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NUR 120 Pain ACTUAL EXAM 70 QUESTIONS AND CORRECT

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NURS 120 EXAM//GRADED A+

A patient recovering from a stroke complains of pain. The nurse suspects this patient is most likely experiencing which type of pain?Nociceptive Neuropathic Somatic Idiopathic - ANSWER-Neuropathic Neuropathic pain can occur from central nervous system brain injury caused by a stroke. Nociceptive pain is caused by tissue damage. Somatic pain is another term used for nociceptive pain. Idiopathic pain does not have an identified cause.

A patient is reporting pain and rates it as 7 on a scale of 1 to 10. When the nurse asks him to decribe the pain, he states, "It feels like a knife is stabbing or cutting me." The nurse knows that this type of pain is conducted by which fibers?C fibers A-delta fibers AC fibers P fibers - ANSWER-A-delta fibers A-delta fibers are myelinated and conduct impulses rapidly, resulting in pain being described as sharp or stabbing. C fibers are unmyelinated and cause pain that is achy and ongoing. There are no known AC or P fibers related to pain.

When patients report pain, it is important to find the source. When patients describe pain as "burning, painful numbness, or tingling," the source is more than likely: Visceral Neuropathic Somatic Referred - ANSWER-Neuropathic

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A nurse is using the FLACC (Face, Legs, Activity, Cry, Consolability) scale for pediatric pain assessment to assess for pain in a 6-month-old client. Which of the following findings on this assessment tool would indicate the strongest pain in the client?

Occasional grimace or frown Whimpering Lying quietly Kicking - ANSWER-Kicking According to the FLACC scale for pediatric pain assessment, kicking or the legs being drawn up is a strong sign indicating pain, as it would receive a 2. An occasional grimace or frown and whimpering are weaker signs of pain, as they would each warrant only a 1. Lying quietly is a normal activity and indicates the absence of pain; thus, it would receive a 0.

The nurse should clarify which medication order prescribed for a client with chronic back pain?Narcotic analgesia Tricyclic antidepressant Selective serotonin reuptake inhibitor Angiotensin converting enzyme inhibitor - ANSWER-Angiotensin converting enzyme inhibitor To treat some chronic pain conditions, health care providers may prescribe medications that increase serotonin levels, such as tricyclic antidepressants and selective serotonin reuptake inhibitors, to modulate incoming pain stimuli. Opiates, antidepressants, and calcium channel blockers are pharmacological alternatives in the treatment of chronic pain. ACE inhibitors are not routinely prescribed for chronic pain conditions.

When reviewing a client's medication administration record, the nurse should plan to administer a medication containing which substance that blocks pain sensations?Substance P Bradykinin Glutamate Gamma-aminobutyric acid - ANSWER-Gamma-aminobutyric acid BOX 6.1 Substances with a Role in Pain Pain-facilitating substances • Substance P • Bradykinin • Glutamate Pain-blocking substances • Serotonin • Opioids (both natural and synthetic) • Gamma-

aminobutyric acid: gabapentin (Neurontin) and pregabalin (Lyrica)

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A client who suffers from arthritis complains of sharp pain in her knees and elbows. The nurse recognizes this is what type of pain?Visceral Somatic Cutaneous Referred - ANSWER-Somatic

Pain nociception has various locations. Visceral pain originates from abdominal organs; patients often describe this pain as crampy or gnawing. Somatic pain originates from skin, muscles, bones, and joints; patients usually describe somatic pain as sharp (D'Arcy, 2014). Cutaneous pain derives from the dermis, epidermis, and subcutaneous tissues. It is often burning or sharp, such as with a partial-thickness burn. Referred pain originates from a specifi c site, but the person experiencing it feels the pain at another site along the innervating spinal nerve (Fig. 6.3).

The nurse should assess for which pain complaints from a client diagnosed with Type II Diabetes Mellitus?Sharp, stabbing Aching, gnawing Burning, tingling Pain only on movement - ANSWER-Burning, tingling

The nurse should assess for neuropathic pain associated with diabetic neuropath. Neuropathic pain: Pain that results from damage to nerves in the peripheral or central nervous system (Staats, et al., 2004). Examples of neuropathic pain include diabetic peripheral neuropathy, post herpetic neuralgia, and postmastectomy pain. You should also be alert for the common terms that patients use to report neuropathic pain, such as burning, painful tingling, pins and needles, and painful numbness.

The U.S. government has created guidelines for health care providers caring for clients in pain. Which of the following reflect these guidelines?Joint Commission Standards for Pain Management.National Institutes of Health Standards for Pain Treatment.American Cancer Society Guidelines for Pain Management.American Pain Society Guidelines for Pain Management. - ANSWER-Joint Commission Standards for Pain Management.

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