NURB 235 EXAM 1
Pain - Answer- Unpleasant sensory and emotional experience associated with actual or potential
tissue damage
Pain Management Goal - Answer- Alleviation of pain or reduction of pain to a level of comfort that
is acceptable to the client
nociceptive pain - Answer- Develops when functioning and intact nerve fibers in the periphery and
CNS are stimulated
neuropathic pain - Answer- Pain that is caused by a lesion or disease in the nervous system-
impacting the nerve fibers
Visceral source of pain - Answer- starts in larger internal organs,
Cause of visceral pain - Answer- direct organ injury or stretching of the organ
Somatic Pain - Answer- Musculoskeletal or body surface pain
deep somatic pain - Answer- pain comes from sources such as blood vessels, joints, tendons,
muscles, and bones
Somatic pain is described as - Answer- aching or throbbing, cutaneous: sharp, burning
referred pain - Answer- felt at a particular site but originates from another location; both sites
innervated by same spinal nerve
Acute pain - Answer- short term, predictable pattern, stops after injury is healed, self-protective
purpose
Chronic (persistent) pain - Answer- pain continues for 6 months, pain persists after injury heals
Breakthrough pain - Answer- Transient spike in pain level with moderate to severe intensity in an
otherwise controlled pain syndrome
NOPQRST - Answer- N- 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 - Answer- medication that exerts analgesic and anti-inflammatory actions; mild-moderate
pain e.g. celebrex
Nonopioids - Answer- analgesia & antipyretic for mild moderate pain e.g. tylenol
, Opioids Effect - Answer- drug for moderate severe pain e.g. morphine, oxycodon, side effects:
drowsiness, dizziness, addiction, respiratory depression
ABCs of Pain - Answer- A: 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 - Answer- someone with no fever
Hypothermia - Answer- low temperature 93.2-96.8
pyrexia, fever, febrile - Answer- elevated temperature 99.5-105.8
Hyperpyrexia/Hyperthermia - Answer- fever of 105.8 °F and greater
Pulse - Answer- wave of blood created by the contraction of the heart
Use temporal when - Answer- when radial pulse is not accessible
Use Carotid during.. - Answer- during cardiac arrest/shock in adults
Use apical with - Answer- with infants and children up to 3 years of age
Use brachialis with - Answer- babies for CPR, blood pressure cuff
Use femoral when - Answer- cardiac arrest/shock, circulation to a leg
Use popliteal if - Answer- checking circulation to lower leg
Use posterior tibialis or dorsalis pedis when, - Answer- checking circulation to foot
dysrhythmia - Answer- Abnormal heart rhythm
arrhytmia - Answer- Irregular rhythm or beat of the heart.
volume of a pulse on a numerical scale: - Answer- Absent 0
Weak 1
Normal 2
Bounding 3
Stroke volume - Answer- amount of blood pumped by the left ventricle of the heart in one
contraction
Inhalation - Answer- Diaphragm contracts (flattens)
Ribs move upward and outward
Sternum moves outward
Enlarging the size of the thorax
Pain - Answer- Unpleasant sensory and emotional experience associated with actual or potential
tissue damage
Pain Management Goal - Answer- Alleviation of pain or reduction of pain to a level of comfort that
is acceptable to the client
nociceptive pain - Answer- Develops when functioning and intact nerve fibers in the periphery and
CNS are stimulated
neuropathic pain - Answer- Pain that is caused by a lesion or disease in the nervous system-
impacting the nerve fibers
Visceral source of pain - Answer- starts in larger internal organs,
Cause of visceral pain - Answer- direct organ injury or stretching of the organ
Somatic Pain - Answer- Musculoskeletal or body surface pain
deep somatic pain - Answer- pain comes from sources such as blood vessels, joints, tendons,
muscles, and bones
Somatic pain is described as - Answer- aching or throbbing, cutaneous: sharp, burning
referred pain - Answer- felt at a particular site but originates from another location; both sites
innervated by same spinal nerve
Acute pain - Answer- short term, predictable pattern, stops after injury is healed, self-protective
purpose
Chronic (persistent) pain - Answer- pain continues for 6 months, pain persists after injury heals
Breakthrough pain - Answer- Transient spike in pain level with moderate to severe intensity in an
otherwise controlled pain syndrome
NOPQRST - Answer- N- 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 - Answer- medication that exerts analgesic and anti-inflammatory actions; mild-moderate
pain e.g. celebrex
Nonopioids - Answer- analgesia & antipyretic for mild moderate pain e.g. tylenol
, Opioids Effect - Answer- drug for moderate severe pain e.g. morphine, oxycodon, side effects:
drowsiness, dizziness, addiction, respiratory depression
ABCs of Pain - Answer- A: 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 - Answer- someone with no fever
Hypothermia - Answer- low temperature 93.2-96.8
pyrexia, fever, febrile - Answer- elevated temperature 99.5-105.8
Hyperpyrexia/Hyperthermia - Answer- fever of 105.8 °F and greater
Pulse - Answer- wave of blood created by the contraction of the heart
Use temporal when - Answer- when radial pulse is not accessible
Use Carotid during.. - Answer- during cardiac arrest/shock in adults
Use apical with - Answer- with infants and children up to 3 years of age
Use brachialis with - Answer- babies for CPR, blood pressure cuff
Use femoral when - Answer- cardiac arrest/shock, circulation to a leg
Use popliteal if - Answer- checking circulation to lower leg
Use posterior tibialis or dorsalis pedis when, - Answer- checking circulation to foot
dysrhythmia - Answer- Abnormal heart rhythm
arrhytmia - Answer- Irregular rhythm or beat of the heart.
volume of a pulse on a numerical scale: - Answer- Absent 0
Weak 1
Normal 2
Bounding 3
Stroke volume - Answer- amount of blood pumped by the left ventricle of the heart in one
contraction
Inhalation - Answer- Diaphragm contracts (flattens)
Ribs move upward and outward
Sternum moves outward
Enlarging the size of the thorax
