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15 Cards in this Set

  • Front
  • Back
Pain that is poorly localized and originates in body organs is known as which of the following?

a. Cutaneous pain

b. Somatic pain

c. Visceral pain

d. Perceived pain
c.
You are visiting a patient at home who is recovering from bowel resection. She complains of constant pain and discomfort and displays signs of depression. When assessing the patient for pain you should be aware of which of the following facts about pain?

a. As her primary healthcare giver, you are the authority on the existence and nature of your patients pain sensation.

b. The pain your patient is experiencing is probably an emotional or psychological problem due to depression.

c. A placebo should be administered to the patient to see whether the pain is manufactured for psychogenic before starting drug therapy.

d. The patient is the only authority on the existence and nature of her pain and pain management therapy should be reviewed and revised if necessary.
d
Which of the following is a powerful vasodilator that increases capillary permeability and constricts smooth muscles playing a role in the chemistry of pain and the injury site?

a. Bradykinin

b. Prostaglandins

c. Substance P

d. Serotonin
a
Pain receptors consisting of free nerve endings that are involved in fast conducting, acute, well localized pain include which of the following?

a. C fibers

b. Gamma fibers

c. B fibers

d. A delta fibers
d
The highest level of integration of sensory impulses of pain occurs in which of the following regions?

a. Cortex

b. Medulla

c. CNS

d. Spinal Cord
a.
A patient who recently underwent amputation of a leg complains of pain in the amputated part. The nurse should explain to the patient which of the following?

a. The pain cannot exist because the leg has been amputated.

b. The pain is a phenomenon known as "Ghost pain."

c. The pain is a real experience for the patient.

d. The patient is experiencing central pain syndrome.
c
The fact that a person can tolerate a higher temperature as water is gradually heated that if the hand and been plunged into hot water without any preparation can be explained by which of the following theories?

a. Threshold of pain theory

b. Adaptation theory

c. Gate control theory

d. Regulation by neuromodulators
b
Which of the following means of pain control can be generally explained on the basis of the gate control theory?

a. Biofeedback

b. Distration

c. Hypnosis

d. Acupuncture
d
Aspirin, acetaminophen, and ibuprofen are examples of which of the following types of pharmaceutical agents that relieve pain?

a. NSAID's

b. Opioids

c. Non-opioid analgesics

d. Adjuvant drugs
a
A patient complains of severe pain following a mastectomy. A good choice of analgesic for this patient would be which of the following?

a. Acetaminophen

b. Aspirin

c. Morphine

d. Methadone
c
A PRN drug regimen is an effective means of administering pain medication in which of the following cases?

a. A patient experiencing acute pain

b. A patient in the early postoperative period.

c. A patient experiencing chronic pain.

d. A patient in the postoperative stage with occasional pain.
d
Your patient is experiencing acute pain following the amputation of a limb. Which of the following nursing interventions should you keep in mind when treating the patient?

a. Treat the pain only as it occurs to prevent drug addiction.

b. Encourage the use of non drug complementary therapies as adjuncts to the medical regimen.

c. Increases and decrease the serum level of the analgesic as needed.

d. Do not provide analgesia if there is any doubt about the likelihood of pain occurring.
b
Which of the following groups of opioids are produced at neural synapses at various points in the CNS pathway and are powerful pain blocking chemicals?

a. Dymorphins

b. Endorphins

c. Ekephalins

d. Bradykinins
b
When assessing a patient for pain the nurse should consider which of the following facts about pain?

a. Patient frequently complain about pain that is not there to get attention.

b. People with pain should be taught to have a high tolerance for pain.

c. All real pain has an identifiable physical cause.

d. Having an emotional reactions to pain does not mean the pain is a result of an emotional problem.
d
Three days after surgery Mrs. Dodds continues to have moderate to severe incision pain. According to the gate control theory the nurse should do which of the following?

a. Administer pain medications in smaller doses but more frequently.

b. Decrease external stimuli in the room during painful episodes

c. Repostion Mrs. Dodds and gently massage her back.

d. Advise Mrs. Dodds that she should try to sleep following administration of pain medication.
c