NUR 299 Exam 1 Review- Questions & Answers 100%
Solved
Chronic Pain Correct Ans--More than 6 month
-Difficult to control/treat
-Treatment: Non-narcotics, anti-anxiety, antidepressants
-Narcotics, given orally, with long half life
Nociceptive Pain Correct Ans--Somatic Pain (Body Pain)
--Surgical pain, burn pain, labor pain
-Visceral Pain
--Arises from visceral organs (GI tract and pancreas)
--Pain related organ involved cancer, ulcerative colitis
-Pharmacologic Treatment:
Non-opioids, opioids, local anesthetics
Neuropathic Pain Correct Ans--Centrally Generated Pain: injury to either the peripheral or
CNS system
--Phantom Pain: Feel pain where leg used to be due to the nerve endings
--Post-stroke Pain: After stroke complain of pain in different parts of body
-Peripherally Generated Pain:
--Diabetic neuropathy, post-herpetic neuralgia (pain with shingles)
--Trigeminal neuralgia, some neck, shoulder or back pain
, NUR 299 Exam 1 Review- Questions & Answers 100%
Solved
-Pharmacologic Treatment
--Adjuvant Analgesic agents: antidepressants and others, anti-anxiety, Naronteen
Mixed Pain Correct Ans--Components of both Nociceptive and Neuropathic pain
-Examples: Fibromyalgia, pain associated with HIV
-Pharmacologic Treatment: adjuvant analgesic agents
Types of Pain Correct Ans--Radiating Pain: Extending from the initial site of injury to
another part of the body
-Referred Pain: Pain felt in another part of the body separate from the source of pain
--Example: Heart attack with pain in jaw or shoulder
-Intractable Pain: Persistent pain not relief by any medical interventions (drugs and etc)
Factors Affecting the Pain Experience Correct Ans--Ethnic and cultural values
-Developmental stage
--Newborns experience pain
--Elderly with chronic conditions can have problems with metabolism and excretion
-Environment and support people
--Change in environment
--Is there social support? Support can affect pain
--Family perception of pain
, NUR 299 Exam 1 Review- Questions & Answers 100%
Solved
-Past pain Experiences (How they've dealt with pain in the past
--What is the client experience?
--Past experience with good pain relief leads to belief in pain relief
-Meaning of pain
--Acute pain will diminish with time
--Chronic Pain lasts longer and patient may suffer more intensely
-Anxiety and stress
--Decreased ability to cope
--Lack of sleep
--Fatigue and muscle tension increases pain
Gerontologic Considerations Correct Ans--Diminished pain perception due to reduced
peripheral nerve function or a disease process
-Reluctant to seek health care
-Difficult to assess pain-aging process
-Consider the dose of pain medications- start small to see how much they can tolerate
Pharmacologic Pain Management Correct Ans--Opioid Analgesics
-Morphine and codeine
-Relieves pain and produces a sense of euphoria
-Side effects: NVC, respiratory depression
Solved
Chronic Pain Correct Ans--More than 6 month
-Difficult to control/treat
-Treatment: Non-narcotics, anti-anxiety, antidepressants
-Narcotics, given orally, with long half life
Nociceptive Pain Correct Ans--Somatic Pain (Body Pain)
--Surgical pain, burn pain, labor pain
-Visceral Pain
--Arises from visceral organs (GI tract and pancreas)
--Pain related organ involved cancer, ulcerative colitis
-Pharmacologic Treatment:
Non-opioids, opioids, local anesthetics
Neuropathic Pain Correct Ans--Centrally Generated Pain: injury to either the peripheral or
CNS system
--Phantom Pain: Feel pain where leg used to be due to the nerve endings
--Post-stroke Pain: After stroke complain of pain in different parts of body
-Peripherally Generated Pain:
--Diabetic neuropathy, post-herpetic neuralgia (pain with shingles)
--Trigeminal neuralgia, some neck, shoulder or back pain
, NUR 299 Exam 1 Review- Questions & Answers 100%
Solved
-Pharmacologic Treatment
--Adjuvant Analgesic agents: antidepressants and others, anti-anxiety, Naronteen
Mixed Pain Correct Ans--Components of both Nociceptive and Neuropathic pain
-Examples: Fibromyalgia, pain associated with HIV
-Pharmacologic Treatment: adjuvant analgesic agents
Types of Pain Correct Ans--Radiating Pain: Extending from the initial site of injury to
another part of the body
-Referred Pain: Pain felt in another part of the body separate from the source of pain
--Example: Heart attack with pain in jaw or shoulder
-Intractable Pain: Persistent pain not relief by any medical interventions (drugs and etc)
Factors Affecting the Pain Experience Correct Ans--Ethnic and cultural values
-Developmental stage
--Newborns experience pain
--Elderly with chronic conditions can have problems with metabolism and excretion
-Environment and support people
--Change in environment
--Is there social support? Support can affect pain
--Family perception of pain
, NUR 299 Exam 1 Review- Questions & Answers 100%
Solved
-Past pain Experiences (How they've dealt with pain in the past
--What is the client experience?
--Past experience with good pain relief leads to belief in pain relief
-Meaning of pain
--Acute pain will diminish with time
--Chronic Pain lasts longer and patient may suffer more intensely
-Anxiety and stress
--Decreased ability to cope
--Lack of sleep
--Fatigue and muscle tension increases pain
Gerontologic Considerations Correct Ans--Diminished pain perception due to reduced
peripheral nerve function or a disease process
-Reluctant to seek health care
-Difficult to assess pain-aging process
-Consider the dose of pain medications- start small to see how much they can tolerate
Pharmacologic Pain Management Correct Ans--Opioid Analgesics
-Morphine and codeine
-Relieves pain and produces a sense of euphoria
-Side effects: NVC, respiratory depression
