANSWERSIntervention
Adjuvants - ANSWERSDrugs 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? - ANSWERSWith every new report of pain, before & after
administering medication
Subjective assessment - ANSWERSPain scale
Objective assessment - ANSWERSPhysical exam
PCA - ANSWERSPatient self administered opiods (morphine, hydromorphone, fentanyl)
Minimal risk of overdose. Deliver specific doses & intervals
NSAIDs pain scale - ANSWERSMild to moderate pain
Negative side effects NSAIDs - ANSWERSGastrointestinal bleeding & helatotoxicity
(chronic overdose of more than 3g/day, acute overdose, preexisting severe lover
disease)
How do NSAIDs work? - ANSWERSBlocking Cox - 1 & 2 enzymes. Reduce bodys
production of prostaglandins(less pain & swelling)
Opiod pain level - ANSWERSModerate to severe pain
Opiod side effects - ANSWERSResperatory distress, sedation, dizziness, nausea,
constipation
Opiod - agonists - ANSWERSCox 1
Opiod - antagonist - ANSWERSCox 2
Opiod agonist antagonist - ANSWERSCox 1 & 2
& Answers
Define pain - ANSWERSPain is whatever the experiencing person says it is, existing
whenever he says it does.
Define pain - ANSWERSUnpleasant sensory and emptional experience associated with
actual or potential tosshe damage.
Define comfort - ANSWERSState of physical ease
Acute pain - ANSWERSShort term/Opiods used for relief/ vitals sometimes help
Chronic pain - ANSWERS3 months+ pain duration/ vitals DO NOT identify pain/ treated
with NON opiods
When should medication be administered? - ANSWERSRelative to patient needs &
caregiver orders
How is a patients pain affected by culture? - ANSWERSAwareness to correctly assess
pain and interventions
How is a patients pain affected by spirituality? - ANSWERSPatient may be more
accepting and tolerant of pain gained through spiritual strength
How is a patients pain affected by development? - ANSWERSInfluences how pain is
interpreted and the ability to communicate pain
How is a patients pain affected by tissue integrity? - ANSWERSNociceptive pain. Acute
pain associated with tissue damage
How is a patients pain affected by mobility? - ANSWERSSevere pain can immobilize
patient. Unrelieved pain effects muscoskeleton system ie; impaired muscle, skeletal, or
joint function
How is a patients pain affected by functional ability? - ANSWERSPatients 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? - ANSWERSContribute to
increased pain perception & reduces ability to cope
, How is a patients pain affected by fatigue? - ANSWERSFurther impair mobility and
functional ability
How is a patients pain affected by mood and affect? - ANSWERSMore likely to rate
their general health as poor, have suicidal thoughts, increased morality
Primary intervention to pain - ANSWERSEducate
Secondary intervention to pain - ANSWERSIdentify/assess/diagnose
Tertiary intervention to pain - ANSWERSIntervention
Adjuvants - ANSWERSDrugs 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? - ANSWERSWith every new report of pain, before & after
administering medication
Subjective assessment - ANSWERSPain scale
Objective assessment - ANSWERSPhysical exam
PCA - ANSWERSPatient self administered opiods (morphine, hydromorphone, fentanyl)
Minimal risk of overdose. Deliver specific doses & intervals
NSAIDs pain scale - ANSWERSMild to moderate pain
Negative side effects NSAIDs - ANSWERSGastrointestinal bleeding & helatotoxicity
(chronic overdose of more than 3g/day, acute overdose, preexisting severe lover
disease)
How do NSAIDs work? - ANSWERSBlocking Cox - 1 & 2 enzymes. Reduce bodys
production of prostaglandins(less pain & swelling)
Opiod pain level - ANSWERSModerate to severe pain
Opiod side effects - ANSWERSResperatory distress, sedation, dizziness, nausea,
constipation
Opiod - agonists - ANSWERSCox 1
Opiod - antagonist - ANSWERSCox 2
Opiod agonist antagonist - ANSWERSCox 1 & 2
