Questions With Complete Solutions
6 P's Correct Answers Pain
Placement (belongings)
Positioning
Pumps
Potty
Prevent Falls
Acetaminophen (Tylenol) Correct Answers - max dose: 4000
mg/day
- risk of hepatotoxicity with higher doses: LIVER
ex. Theraflu, Nyquil, Percocet, Vicodin
Acute Pain Correct Answers - Sudden onset
- 6 months or less with healing at a relative predictable pattern
- Etiology is often known
Breakthrough Pain Correct Answers intense increase rapid
onset of pain when pain medications or pain control is already
being used
CARDIOVASCULAR adverse effects of unrelieved pain
Correct Answers increase HR, increase BP, increase cardiac
output, hyper-coagulation, unstable angina, MI, DVT, PE
Chronic Pain Correct Answers - pain that persists over 6
months
- typically results from long-standing medical conditions
- etiology may be unclear and progression poor
, - often patient labeled as "poor historian"
- Often accompanied by depression/fatigue
CPOT Correct Answers critical care pain observation tool,
used with nonverbal patients primarily in ICU
GI adverse effects of unrelieved pain Correct Answers decrease
gastric emptying, decrease bowel motility, constipation,
anorexia, ileus
How do you recognize pain in late dementia? Correct Answers
- Pain in cognitively impaired may manifest as worsening
confusion, agitation, uncooperative, restlessness
Know medication name (generic and brand), class, doses for
adult, uses/rationales, side fx, when you would/would not give
the medication, nursing safety Correct Answers ASA,
Acetaminophen, Ibuprofen, Naprosyn, Ketoralac, Oxycodone,
Oxycontin, Percocet, Hydrocodone, Norco, Morphine, MS
Contin, Fentanyl patch, Dilaudid, Odansetron
MSK adverse effects of unrelieved pain Correct Answers
muscle spasm, impaired muscle mobility and function,
immobility, weakness, fatigue
N-Pass scale Correct Answers used for premature neonates and
infants up to 2 months old
NEUROENDOCRINE adverse effects of unrelieved pain
Correct Answers altered release of multiple hormones,