Fund Q4 U8-9
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Referred pain | show 🗑
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| Visceral pain | show 🗑
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| show | a state of being or existence above and beyond the limits of material experience
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| Etiology of pain: Peripheral | show 🗑
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| show | results from malfunctioning nerves in the CNA (spinal cord injury pain, MS)
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| Etiology of pain: sympathetically maintained pain | show 🗑
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| Pain threshold | show 🗑
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| Pain tolerance | show 🗑
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| Hyperalgesia and Hyperpathia | show 🗑
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| Allodynia | show 🗑
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| show | an unpleasant sensation which may resemble prickling, itching, burning, or electrical shock
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| show | Transduction Transmission Modudulation Perception--The physiological system by which one feels the sensation of pain.
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| show | Tissue Damage, release of chems (prostaglandins), they release stimulate pain receptors (nociceptors), painful stimuli causes movement of ions across cell membranes. NSAIDS work well at this stage by blocking prostaglandins and dec movement of ions.
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| Transmission | show 🗑
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| show | Brain signals back with the release of opioids, serotonin and nerepinephrine. Antidepressants work well at this stage.
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| Perception | show 🗑
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| Gate theory of pain | show 🗑
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| Assessisng pain | show 🗑
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| Pain management | show 🗑
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| Preemptive analgesia | show 🗑
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| show | 1-3 non opioid analgesic is appropriate. 4-6 weak opioid (codeine, tramadol) or a combo of opioid and nonopioid med. 7-10 strong opiates (morphine, fentanyl)
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| Equianalgesic dosing | show 🗑
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| Coanalgesics (aka adjuvant) | show 🗑
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| show | message, heat/cold app, acupressure, contralateral stimulations, immobilization, TENS, cognitive behavioral distraction, relaxation, repatterned thinking, coping, spiritual
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| show | Full agonist, mixed agonist-antagonist, and partial agonist
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| show | bind tightly to receptor sites (morphine)
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| Mixed agonist-antagonist | show 🗑
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| Partial agonist | show 🗑
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| show | patient controlled analgesia, minimizes roller coast effct of peaks of sedation. conduct assessment every 2-4 hours.
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| show | Administering opioid with nonopioid analgesics for severe pain experiences
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| The nurse must frequently assess a client experiencing pain. When assessing the intensity of the pain, the nurse should: | show 🗑
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| The client tells the nurse about a burning sensation in the epigastric area. The nurse should describe this type of pain as: | show 🗑
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| show | Anticipatory teaching
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| Nurses working with clients in pain need to recognize and avoid common misconceptions and myths about pain. In regards to the pain experience, which of the following is correct? | show 🗑
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| Upon entering the room, the nurse discovers that the client is experiencing acute pain. An expected assessment finding for this client is: | show 🗑
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| The client will be going home on medication administered through a PCA (patient-controlled analgesia) system. To assist the family members with an understanding of how this therapy works, the nurse explains that the client: | show 🗑
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| show | The gate theory suggests that cutaneous stimulation activates larger, faster-transmitting A-beta sensory nerve fibers.decreases pain transmission thru small-diameter A-delta and C fibers. A back massage is nursing inte based on the gate-control theory.
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| show | To determine the quality of the client’s pain the nurse might say, “What does your discomfort feel like?” It is more accurate to have clients describe the pain in their own words whenever possible.
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| The nurse recognizes opiods are used to contol pain at this process of nociception. | show 🗑
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| show | Can occur due to excessive fluid intake.
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| show | difficulty or pain in urinating
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| A client in the hospital has an indwelling urinary catheter, and the nurse is instructing the nursing assistant in the appropriate care to provide. The nurse teaches the assistant to: | show 🗑
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| The nurse recognizes that changes in elimination occur with the aging process. An expected change in bowel elimination is which of the following? | show 🗑
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| show | Alcohol inhibits the release of antidiuretic hormone (ADH), resulting in increased water loss in urine. The client may show signs of decreased fluid volume (dehydration), including dry mucous membranes.
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| A 6-month-old infant has severe diarrhea. The major problem associated with severe diarrhea is: | show 🗑
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| A timed urine specimen collection is ordered. The test will need to be restarted if the following occurs: | show 🗑
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| The nurse is visiting the client who has a nursing diagnosis of “Alteration in urinary elimination; retention”. On assessment, the nurse anticipates that this client will exhibit: | show 🗑
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| Diaphoresis | show 🗑
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| show | failure of forward movement of bowel contents.
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| show | 30 cc/hour
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| Urethra | show 🗑
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| show | voiding scant amts, less than 500 mL/24 hours Less urination than normal
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| show | voiding less than 100 mL/24 hours. Anuria means nonpassage of urine
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| Incontenence | show 🗑
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| Assessment of urine | show 🗑
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| show | promote at least 1500 mL per day, and 2000-3000 mL to prevent UTI
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| show | sympathetic nervous system, increase BP, P, RR, restless, anxious
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| show | parasympathetic nervous system (normal vitals)
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| Etiology of pain: Neuropathic | show 🗑
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| show | receptors that react to potentially damaging stimuli by sending nerve signals to the spinal cord and brain.
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Created by:
mstcnurse