FUNDAMENTALS OF
NURSING EXAM 4
Somatic Pain - ANSWERS-Deep somatic pain is diffuse or scattered and
originates in tendons, ligaments, bones, blood vessels, and nerves.
Strong pressure on a bone or damage to tissue that occurs with a sprain
causes deep somatic pain
Cutaneous Pain - ANSWERS-Superficial pain usually involves the skin
or subcutaneous tissue. A paper cut that produces sharp pain with a
burning sensation is an example of cutaneous pain.
Visceral Pain - ANSWERS-Is poorly localized and originates in body
organs in the thorax, cranium, and abdomen. Visceral pain is one of the
most common types of pain produced by disease, and occurs as organs
stretch abnormally and become distended, ischemic, or inflamed
Referred Pain - ANSWERS-Pain can originate in one part of the body
but be perceived in an area distant from its point of origin
Assessment Strategies for Pain - ANSWERS-1. Nonverbal Behavior
2. Pain Questions PQRST & OLDCARTS
3. Patient Self-Report (best assessment to ask patient)
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FUNDAMENTALS OF
NURSING EXAM 4
4 Non Pharmacological Pain Interventions - ANSWERS-1. Distractions:
used with analgesics mild pain relief
2. Music Therapy: used in postoperative patients combined with opioids
3. Meditation
4. Cutaneous Stimulation
How to assess for care given role strain? - ANSWERS-Assess how they
are taking care of themselves
Common S&S Of Care Giver Role Strain - ANSWERS-fatigue, GI
distress, headache, weight change,
Code Status Unknown Means - ANSWERS-Start CPR if code status is
unknown
Is "slow code" an acceptable action? - ANSWERS-No
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FUNDAMENTALS OF
NURSING EXAM 4
Do comfort measures require an order? - ANSWERS-Yes
DNR - ANSWERS-A Do Not Resuscitate order means that no attempts
are to be made to resuscitate a patient whose breathing or heart stops.
Must have an order
Advanced Directive - ANSWERS-Written advance directives—a living
will and a durable power of attorney for health care.
Living wills provide specific instructions about the kinds of health care
that should be provided or foregone in particular situations.
A durable power of attorney for health care appoints an agent the person
trusts to make decisions in the event of subsequent incapacity
Nursing Role in Advanced Care Planning - ANSWERS-Educate ways to
express healthcare wishes and assist/explain ACP
4 Things to Asssess Support with Coping for Grief & Loss -
ANSWERS-1. Assess family's support system
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