Florida International University NUR 3029: Fundamentals
Potter & Perry Ch. 43 Pain Management Questions With
Complete Solutions
A-delta fibers: Correct Answer - myelinated (transmit
information fast!)
- send sharp, localized, distinct sensations that specify the source
of the pain and detect its intensity
- e.g., the sharp pain when you poke yourself w/ a needle
Acetaminophen (Tylenol) Correct Answer - most tolerated &
safest
- no anti-inflammatory effects
- action of it is unknown
- major effect: hepatotoxicity (toxicity of the liver)
- Max 24 hr dose: 4g
- Often combine w/ opioids
Acute/transient pain Correct Answer - protective, identifiable,
short duration; limited emotional response
-
Addiction Correct Answer - a primary, chronic,
neurobiological disease with genetic, psychosocial, and
environmental factors influencing its development and
manifestations
- is a neurobiological disease
- rarely occurs in patients who take opioids to relieve pain
Adjuvants Correct Answer - originally developed to treat
conditions other than pain but have analgesic properties too
,- Tricyclic antidepressants, anticonvulsants, corticosteroids
- Like opioids, may cause drowsiness, impaired coordination,
judgement & mental alertness & contribute to respiratory
depression
Adjuvants and co-analgesics are what Correct Answer - drugs
used to treat other conditions, but they also have analgesic
qualities
Assess effects of pain on the patient Correct Answer -
Behavioral effects: assess verbalization, vocal response, facial
and body movements, and social interaction.
- Influence on activities of daily living(ADLs): physical
deconditioning; sleep disturbances; sexual relationships; ability
to work(outside of an in the home)
Behavioral indicators of effects of pain: Body Movement
Correct Answer - Restlessness
- Immobilization
- Muscle tension
- Increased hand and finger movements
- Pacing activities
- Rhythmic or rubbing motions
- Protective movement of body parts
- Grabbing or holding a body part
Behavioral indicators of effects of pain: Facial Expressions
Correct Answer - Grimace
- Clenched teeth
- Wrinkled forehead
, - Tightly closed or widely opened eyes or mouth
- Lip biting
Behavioral indicators of effects of pain: Social Interaction
Correct Answer - Avoidance of conversation
- Focus only on activities for pain relief
- Avoidance of social contacts
- Reduced attention span
- Reduced interaction with environment
Behavioral indicators of effects of pain: Vocalizations Correct
Answer - Moaning
- Crying
- Gasping
- Grunting
C fibers: Correct Answer - unmelinated
- send poorly, localized, burning, persistent pain
- e.g., the buring/after pain that occurs after poking yourself
Cancer pain Correct Answer - can be acute and/or chronic
- pain is nociceptive and/or neuropathic
Chronic episodic pain Correct Answer - occurs sporadically
over an extended duration (episodes last for hours, days, or
weeks)
- last longer than 6 months
- recurring or constant with mild to severe intensity
- (e.g., migraine headaches; pain related to sickle cell disease)
Potter & Perry Ch. 43 Pain Management Questions With
Complete Solutions
A-delta fibers: Correct Answer - myelinated (transmit
information fast!)
- send sharp, localized, distinct sensations that specify the source
of the pain and detect its intensity
- e.g., the sharp pain when you poke yourself w/ a needle
Acetaminophen (Tylenol) Correct Answer - most tolerated &
safest
- no anti-inflammatory effects
- action of it is unknown
- major effect: hepatotoxicity (toxicity of the liver)
- Max 24 hr dose: 4g
- Often combine w/ opioids
Acute/transient pain Correct Answer - protective, identifiable,
short duration; limited emotional response
-
Addiction Correct Answer - a primary, chronic,
neurobiological disease with genetic, psychosocial, and
environmental factors influencing its development and
manifestations
- is a neurobiological disease
- rarely occurs in patients who take opioids to relieve pain
Adjuvants Correct Answer - originally developed to treat
conditions other than pain but have analgesic properties too
,- Tricyclic antidepressants, anticonvulsants, corticosteroids
- Like opioids, may cause drowsiness, impaired coordination,
judgement & mental alertness & contribute to respiratory
depression
Adjuvants and co-analgesics are what Correct Answer - drugs
used to treat other conditions, but they also have analgesic
qualities
Assess effects of pain on the patient Correct Answer -
Behavioral effects: assess verbalization, vocal response, facial
and body movements, and social interaction.
- Influence on activities of daily living(ADLs): physical
deconditioning; sleep disturbances; sexual relationships; ability
to work(outside of an in the home)
Behavioral indicators of effects of pain: Body Movement
Correct Answer - Restlessness
- Immobilization
- Muscle tension
- Increased hand and finger movements
- Pacing activities
- Rhythmic or rubbing motions
- Protective movement of body parts
- Grabbing or holding a body part
Behavioral indicators of effects of pain: Facial Expressions
Correct Answer - Grimace
- Clenched teeth
- Wrinkled forehead
, - Tightly closed or widely opened eyes or mouth
- Lip biting
Behavioral indicators of effects of pain: Social Interaction
Correct Answer - Avoidance of conversation
- Focus only on activities for pain relief
- Avoidance of social contacts
- Reduced attention span
- Reduced interaction with environment
Behavioral indicators of effects of pain: Vocalizations Correct
Answer - Moaning
- Crying
- Gasping
- Grunting
C fibers: Correct Answer - unmelinated
- send poorly, localized, burning, persistent pain
- e.g., the buring/after pain that occurs after poking yourself
Cancer pain Correct Answer - can be acute and/or chronic
- pain is nociceptive and/or neuropathic
Chronic episodic pain Correct Answer - occurs sporadically
over an extended duration (episodes last for hours, days, or
weeks)
- last longer than 6 months
- recurring or constant with mild to severe intensity
- (e.g., migraine headaches; pain related to sickle cell disease)
