Chapter 16 - Pain Management, Comfort, Rest And Sleep

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From Foundations of Nursing (6th edition) by Christensen and Kockrow, pages 394-415. For any question, email arnoldjr2@gmail. Com

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Mar 21, 2023

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Jun 18, 2013

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Chapter 16 - Pain Management, Comfort, Rest And Sleep

Singultus

What does it mean to give comfort to a patient? Select all that apply:

The Nature of Pain. Select all that apply:

Behavioral characteristics of Patients in Pain. Select all that apply:

Definition of pain according to the American Pain society:

Pain is determined by tissue damage alone

Suggests that pain impulses are regulated and blocked by mechanisms located along the CNS. The proposed location of this theory is in the dorsal horn of the spinal cord. Pain and other sensations of the skin and muscles travel the same pathways through the large nerves in the spinal cord.

Morphine-like substances composed of amino acids found in the pituitary gland and other areas of the CNS.

How does the "gate theory" explain the prevention or elimination of pain?

How do endorphins work to eliminate pain?

The following are Joint Commission Standards about pain. Select all that are true:

Which of the following does NOT form part of the essential message about pain assessment

Physical effects of unrelieved pain. Select all that apply:

The following are physical nonpharmacological interventions for pain. Select all that apply:

The following are psychological and cognitive interventions for pain. Which one of them is not?

A pocket sized, battery-operated device that provides a continuous, mild electric current to the skin via electrodes that re attached to a stimulator by flexible wires. Typically used for patients suffering post-operative or chronic pain.

Reasons why pain is oftentimes pharmacologically undertreated . Select all that apply:

Most widely available and frequently used non-opioid analgesic group for mild to moderate pain

Examples of over the counter NSAID's. Select all that apply

Maximum recommended dosage of acetaminophen

It blocks the pain impulses in the CNS and reduces inflammation

A group of analgesics that can pose the risk of gastrointestinal (GI) bleeding

Examples of Opioid. Select all that apply

Formerly called narcotics, they decrease the perception of pain by binding to pain receptor sites in the CNS. They are considered the cornerstone or gold standards for managing moderate to severe acute pain.

The standard agent for opioid therapy, although it could compromise renal function

The danger of morphine and other opioid analgesics is their potential to cause ______________ of vital nervous system functions. Most significantly, opiates cause ____________ depression by depressing the __________ center of the brain stem.

Based on studies of IV and epidural administration routes for opioid, what is the likelihood of a clinically significant opioid-induced respiratory depression?

Because of its potential for producing seizures, it is no longer the drug of choice for pain management

Meperidine administration is contraindicated against what? Select all that apply:

The following are certain considerations needed when providing pain medication to an older adult. Select all that apply:

Side effects of Opioid therapy. Select all that apply

An inflammatory mediator released when cells are damaged that sensitizes nerves that carry information about pain. By inhibiting the release of this mediator, the drugs diminish trans mission of pain stimuli

An opioid antagonist that blocks or reverses all the actions of an opioid

Based on the idea that only the patient can feel the pain and only the patient knows how much analgesic will relieve it.

Difference between a PCA and a PRN medication

Which of the following statements regarding the use of patient controlled analgesia is not true, inappropriate or not applicable. Select all that apply

Epidural Analgesia. Select all that apply:

When choosing the right route, which of these are appropriate statements regarding pain medication

Selecting the Proper medication when more than one is ordered. Mark the statements that are true:

What is the right time and interval for the administration of pain medication?

What is the principle of effective pain management?

"Patient indicates improved pain relief within 1 hour of implementation of pain management techniques." Which part of the nursing process and/or care plan is this statement?

"Chronic pain related to joint and muscle inflammation manifested by complaints of discomfort, anorexia, loss of focus and social withdrawal". What part of the nursing care plan is this statement?

Which of the following are pain rating scales? Select all that apply

Which of the following are objective signs of pain? Select all that apply

Behavioral signs of pain. Select all that apply

Which of the following is not a guideline for individualizing pain therapy

Which of the following are guidelines for individualizing pain therapy? Select all that apply:

Among older adults, which medication are often taken that takes away sleep? Select all that apply:

Sleep and Rest. Select all that is applicable and true:

The danger of morphine and other opioid analgesics is their potential to cause ____ of vital nervous system functions. Most significantly, opiates cause depression by depressing the center of the brain stem.