NRSG 2100 Unit 5 Questions And Correc
Goal of pain management - CORRECT ANS✔✔To get the pain level to a point where the person can p
Key Points about nursing management of pain - CORRECT ANS✔✔Pain is whatever and whenever th
Patients are the experts on their pain.
Patient report of pain is enough for a nursing diagnosis of pain-there does not need to be any other obje
Myths about Pain - CORRECT ANS✔✔Health care providers are good at recognizing pain.
You have to see objective signs and symptoms to know someone is in pain.
You don't feel pain if you can sleep.
Pain control leads to addiction.
People who report chronic pain are addicts.
The more pain you have, the better you can tolerate it.
Emotions don't contribute to pain perception.
Acute Pain - CORRECT ANS✔✔Occurs suddenly, short lived and responds to treatment, usually caus
Chronic Pain - CORRECT ANS✔✔Persisting for more than 6 months, can be difficult to treat, interfere
Malignant - CORRECT ANS✔✔Tumor, metastasis, complications, surgery, treatments, chemotherap
remission or death
Nonmalignant - CORRECT ANS✔✔Not-life-threatening
Nociceptor - CORRECT ANS✔✔Stimulation of pain receptors
, Fever - CORRECT ANS✔✔The result of excess heat production caused by changes in the hypothalam
heat-regulation center
Inflammation - CORRECT ANS✔✔The body's response to tissue damage and injury. Meds help by bl
cause many of the effects of inflammation.
Pain - CORRECT ANS✔✔The result of stimulation of pain nerve endings, usually caused by damage
pain sensations or by blocking prostaglandins.
Symptoms of Inflammation (localized) - CORRECT ANS✔✔Redness- caused by vasodilation
Swelling/Edema- leakage of plasma into the extracellular spaces
Pain- prostaglandin irritation of nerve endings and pressure of edema
Symptoms of Inflammation (generalized) - CORRECT ANS✔✔Increased leukocytes, elevated erythro
fever, headache, loss of appetite, lethargy and weakness
Acute Inflammation - CORRECT ANS✔✔Immediate onset
Lasts 1-2 weeks
Involves neutrophils
Anaphylaxis is a type of acute inflammation
May lead to formation of scar tissue
Chronic Inflammation - CORRECT ANS✔✔Slow onset
Involves lymphocytes and macrophages
Increases scar tissue
Acetaminophen - CORRECT ANS✔✔Expected therapeutic effects
Reduction of fever and pain
Contraindications/Cautions
Severe liver or kidney disease, alcoholism
Potential side effects or adverse reactions
rash, *A, *N, *V, *D, *severe hypoglycemia, *hepatotoxicity, *renal failure, *oliguria, *dizziness, *lethar
neutropenia, leukopenia, thrombocytopenia
Potential interactions
Increased effect with caffeine
Alcohol increases hepatotoxicity
Nursing Considerations
Assess renal and liver function
Be sure to account for all acetaminophen in all meds
Assess for effectiveness of the drug
Assess for alcohol use
Patient/Family Teaching
Contact care provider is symptoms do not resolve-do not increase drug dosage
Contact care provider for fever lasting >3 weeks
Avoid alcohol
Report s/s of liver dysfunction
Acetaminophen Intoxication - CORRECT ANS✔✔Initially the patient experiences N & V and GI cramp
The next day the symptoms decrease but...... the liver is necrosing (liver function tests begin a steady e
Clotting times increase
Glycogen stores are used up leading to hypoglycemia
Abdominal pain increases
At this point the hepatic damage is irreversible
Somewhere between day 3 and 5 after overdose the patient becomes jaundiced, oliguric, has hematu
hypoglycemia, coma, and death
Goal of pain management - CORRECT ANS✔✔To get the pain level to a point where the person can p
Key Points about nursing management of pain - CORRECT ANS✔✔Pain is whatever and whenever th
Patients are the experts on their pain.
Patient report of pain is enough for a nursing diagnosis of pain-there does not need to be any other obje
Myths about Pain - CORRECT ANS✔✔Health care providers are good at recognizing pain.
You have to see objective signs and symptoms to know someone is in pain.
You don't feel pain if you can sleep.
Pain control leads to addiction.
People who report chronic pain are addicts.
The more pain you have, the better you can tolerate it.
Emotions don't contribute to pain perception.
Acute Pain - CORRECT ANS✔✔Occurs suddenly, short lived and responds to treatment, usually caus
Chronic Pain - CORRECT ANS✔✔Persisting for more than 6 months, can be difficult to treat, interfere
Malignant - CORRECT ANS✔✔Tumor, metastasis, complications, surgery, treatments, chemotherap
remission or death
Nonmalignant - CORRECT ANS✔✔Not-life-threatening
Nociceptor - CORRECT ANS✔✔Stimulation of pain receptors
, Fever - CORRECT ANS✔✔The result of excess heat production caused by changes in the hypothalam
heat-regulation center
Inflammation - CORRECT ANS✔✔The body's response to tissue damage and injury. Meds help by bl
cause many of the effects of inflammation.
Pain - CORRECT ANS✔✔The result of stimulation of pain nerve endings, usually caused by damage
pain sensations or by blocking prostaglandins.
Symptoms of Inflammation (localized) - CORRECT ANS✔✔Redness- caused by vasodilation
Swelling/Edema- leakage of plasma into the extracellular spaces
Pain- prostaglandin irritation of nerve endings and pressure of edema
Symptoms of Inflammation (generalized) - CORRECT ANS✔✔Increased leukocytes, elevated erythro
fever, headache, loss of appetite, lethargy and weakness
Acute Inflammation - CORRECT ANS✔✔Immediate onset
Lasts 1-2 weeks
Involves neutrophils
Anaphylaxis is a type of acute inflammation
May lead to formation of scar tissue
Chronic Inflammation - CORRECT ANS✔✔Slow onset
Involves lymphocytes and macrophages
Increases scar tissue
Acetaminophen - CORRECT ANS✔✔Expected therapeutic effects
Reduction of fever and pain
Contraindications/Cautions
Severe liver or kidney disease, alcoholism
Potential side effects or adverse reactions
rash, *A, *N, *V, *D, *severe hypoglycemia, *hepatotoxicity, *renal failure, *oliguria, *dizziness, *lethar
neutropenia, leukopenia, thrombocytopenia
Potential interactions
Increased effect with caffeine
Alcohol increases hepatotoxicity
Nursing Considerations
Assess renal and liver function
Be sure to account for all acetaminophen in all meds
Assess for effectiveness of the drug
Assess for alcohol use
Patient/Family Teaching
Contact care provider is symptoms do not resolve-do not increase drug dosage
Contact care provider for fever lasting >3 weeks
Avoid alcohol
Report s/s of liver dysfunction
Acetaminophen Intoxication - CORRECT ANS✔✔Initially the patient experiences N & V and GI cramp
The next day the symptoms decrease but...... the liver is necrosing (liver function tests begin a steady e
Clotting times increase
Glycogen stores are used up leading to hypoglycemia
Abdominal pain increases
At this point the hepatic damage is irreversible
Somewhere between day 3 and 5 after overdose the patient becomes jaundiced, oliguric, has hematu
hypoglycemia, coma, and death
