RNSG 1430 Exam 1 – Comfort Questions
With Verified Answers
Define pain - answer✔Pain is whatever the experiencing person says it is, existing whenever he
says it does.
Define pain - answer✔Unpleasant sensory and emptional experience associated with actual or
potential tosshe damage.
Define comfort - answer✔State of physical ease
Acute pain - answer✔Short term/Opiods used for relief/ vitals sometimes help
Chronic pain - answer✔3 months+ pain duration/ vitals DO NOT identify pain/ treated with
NON opiods
When should medication be administered? - answer✔Relative to patient needs & caregiver
orders
How is a patients pain affected by culture? - answer✔Awareness to correctly assess pain and
interventions
How is a patients pain affected by spirituality? - answer✔Patient may be more accepting and
tolerant of pain gained through spiritual strength
How is a patients pain affected by development? - answer✔Influences how pain is interpreted
and the ability to communicate pain
How is a patients pain affected by tissue integrity? - answer✔Nociceptive pain. Acute pain
associated with tissue damage
How is a patients pain affected by mobility? - answer✔Severe pain can immobilize patient.
Unrelieved pain effects muscoskeleton system ie; impaired muscle, skeletal, or joint function
How is a patients pain affected by functional ability? - answer✔Patients ability to ambulate and
partake in physical therapy activities, prolong recovery, associated with higher complications ie;
long term disability
How is a patients pain affected by sleep disturbances? - answer✔Contribute to increased pain
perception & reduces ability to cope
How is a patients pain affected by fatigue? - answer✔Further impair mobility and functional
ability
How is a patients pain affected by mood and affect? - answer✔More likely to rate their general
health as poor, have suicidal thoughts, increased morality
Primary intervention to pain - answer✔Educate
Secondary intervention to pain - answer✔Identify/assess/diagnose
Tertiary intervention to pain - answer✔Intervention
Adjuvants - answer✔Drugs used alone or with opiod or non opiod generally used for other
purposes but is effective in treating pain. Enhance effects of non-opioids, useful for treating
neuropathic pain, alleviates depression, seizures, inflammation
When to reassess? - answer✔With every new report of pain, before & after administering
medication
Subjective assessment - answer✔Pain scale
Objective assessment - answer✔Physical exam
PCA - answer✔Patient self administered opiods (morphine, hydromorphone, fentanyl) Minimal
risk of overdose. Deliver specific doses & intervals
NSAIDs pain scale - answer✔Mild to moderate pain
Negative side effects NSAIDs - answer✔Gastrointestinal bleeding & helatotoxicity (chronic
overdose of more than 3g/day, acute overdose, preexisting severe lover disease)
How do NSAIDs work? - answer✔Blocking Cox - 1 & 2 enzymes. Reduce bodys production of
prostaglandins(less pain & swelling)
Opiod pain level - answer✔Moderate to severe pain
Opiod side effects - answer✔Resperatory distress, sedation, dizziness, nausea, constipation
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