Module 5 Exam NUR 170 ACTUAL
QUESTIONS AND CORRECT ANSWERS
Nociceptive pain - CORRECT ANSWERS aching, gnawing, pounding, and dull
Opioids: - CORRECT ANSWERS moderate to severe pain. Act on CNS
(No longer in favor for long term pain management-- cerebral irritation of tis metabolite,
normeperidine.
Neuropathic pain. - CORRECT ANSWERS Burning,shooting,electrical,abnormal
sensation
COLDERR - CORRECT ANSWERS Character: Sensation (sharp, aching, burning) Onset:
When it started, how it has changed.
Location: Where it hurts
Duration: Constant vs. intermittent
Exacerbation: Factors make it worse
Relief: What makes it better
Radiation: Pattern of spreading, shooting, pain away from origin.
Consequences of unrelieved pain: - CORRECT ANSWERS -decreased GI mobility
-Fight or flight response
-psychological: demands client's total attention -increased negativity
-more hospital stay, more cost
Role of Nurse in Pain Management - CORRECT ANSWERS 1. Assessment
,2. Use of analgesics
3. Non-drug pain treatments
Responses to Acute Pain - CORRECT ANSWERS discomfort,
increased blood pressure,
pulse rate,
respiratory rate,
dilated pupils,
perspiration.
Referred Pain - CORRECT ANSWERS pain felt in a part of the body other than its actual
source.
Neuropathic pain - CORRECT ANSWERS direct injury to nerves and abnormal
processing of sensory input by PNS and CNS. Includes phantom, diabetic, neuropathy, SCI pain.
Tx includes adjuvant analgesics, anticonvulsants (lidocane).
Nociceptive pain: - CORRECT ANSWERS arises from nociceptors (pain receptors).
Usually responds to nonopiods and opioids.
Non-opioids: - CORRECT ANSWERS Act on peripheral nervous system. Mild to mod
pain
2 Main Causes of Pain and Discomfort: - CORRECT ANSWERS Sensory and motor
neurons
,Acute Pain - CORRECT ANSWERS Rapid onset, mild to severe, related to tissue injury-
resolves with healing, client can appear restless and anxious, pain behaviors may be present, less
than 6 months
Nonpharmacologic Pain Interventions - CORRECT ANSWERS Relaxation, guided
imagery, biofeedback, distraction, massage therapy, acupuncture, reiki, or healing touch
Pain Process - CORRECT ANSWERS Transduction, Transmission, perception,
modulation
Psychological Pain Responses - CORRECT ANSWERS Anorexia, fatigue, fear, stoicism,
depression, anger, hopelessness, powerlessness
Analgesics - CORRECT ANSWERS NSAIDs, non-opioids, opioids
Perception of Pain - CORRECT ANSWERS This involves the sensory process which
occurs when painful stimuli is present, varies for different clients
Phantom Pain - CORRECT ANSWERS pain where the limb isn't there
Psychogenic Pain - CORRECT ANSWERS Absence of any diagnosed physical event,
psychological, can lead to real physical pain, i.e muscle pain
Physiologic pain responses - CORRECT ANSWERS Pupil dilation, increased BP, RR,
HR, pallor, nausea, increased BP
Sympathetic Nervous System Responses to Pain - CORRECT ANSWERS Increased pulse
rate, increased respiratory rate, elevated blood pressure, diaphoresis, dilated pupils
, Assessing pain at the bedside - CORRECT ANSWERS Objective: vital signs, diaphoresis,
subjective: what patient says about pain number, quality to pain
Behavioral responses to pain - CORRECT ANSWERS Grimacing, withdrawing from pain,
restlessness, protecting painful are
Breakthrough pain - CORRECT ANSWERS Sudden flare of pain, predictable or
unpredictable. 3 types are idiopathic, end of doses, and incident
Chronic Pain - CORRECT ANSWERS Lasting longer than 6 months, mild to severe,
continues beyond the healing process, client can appear depressed and withdrawn, pain behaviors
may be absent
Defining characteristics of pain - CORRECT ANSWERS Location, intensity, duration,
quality, behavioral responses
Factors affecting pain response - CORRECT ANSWERS Age, previous experiences with
pain, culture, religious beliefs, environment and support people
Gate Control Theory - CORRECT ANSWERS Excited, smaller nerve fibers send stimuli
towards the brian. These signals however can be blocked
by larger nerve fibers located int he dorsal horn of the spinal cord. The continuous cycle of
sending stimuli and blocking is considered "gating"
General Principles for pain management - CORRECT ANSWERS Treat pain by
combining analgesics based on the WHO guidelines, Maintain
therapeutic serum levels, choose appropriate routes of administration
QUESTIONS AND CORRECT ANSWERS
Nociceptive pain - CORRECT ANSWERS aching, gnawing, pounding, and dull
Opioids: - CORRECT ANSWERS moderate to severe pain. Act on CNS
(No longer in favor for long term pain management-- cerebral irritation of tis metabolite,
normeperidine.
Neuropathic pain. - CORRECT ANSWERS Burning,shooting,electrical,abnormal
sensation
COLDERR - CORRECT ANSWERS Character: Sensation (sharp, aching, burning) Onset:
When it started, how it has changed.
Location: Where it hurts
Duration: Constant vs. intermittent
Exacerbation: Factors make it worse
Relief: What makes it better
Radiation: Pattern of spreading, shooting, pain away from origin.
Consequences of unrelieved pain: - CORRECT ANSWERS -decreased GI mobility
-Fight or flight response
-psychological: demands client's total attention -increased negativity
-more hospital stay, more cost
Role of Nurse in Pain Management - CORRECT ANSWERS 1. Assessment
,2. Use of analgesics
3. Non-drug pain treatments
Responses to Acute Pain - CORRECT ANSWERS discomfort,
increased blood pressure,
pulse rate,
respiratory rate,
dilated pupils,
perspiration.
Referred Pain - CORRECT ANSWERS pain felt in a part of the body other than its actual
source.
Neuropathic pain - CORRECT ANSWERS direct injury to nerves and abnormal
processing of sensory input by PNS and CNS. Includes phantom, diabetic, neuropathy, SCI pain.
Tx includes adjuvant analgesics, anticonvulsants (lidocane).
Nociceptive pain: - CORRECT ANSWERS arises from nociceptors (pain receptors).
Usually responds to nonopiods and opioids.
Non-opioids: - CORRECT ANSWERS Act on peripheral nervous system. Mild to mod
pain
2 Main Causes of Pain and Discomfort: - CORRECT ANSWERS Sensory and motor
neurons
,Acute Pain - CORRECT ANSWERS Rapid onset, mild to severe, related to tissue injury-
resolves with healing, client can appear restless and anxious, pain behaviors may be present, less
than 6 months
Nonpharmacologic Pain Interventions - CORRECT ANSWERS Relaxation, guided
imagery, biofeedback, distraction, massage therapy, acupuncture, reiki, or healing touch
Pain Process - CORRECT ANSWERS Transduction, Transmission, perception,
modulation
Psychological Pain Responses - CORRECT ANSWERS Anorexia, fatigue, fear, stoicism,
depression, anger, hopelessness, powerlessness
Analgesics - CORRECT ANSWERS NSAIDs, non-opioids, opioids
Perception of Pain - CORRECT ANSWERS This involves the sensory process which
occurs when painful stimuli is present, varies for different clients
Phantom Pain - CORRECT ANSWERS pain where the limb isn't there
Psychogenic Pain - CORRECT ANSWERS Absence of any diagnosed physical event,
psychological, can lead to real physical pain, i.e muscle pain
Physiologic pain responses - CORRECT ANSWERS Pupil dilation, increased BP, RR,
HR, pallor, nausea, increased BP
Sympathetic Nervous System Responses to Pain - CORRECT ANSWERS Increased pulse
rate, increased respiratory rate, elevated blood pressure, diaphoresis, dilated pupils
, Assessing pain at the bedside - CORRECT ANSWERS Objective: vital signs, diaphoresis,
subjective: what patient says about pain number, quality to pain
Behavioral responses to pain - CORRECT ANSWERS Grimacing, withdrawing from pain,
restlessness, protecting painful are
Breakthrough pain - CORRECT ANSWERS Sudden flare of pain, predictable or
unpredictable. 3 types are idiopathic, end of doses, and incident
Chronic Pain - CORRECT ANSWERS Lasting longer than 6 months, mild to severe,
continues beyond the healing process, client can appear depressed and withdrawn, pain behaviors
may be absent
Defining characteristics of pain - CORRECT ANSWERS Location, intensity, duration,
quality, behavioral responses
Factors affecting pain response - CORRECT ANSWERS Age, previous experiences with
pain, culture, religious beliefs, environment and support people
Gate Control Theory - CORRECT ANSWERS Excited, smaller nerve fibers send stimuli
towards the brian. These signals however can be blocked
by larger nerve fibers located int he dorsal horn of the spinal cord. The continuous cycle of
sending stimuli and blocking is considered "gating"
General Principles for pain management - CORRECT ANSWERS Treat pain by
combining analgesics based on the WHO guidelines, Maintain
therapeutic serum levels, choose appropriate routes of administration
