Fundamentals of Nursing Final Exam: Chapter 36

nature of pain includes: , , and __ components (pec)

pain is __ (subj/obj)

pain __ (is/is not) measurable objectively

the 3 categories of pain are: __ (dle)

onset: rapid
intensity: mild to severe
warnings: tissue damage or organ disease
resolution: after underlying cause is resolved

is this acute or chronic pain?

duration: beyond normal healing period (1-6mo)
- varies greatly
- difficult to describe/assess
- remission/exacerbation

acute or chronic pain?

location of pain can be these 4 things: __ (hint: csvr)

cutaneous pain is
a. deep, diffused/scattered in tendons ligaments, bones, blood vessels, and nerves
b. superficial pain (involves skin or sq tissue)
c. poorly localized and originates in body organs (thorax, cranium, abd)
d. originates in one part of the body & perceived in another area

referred pain is:
a. deep, diffused/scattered in tendons ligaments, bones, blood vessels, and nerves
b. superficial pain (involves skin or sq tissue)
c. poorly localized and originates in body organs (thorax, cranium, abd)
d. originates in one part of the body & perceived in another area

somatic pain is:
a. deep, diffused/scattered in tendons ligaments, bones, blood vessels, and nerves
b. superficial pain (involves skin or sq tissue)
c. poorly localized and originates in body organs (thorax, cranium, abd)
d. originates in one part of the body & perceived in another area

visceral pain is:
a. deep, diffused/scattered in tendons ligaments, bones, blood vessels, and nerves
b. superficial pain (involves skin or sq tissue)
c. poorly localized and originates in body organs (thorax, cranium, abd)
d. originates in one part of the body & perceived in another area

pain can be caused because its either , , , or (nipp)

match the pain etiologies with their appropriate definition:
a. neuropathic
b. phantom
c. psychogenic
d. intractable
1. pain caused by lesion or disease of peripheral or central nerves; duration: short; frequently chronic
2. resistant to therapy and persists despite variety of interventions
3. occurs w/absent limb where receptors/nerves are clearly absent
4. a physical cause for pain; cannot be identified

a pt moves away from painful stimuli, is grimacing, moaning, and crying, and reports of restlessness. she is protecting the painful area, but is not moving. what kind of pain response is this?

a pt comes to the clinic with exaggerated weeping. they appear anxious and fearful. when asked, the pt reports of depression and has lost hope/power in themselves. what kind of pain response is this?

moderate and superficial pain responses are conducted by the __ (sns/pns)

a pt has increased bp, hr, and rr. they have dilated pupils, exhibit pallor, has muscle tension, and increased adrenaline and blood glucose. what kind of physiologic pain response is this?

the severe and deep pain response is conducted by the __ (sns/pns/ans)

a 55 yo man comes in feeling nauseous and later vomits. he has a decreased bp and hr with rapid, irregular rr. after talking with him, he felt dizzy and fainted. what kind of physiologic pain response is this?

what are the 6 factors that affect pain experience: __ (hint: acefpr)

list the 7 pain assessment characteristics (ldcqaas)

the pain scale rates pain from to

the flacc scale is used for:
a. adults
b. teens
c. infants to 7yo
d. school age children

flacc stands for __

the wong baker's faces scale is appropriate for __

painad stands for __

the maximum score for the flacc scale is __ (8/10/12)

the max score for the painad scale is __

are all of these options appropriate non-pharmacological interventions for pain?
a. distraction
b. humor
c. music
d. imagery
e. relaxation & cutaneous stimulation (massage, tens unit, cold/heat application, acupressure)
f. acupuncture
g. hypnosis
h. therapeutic touch
i. animal-facilitated therapy

when pain is noted, start treatment __ (later/immediately/after a head to toe assessment)

true or false. use scheduled meds for chronic or persistent pain

if pain is __ (neuropathic/intractable/phantom), use appropriate meds

adjust dose to indiv's __ and assess

acetaminophen is a __ analgesic

acetaminophen is used for what kind of pain?

acetaminophen is safest for (short/long)-term and (is/is not) an anti-inflammatory)

you should consider __ (hepatic/cephalic/peripheral) effects when using acetaminophen

the max dose of acetaminophen is __ (2/3/4) g/day

nsaids are __

nsaids treats (inflammation/cough/pain) and is used for (mild-moderate/moderate-severe) pain

side effects of nsaids include bleeding and (severe/minimal) side effects (nausea), and interacts w/__

aspirin, ibuprofen, and naproxen are all examples of __ (acetaminophen/nsaids/bayer)

__ meds are not typically used for pain, but can be helpful for pain management and enhancing the effect of opioids

antidepressants, anticonvulsants, corticosteroids, and biphosphonates are examples of __ (nsaids/adjuvant pain meds)

this med is aka "narcotic"/controlled substance

opioid are used for __ pain

nausea, constipation, sedation, and resp depression are all side effects of __ (opioids/nsaids)

codeine, oxycodone (ir, controlled release), oxycodone & acetaminophen (percocet), and codeine & acetaminophen are all __ analgesics that treat mild to moderate pain

onset of action is from to minutes for mild to moderate pain opioid analegsics

morphine and hydromorphone (dilaudid) are opioid analgesics used for to pain

transdermal opioid patches are used for __ pain

what kind of patch is this based on the administration process?

• remove old one

• rotate sites and dispose of properly

• clean skin w/water

• flat areas only

the onset of action for the transdermal opioid patch takes to hours, peak is (24/72) hours, and duration is (24/72) hours

__ (nsaids/painad/btp) is a temporary flare-up of moderate-severe pain when pt is on around the clock (atc) regimen

how do you treat btp? (2 things)

how do we treat cancer pain?

do we treat cancer pain prn? or atc?

pca stands for __

these 3 meds are administered in IV admin for pca

you must check these 3 things when using a programmable pump for pca

what is pca used for? and where?