NURB 235 EXAM 1 QUESTIONS &
ANSWERS (GRADED A+)
Pain - ANSWERUnpleasant sensory and emotional experience associated with
actual or potential tissue damage
Pain Management Goal - ANSWERAlleviation of pain or reduction of pain to a level
of comfort that is acceptable to the client
nociceptive pain - ANSWERDevelops when functioning and intact nerve fibers in the
periphery and CNS are stimulated
neuropathic pain - ANSWERPain that is caused by a lesion or disease in the
nervous system- impacting the nerve fibers
Vi Acute pain - ANSWERshort term, predictable pattern, stops after injury is healed,
self-protective purpose
Chronic (persistent) pain - ANSWERpain continues for 6 months, pain persists after
injury heals
Breakthrough pain - ANSWERTransient spike in pain level with moderate to severe
intensity in an otherwise controlled pain syndrome
sceral source of pain - ANSWERstarts in larger internal organs,
Cause of visceral pain - ANSWERdirect organ injury or stretching of the organ
Somatic Pain - ANSWERMusculoskeletal or body surface pain
deep somatic pain - ANSWERpain comes from sources such as blood vessels,
joints, tendons, muscles, and bones
Somatic pain is described as - ANSWERaching or throbbing, cutaneous: sharp,
burning
referred pain - ANSWERfelt at a particular site but originates from another location;
both sites innervated by same spinal nerve
NOPQRST - ANSWERN- numeric rating (or other rating scales): measures intensity
O: onset
P: provocation or palliation (exacerbating/alleviating/attempted)
Q: quality
R: region and radiation
S: symptoms associated with pain
T: Time (frequency, history, pattern)
, NSAIDs - ANSWERmedication that exerts analgesic and anti-inflammatory actions;
mild-moderate pain e.g. celebrex
Nonopioids - ANSWERanalgesia & antipyretic for mild moderate pain e.g. tylenol
Opioids Effect - ANSWERdrug for moderate severe pain e.g. morphine, oxycodon,
side effects: drowsiness, dizziness, addiction, respiratory depression
ABCs of Pain - ANSWERA: Assess pain regularly and systemically
B: Believe client's report
C: choose appropriate pain control
D: deliver pain interventions ASAP (within 10 minutes)
E: empower clients to take control of pain
Afebrile - ANSWERsomeone with no fever
Hypothermia - ANSWERlow temperature 93.2-96.8
pyrexia, fever, febrile - ANSWERelevated temperature 99.5-105.8
Hyperpyrexia/Hyperthermia - ANSWERfever of 105.8 °F and greater
Pulse - ANSWERwave of blood created by the contraction of the heart
Use temporal when - ANSWERwhen radial pulse is not accessible
third level priority - ANSWERnot an emergency situation, nonurgent
evidence-based practice (EBP) - ANSWERnursing care provided that is supported
by sound scientific rationale
complete assessment - ANSWERhealth history and physical assessment
focussed assessment - ANSWERA type of physical assessment performed with
episodic, or problem-centered situation
follow up assessment - ANSWERgoes with pain, revisiting something one has
already come in for
Use Carotid during.. - ANSWERduring cardiac arrest/shock in adults
Use apical with - ANSWERwith infants and children up to 3 years of age
Use brachialis with - ANSWERbabies for CPR, blood pressure cuff
Use femoral when - ANSWERcardiac arrest/shock, circulation to a leg
Use popliteal if - ANSWERchecking circulation to lower leg
Use posterior tibialis or dorsalis pedis when, - ANSWERchecking circulation to foot
ANSWERS (GRADED A+)
Pain - ANSWERUnpleasant sensory and emotional experience associated with
actual or potential tissue damage
Pain Management Goal - ANSWERAlleviation of pain or reduction of pain to a level
of comfort that is acceptable to the client
nociceptive pain - ANSWERDevelops when functioning and intact nerve fibers in the
periphery and CNS are stimulated
neuropathic pain - ANSWERPain that is caused by a lesion or disease in the
nervous system- impacting the nerve fibers
Vi Acute pain - ANSWERshort term, predictable pattern, stops after injury is healed,
self-protective purpose
Chronic (persistent) pain - ANSWERpain continues for 6 months, pain persists after
injury heals
Breakthrough pain - ANSWERTransient spike in pain level with moderate to severe
intensity in an otherwise controlled pain syndrome
sceral source of pain - ANSWERstarts in larger internal organs,
Cause of visceral pain - ANSWERdirect organ injury or stretching of the organ
Somatic Pain - ANSWERMusculoskeletal or body surface pain
deep somatic pain - ANSWERpain comes from sources such as blood vessels,
joints, tendons, muscles, and bones
Somatic pain is described as - ANSWERaching or throbbing, cutaneous: sharp,
burning
referred pain - ANSWERfelt at a particular site but originates from another location;
both sites innervated by same spinal nerve
NOPQRST - ANSWERN- numeric rating (or other rating scales): measures intensity
O: onset
P: provocation or palliation (exacerbating/alleviating/attempted)
Q: quality
R: region and radiation
S: symptoms associated with pain
T: Time (frequency, history, pattern)
, NSAIDs - ANSWERmedication that exerts analgesic and anti-inflammatory actions;
mild-moderate pain e.g. celebrex
Nonopioids - ANSWERanalgesia & antipyretic for mild moderate pain e.g. tylenol
Opioids Effect - ANSWERdrug for moderate severe pain e.g. morphine, oxycodon,
side effects: drowsiness, dizziness, addiction, respiratory depression
ABCs of Pain - ANSWERA: Assess pain regularly and systemically
B: Believe client's report
C: choose appropriate pain control
D: deliver pain interventions ASAP (within 10 minutes)
E: empower clients to take control of pain
Afebrile - ANSWERsomeone with no fever
Hypothermia - ANSWERlow temperature 93.2-96.8
pyrexia, fever, febrile - ANSWERelevated temperature 99.5-105.8
Hyperpyrexia/Hyperthermia - ANSWERfever of 105.8 °F and greater
Pulse - ANSWERwave of blood created by the contraction of the heart
Use temporal when - ANSWERwhen radial pulse is not accessible
third level priority - ANSWERnot an emergency situation, nonurgent
evidence-based practice (EBP) - ANSWERnursing care provided that is supported
by sound scientific rationale
complete assessment - ANSWERhealth history and physical assessment
focussed assessment - ANSWERA type of physical assessment performed with
episodic, or problem-centered situation
follow up assessment - ANSWERgoes with pain, revisiting something one has
already come in for
Use Carotid during.. - ANSWERduring cardiac arrest/shock in adults
Use apical with - ANSWERwith infants and children up to 3 years of age
Use brachialis with - ANSWERbabies for CPR, blood pressure cuff
Use femoral when - ANSWERcardiac arrest/shock, circulation to a leg
Use popliteal if - ANSWERchecking circulation to lower leg
Use posterior tibialis or dorsalis pedis when, - ANSWERchecking circulation to foot
