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Jarvis Physical Exam Chapters 1-5, 8-11 Questions and Answers
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Jarvis Physical Exam Chapters 1-5, 8-11 Questions and Answers
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Jarvis: Physical Exam Chapters 1-5, 8-11Questions and Answers
Acute Pain - Answers -Short-term, self-limiting, often predictable trajectory; stops after
injury heals.
Allodynia - Answers -Experience of pain after a normally nonpainful tactile or thermal
stimulus.
Breakthrough Pain - Answers -Pain restarts or escalates before next scheduled
analgesic dose.
Chronic (persistent) Pain - Answers -Pain continues for 6 months or longer after initial
injury.
Cutaneous Pain - Answers -Pain originating from skin surface or subcutaneous
structures.
Incident Pain - Answers -Occurs predictably after specific movements.
Modulation - Answers -Pain message inhibited during this last face of nociception.
Neuropathic Pain - Answers -Abnormal processing of pain message; burning, shooting
in nature.
Nociception - Answers -Process whereby noxious stimuli are perceived as pain; central
and peripheral nervous systems intact.
Nociceptors - Answers -Specialized nerve endings that detect painful sensations.
Pain - Answers -"An unpleasant sensory and emotional experience associated with
actual or potential tissue damage, or described in terms of such damage. Pain is always
subjective." (American Pain Society)
Perception - Answers -Conscious awareness of painful sensation.
Referred Pain - Answers -Pain felt as a particular site but originates from another
location.
Somatic Pain - Answers -Originating from muscle, bone, joints, tendons, or blood
vessels.
,Transduction - Answers -First phase of nociception whereby the painful stimulus is
changed into an action potential.
Transmission - Answers -Second phase of nociception whereby the pain impulse moves
from the spinal cord to the brain.
Visceral Pain - Answers -Originating from internal organs such as the gallbladder or
stomach.
1. When evaluating a patients pain, the nurse knows that an example of acute pain
would be:
a. Arthritic pain.
b. Fibromyalgia.
c. Kidney stones.
d. Low back pain. - Answers -Kidney stones.
Acute pain is short-term and dissipates after an injury heals
2. Which statement indicates that the nurse understands the pain experienced by an
older adult?
a.
Older adults must learn to tolerate pain.
b.
Pain is a normal process of aging and is to be expected.
c.
Pain indicates a pathologic condition or an injury and is not a normal process of aging.
d.
Older individuals perceive pain to a lesser degree than do younger individuals. -
Answers -Pain indicates a pathologic condition or an injury and is not a normal process
of aging.
3. A 4-year-old boy is brought to the emergency department by his mother. She says he
points to his stomach and says, It hurts so bad. Which pain assessment tool would be
the best choice when assessing this childs pain? - Answers -FACES
,4. A patient states that the pain medication is not working and rates his postoperative
pain at a 10 on a 1-to-10 scale. Which of these assessment findings indicates an acute
pain response to poorly controlled pain?
a.
Confusion
b.
Hyperventilation
c.
Increased blood pressure and pulse
d.
Depression - Answers -Increased blood pressure and pulse
(responses to poorly controlled pain include- tachycardia, elevated blood pressure, and
hypoventilation)
5. A 60-year-old woman has developed reflexive sympathetic dystrophy after
arthroscopic repair of her shoulder. A key feature of this condition is that the:
a.
Affected extremity will eventually regain its function.
b.
Pain is felt at one site but originates from another location.
c.
Patients pain will be associated with nausea, pallor, and diaphoresis.
d.
, Slightest touch, such as a sleeve brushing against her arm, causes severe and intense
pain. - Answers -Slightest touch, such as a sleeve brushing against her arm, causes
severe and intense pain.
6. The nurse is assessing a patients pain. The nurse knows that the most reliable
indicator of pain would be the: - Answers -Subjective report.
7. A patient has had arthritic pain in her hips for several years since a hip fracture. She
is able to move around in her room and has not offered any complaints so far this
morning. However, when asked, she states that her pain is bad this morning and rates it
at an 8 on a 1-to-10 scale. What does the nurse suspect? The patient:
a.
Is addicted to her pain medications and cannot obtain pain relief.
b.
Does not want to trouble the nursing staff with her complaints.
c.
Is not in pain but rates it high to receive pain medication.
d.
Has experienced chronic pain for years and has adapted to it. - Answers -Has
experienced chronic pain for years and has adapted to it.
8. The nurse is reviewing the principles of pain. Which type of pain is due to an
abnormal processing of the pain impulse through the peripheral or central nervous
system?
a.
Visceral
b.
Referred
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