NURS 2002 Spring Final Exam Questions
With Correct Answers
*Know the nursing process in relation to pain - answer✔*nursing history & assessment
*pain is 5th vital sign !
rate pain & tolerance on scale of 0-10 (ask them BEFORE & after interventions)
COLDERR
Characteristics (& intensity
Onset
Location
Duration
Exacerbations
Relief
Radiation
-common misconceptions
*Know different types of pain, including acute vs. chronic - answer✔1. nociceptive = pain from
physical damage or potential damaging stimulus
-protective function
-transient
-withdrawal reflex
-visceral (internal) or somatic (body --> deep or superficial)
2. neuropathic = results from lesions to or disease of the somatosensory NERVOUS system
-commonly CHRONIC, rather than acute
-peripheral or central
3. inflammatory =
associated w tissue damage & inflam
-promotes healing by preventing contact & movement
-tissue inflam or hypersensitivity
*ACUTE = sudden onset, lasts LESS than 6 months, alerts person to actual/potential harm
*CHRONIC = duration MORE than 6 months, no longer a warning sign of acute injury
*Definition of pain - answer✔"pain is whatever the experiencing person says it is, existing
wherever he or she says it does"
-most common reason for seeking help from healthcare
*Pain tolerance vs pain threshold - answer✔*tolerance = MAX intensity you are willing to
tolerate
*threshold = beginning of pain experience/FIRST senses pain
*Non-pharm methods - answer✔-distraction
-humor
-music
-imagery
-relaxation
-cutaneous stimulation
-acupuncture
-hypnosis
-biofeedback
-therapeutic touch
*Describe the physiology of the urinary and bowel system- know structures in relation to the
quadrants of the abdomen. - answer✔(direction from one's own body)
*TOP right = gallstones, stomach ulcer
*TOP middle = stomach ulcer, heartburn/indigestion, pancreatitis, gallstones, epigastric hernia
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