NRSG 214 Fundamentals of Nursing Physiological variable:
Comfort & Skin Integrity - Funds LLU Questions With
Complete Solutions
Characteristic of chronic pain Correct Answers 1. Mild to
severe
2. Parasympathetic nervous system responses:
• Vital signs normal
• Dry, warm skin
• Pupils normal or dilated
3. Continues beyond healing
4. Client is usually depressed and withdrawn
5. Client often does not mention pain unless asked
Pain behavior often absent
Characteristics of Acute pain Correct Answers 1. Mild to
severe
2. Sympathetic nervous system responses:
• Increased pulse rate
• Increased respiratory rate
• Elevated blood pressure
• Diaphoresis
• Dilated pupils
3. Related to tissue injury;
resolves with healing
,4. Client may be restless and anxious
5. Client reports pain
6. Client may exhibit behavior indicative of pain: crying,
rubbing area, holding area
Co-analgesics Correct Answers • Tricyclic antidepressants
(nortriptyline, amitriptyline)
• Anticonvulsants (gabapentin, pregabalin)
• Topical local anesthetic (Lidoderm)
A coanalgesic (formerly known as an adjuvant) is a medication
that is not classified as a pain medication.
Coanalgesics appear to be particularly beneficial for the
management of neuropathic pain.
Examples of coanalgesics that relieve pain are antidepressants
(increase pain relief, improve mood, and improve sleep),
anticonvulsants (stabilize nerve membranes, reducing
excitability and spontaneous firing), and local anesthetics (block
the transmission of pain signals).
Differentiate the below in relation to analgesics
- tolerance
- physical dependence
- psychological dependence Correct Answers 1. Tolerance:
Bodies natural mechanism to decrease medication effect on the
, body, therefore you need a higher dose to achieve the same
effect (not addiction)
2. Physical dependence: Body depends on medication for
normal function. For example, pain is too intense to carry out
ADLs, therefore meds must be taken. Happens with our without
addiction
3. Psychological dependence: full blown addiction; mental and
emotional craving for drug. Patient needs to get "high."
Discuss pain type
Duration - acute Correct Answers When pain lasts only
through the expected recovery period whether it has a sudden or
slow onset, regardless of its intensity
Pain is normal for that type of injury.
For example, paper cut should only hurt for a day or two
regardless of how intense the pain is. That is normal expected
duration of pain for paper cut.
Discuss pain type
Duration - Chronic Correct Answers Also known as persistent
pain, is prolonged, usually recurring or lasting 3 months or
longer, and interferes with functioning.
Still hurts after months/years after injury
Comfort & Skin Integrity - Funds LLU Questions With
Complete Solutions
Characteristic of chronic pain Correct Answers 1. Mild to
severe
2. Parasympathetic nervous system responses:
• Vital signs normal
• Dry, warm skin
• Pupils normal or dilated
3. Continues beyond healing
4. Client is usually depressed and withdrawn
5. Client often does not mention pain unless asked
Pain behavior often absent
Characteristics of Acute pain Correct Answers 1. Mild to
severe
2. Sympathetic nervous system responses:
• Increased pulse rate
• Increased respiratory rate
• Elevated blood pressure
• Diaphoresis
• Dilated pupils
3. Related to tissue injury;
resolves with healing
,4. Client may be restless and anxious
5. Client reports pain
6. Client may exhibit behavior indicative of pain: crying,
rubbing area, holding area
Co-analgesics Correct Answers • Tricyclic antidepressants
(nortriptyline, amitriptyline)
• Anticonvulsants (gabapentin, pregabalin)
• Topical local anesthetic (Lidoderm)
A coanalgesic (formerly known as an adjuvant) is a medication
that is not classified as a pain medication.
Coanalgesics appear to be particularly beneficial for the
management of neuropathic pain.
Examples of coanalgesics that relieve pain are antidepressants
(increase pain relief, improve mood, and improve sleep),
anticonvulsants (stabilize nerve membranes, reducing
excitability and spontaneous firing), and local anesthetics (block
the transmission of pain signals).
Differentiate the below in relation to analgesics
- tolerance
- physical dependence
- psychological dependence Correct Answers 1. Tolerance:
Bodies natural mechanism to decrease medication effect on the
, body, therefore you need a higher dose to achieve the same
effect (not addiction)
2. Physical dependence: Body depends on medication for
normal function. For example, pain is too intense to carry out
ADLs, therefore meds must be taken. Happens with our without
addiction
3. Psychological dependence: full blown addiction; mental and
emotional craving for drug. Patient needs to get "high."
Discuss pain type
Duration - acute Correct Answers When pain lasts only
through the expected recovery period whether it has a sudden or
slow onset, regardless of its intensity
Pain is normal for that type of injury.
For example, paper cut should only hurt for a day or two
regardless of how intense the pain is. That is normal expected
duration of pain for paper cut.
Discuss pain type
Duration - Chronic Correct Answers Also known as persistent
pain, is prolonged, usually recurring or lasting 3 months or
longer, and interferes with functioning.
Still hurts after months/years after injury
