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Pain: 5th vital sign
Med surg nursing
| Question | Answer |
|---|---|
| Which drugs can cause life threatening seizures. particularly in the older adult, due to toxic metabolites? | Meperidine (Demerol), and codeine |
| Factors that affect patient's perception of and response to pain: | Age, gender, sociocultural background, and genetics. |
| This theory states that the transmission of pain is regulated by specialized cells in the spinal column. | Gate Control Theory |
| These are receptors that respond to pain: | Nociceptors |
| Pain that is confined to the site of origin is: | Localized pain |
| Pain that travels along a specific nerve or nerves: | Projected pain |
| Pain that is diffuse along the site of origin and not well localized: | Radiating pain |
| Pain that is perceived in an area distant from the site of painful stimuli: | Referred pain |
| A patient complains of deep, localized, cramping type of pain. These assessment findings indicate which type of pain? | Visceral |
| The patient complains of a constant "achy" type of pain after abdominal surgery. This is an indication of which type of pain? | Somatic |
| If pain continues for longer than 3 months then it is: | chronic |
| The nurse monitors for gastric irritation, signs of bleeding, and bruising as side effects of which pain medications? | Aspirin (non-opioid analgesic, NSAID), Ibuprofen (non-opioid analgesic, NSAID) |
| The patient with chronic bone pain as a result of osteoarthritis or Rheumatoid arthritis may be prescribed which agents? | Aspirin, COX-2 inhibitor such as celecoxib (celebrex), NSAID such as ibuprofen (Motrin, Advil) |
| What are the 4 types of drugs commonly prescribed to relieve chronic pain in ascending order: | Ibuprofen, Amytriptyline, Morphine, Oxycontin |
| A patient is prescribed morphine sulfate, an opioid analgesic, for pain. which nursing interventions decrease the risk of consstipation? | Increase fluids, administer stool softeners, encourage activity |
| A disease with genetic, psychosocial, and environmental factors that influence its development and manifestations. | Addiction |
| an under treatment of pain that may cause the patient to be demanding and angry and result in the request for more or different medications. | Pseudoaddiction |
| When one or more of a drugs known effects decrease over time: | Tolerance |
| Withdrawal that can be produced by abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist: | Physical Dependence |
| A medical treatment or nursing intervention that produces an effect due to the therapeutic intent not because of its actual or chemical properties. | Placebo |
| A measurement of pain that is more accurate than the observable qualities of pain. | Subjective |
| These type of drugs can potentiate or enhance the effectiveness of an analgesic | Adjuvant |
| This allows for continuous infusion along with PCA: | Basal Rate |
| Istillation of a pain-blocking agent, usually an opiod analgesic alone or in combination with a local anesthetic, such as bupivacaine, into the epidural space: | Epidural analgesia |
| This drug may be used for neuropathy associated with DM. | Anti-epileptic drugs such as gabapentin (Neurontin) |
| This drug is used for its sedative effects at bed time: | Antidepressants such as setraline (Zoloft) |
| This drug may be used for certain types of nerve injury pain: | Anti-anxiety agents such as clonazepam (Klonopin) |
| This drug can be used for electric, shock-like, continuous pain. | Oral local anesthetics such as mexiletine (Mexitil) |
Created by:
nursinglola7
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