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HCB 102 Test 3 Questions and Answers 2023
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HCB 102 Test 3 Questions and Answers 2023
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HCB 102 Test 3 Questions and Answers 2023nociceptive - ANSWER somatic
pain is linked to tissue damage, skin, musculoskeletal system, or viscera but the
sensory nervous system is intact as in arthritis or spinal stenosis
-acute or chronic
neuropathic - ANSWER Direct consequence of a lesion or disease affecting the
somatosensory system. may become undefended of the inciting injury becoming
burning, lancinating or shock like.
-may persist after healing from initial injury
central sensitization - ANSWER alteration of central nervous system processing of
sensation leading to amplification of pain signals.
-lower pain threshold to non-painful stimuli
psychogenic - ANSWER influence the patients report of pain, psychiatric conditions
of anxiety or depression, personality and coping style.
onset - ANSWER -date of onset
-duration
-variability
-related to injury or exposure to illness
quality - ANSWER -throbbing
-shooting
-stabbing
-sharp
-cramping
-gnawing
-hot/burning
-aching
-heavy
-tender
-splitting
-tiring/exhausting
-sickening
-fear producing
-punishing or cruel
pain scale - ANSWER 0-10
watch for nonverbal cues in confused patients
-restlessness
-pacing
-guarding
-wincing
, -crying
-withdrawal from touch
location - ANSWER landmarks to describe the location of pain
-can patient point to it
-does it travel or radiate
-nausea, fatigue, behavior change, irritability, disturbed sleep, distress caused by
pain
what does patient think - ANSWER -effects of ADLs
-activity limitations
-sleep disruption
-increased rest
-appetite change
effect of pain of psyche - ANSWER -change in mood or social interactions
-poor concentration
-can think only about pain
-irritability
pain control measures - ANSWER -distraction
-relaxation
-ice
-heat
-massage
-electrical stimulation
-acupuncture
assessing patient for pain - ANSWER -asking about pain regularly and systemically
-believe the patient
-choose appropriate management options
-give intervention in a timely manner
errors in assessment - ANSWER -vauge or unlcear questioning
-patient not providing accurate pain info
pain management - ANSWER -medications (IV; immediate, IM; 15 mins, oral; 30
mins)
-mild exersize
-diversion techniques
-hot/cold temps
-PT
-reassurance
documentation of pain - ANSWER inpatient;
-medication administration record (MAR)
-nursing notes (SF 510)
outpatient;
-chronological record of medical care (SF 600)
-emergency treatment record (SF 558)
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