RNSG 1430 Exam 1 - Comfort Questions and Answers Fully Solved Graded A+
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
Modifiable pain risks - AnswersAnxiety & Fear
Non-modifiable pain risks - AnswersAge, gender
Non-pharmacological strategies - AnswersProper body alignment, thermal measures, mind body therapy
Most common NSAIDs - AnswersIbuprofen & asprin
NRS pain scale - Answers0-5 OR 0-10
Wong baker pain scale - AnswersFaces 0-5
Gate control theory - AnswersGates in CNS regulate or block pain impulses
Nociceptive pain - AnswersResponse to noxious stimuli, normal pain transmission, ache/cramp/throb,
somatic OR visceral
Somatic pain - AnswersLocalized pain (sharp)
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
Modifiable pain risks - AnswersAnxiety & Fear
Non-modifiable pain risks - AnswersAge, gender
Non-pharmacological strategies - AnswersProper body alignment, thermal measures, mind body therapy
Most common NSAIDs - AnswersIbuprofen & asprin
NRS pain scale - Answers0-5 OR 0-10
Wong baker pain scale - AnswersFaces 0-5
Gate control theory - AnswersGates in CNS regulate or block pain impulses
Nociceptive pain - AnswersResponse to noxious stimuli, normal pain transmission, ache/cramp/throb,
somatic OR visceral
Somatic pain - AnswersLocalized pain (sharp)
