NURS 3517 - TEST 2 ACTUAL COMPLETE EXAM|WITH
ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED
A
Analgesics drugs Ans✓✓✓ Relieve pain without causing a loss of
consciousness.
Pain Ans✓✓✓ an unpleasant sensory and emotional experience
associated with actual or potential tissue damage
Nocioception Ans✓✓✓ it is the processing of pain signals in the brain
that give rise to the feeling of pain.
Acute pain Ans✓✓✓ sudden onset, usually subsides once treated
Persistent pain (chronic pain) Ans✓✓✓ •Persistent or recurring
•Lasts 3 to 6 months
•More difficult to treat
•Tolerance
Reffered pain Ans✓✓✓ Occurs in an area away from the organ in which
it originates
Neuropathic pain Ans✓✓✓ Usually results from damage to peripheral
or central nervous system (CNS) nerve fibres by disease or injury
,Central pain Ans✓✓✓ Occurs from any disorder that causes central
nervous system damage
Gate Theory of Pain Transmission Ans✓✓✓ - The most common and
well-described theory.
- Uses the analogy of a gate to describe how impulses from damaged
tissues are sensed in the brain.
Adjuvant drugs Ans✓✓✓ Assist primary drugs in relieving pain
-NSAIDs
-Antidepressants
-Anticonvulsants
-Corticosteroids
Adjuvant drugs use Ans✓✓✓ Using adjuvant drugs allows the use of
smaller dosages of opioids and reduces some adverse effects seen with
higher dosages of opioids
Opioid drugs Ans✓✓✓ synthetic drugs that bind to the opiate receptors
to relieve pain, very strong pain relievers
Opioid Analgesics: Mechanism of Action Ans✓✓✓ Three
classifications based on their actions
,-Agonists
-Agonists-antagonists
-Antagonists (nonanalgesic)
Equianalgesia Ans✓✓✓ Ability to provide equivalent pain relief by
calculating dosages of different drugs or routes of administration that
provide comparable analgesia
Opioid Analgesics: Indications Ans✓✓✓ -Main use: to alleviate
moderate to severe pain
-Often first-line analgesic in immediate post-operative setting
Opioid Analgesics: Contraindications Ans✓✓✓ -Known drug allergy
-Severe asthma
-Use with extreme caution in patients with:
Respiratory insufficiency
Elevated intracranial pressure
Morbid obesity and/or sleep apnea
Pregnancy
A patient recovering from an appendectomy also has asthma and
allergies to shellfish and iodine. To manage the patient's postoperative
pain, the physician has prescribed PCA with hydromorphone (Dilaudid).
Which vital sign is of greatest concern?
, a)Pulse
b)Blood pressure
c)Temperature
d)Respirations Ans✓✓✓ D - BECAUSE OF ALLERGIES
Opioid Analgesics: Adverse Effects Ans✓✓✓ -CNS depression which
could lead to respiratory depression
-only given enough to control the pain without affecting their respiratory
function.
3.A patient who has metastasized bone cancer and has been on
transdermal fentanyl patches for pain management for 3 months has
been hospitalized for tests and has told the nurse that the pain is
becoming "unbearable." The nurse is reluctant to administer the ordered
pain medication because the nurse does not want the patient to become
addicted to the medication. The nurse's actions reflect which of the
following:
a)Appropriate concern for the patient's best welfare
b)Appropriate caution for a patient who is already on a long-term opioid
c)An uncaring attitude toward the patient
d)Failure to manage the patient's pain properly Ans✓✓✓ D
ACCURATE QUESTIONS AND VERIFIED ANSWERS|GRADED
A
Analgesics drugs Ans✓✓✓ Relieve pain without causing a loss of
consciousness.
Pain Ans✓✓✓ an unpleasant sensory and emotional experience
associated with actual or potential tissue damage
Nocioception Ans✓✓✓ it is the processing of pain signals in the brain
that give rise to the feeling of pain.
Acute pain Ans✓✓✓ sudden onset, usually subsides once treated
Persistent pain (chronic pain) Ans✓✓✓ •Persistent or recurring
•Lasts 3 to 6 months
•More difficult to treat
•Tolerance
Reffered pain Ans✓✓✓ Occurs in an area away from the organ in which
it originates
Neuropathic pain Ans✓✓✓ Usually results from damage to peripheral
or central nervous system (CNS) nerve fibres by disease or injury
,Central pain Ans✓✓✓ Occurs from any disorder that causes central
nervous system damage
Gate Theory of Pain Transmission Ans✓✓✓ - The most common and
well-described theory.
- Uses the analogy of a gate to describe how impulses from damaged
tissues are sensed in the brain.
Adjuvant drugs Ans✓✓✓ Assist primary drugs in relieving pain
-NSAIDs
-Antidepressants
-Anticonvulsants
-Corticosteroids
Adjuvant drugs use Ans✓✓✓ Using adjuvant drugs allows the use of
smaller dosages of opioids and reduces some adverse effects seen with
higher dosages of opioids
Opioid drugs Ans✓✓✓ synthetic drugs that bind to the opiate receptors
to relieve pain, very strong pain relievers
Opioid Analgesics: Mechanism of Action Ans✓✓✓ Three
classifications based on their actions
,-Agonists
-Agonists-antagonists
-Antagonists (nonanalgesic)
Equianalgesia Ans✓✓✓ Ability to provide equivalent pain relief by
calculating dosages of different drugs or routes of administration that
provide comparable analgesia
Opioid Analgesics: Indications Ans✓✓✓ -Main use: to alleviate
moderate to severe pain
-Often first-line analgesic in immediate post-operative setting
Opioid Analgesics: Contraindications Ans✓✓✓ -Known drug allergy
-Severe asthma
-Use with extreme caution in patients with:
Respiratory insufficiency
Elevated intracranial pressure
Morbid obesity and/or sleep apnea
Pregnancy
A patient recovering from an appendectomy also has asthma and
allergies to shellfish and iodine. To manage the patient's postoperative
pain, the physician has prescribed PCA with hydromorphone (Dilaudid).
Which vital sign is of greatest concern?
, a)Pulse
b)Blood pressure
c)Temperature
d)Respirations Ans✓✓✓ D - BECAUSE OF ALLERGIES
Opioid Analgesics: Adverse Effects Ans✓✓✓ -CNS depression which
could lead to respiratory depression
-only given enough to control the pain without affecting their respiratory
function.
3.A patient who has metastasized bone cancer and has been on
transdermal fentanyl patches for pain management for 3 months has
been hospitalized for tests and has told the nurse that the pain is
becoming "unbearable." The nurse is reluctant to administer the ordered
pain medication because the nurse does not want the patient to become
addicted to the medication. The nurse's actions reflect which of the
following:
a)Appropriate concern for the patient's best welfare
b)Appropriate caution for a patient who is already on a long-term opioid
c)An uncaring attitude toward the patient
d)Failure to manage the patient's pain properly Ans✓✓✓ D
