MED SURG EXAM I- CH 55,56,81

CHAPTER 55

Client Comfort and Pain Management

___ is a feeling of distress, suffering, or agony, caused by stimulation of specialized nerve endings

PAIN

Pain is what type of data?

Subjective Data

Pain can increase __ and __ rate

o Blood pressure

o Heart

As pain and discomfort increases, the body's natural response is to __

tighten muscles (muscle tension)

What is the term used to describe normal pain transmission and interpretation is ___

nociception

This phase changes painful stimuli in the nerve endings to impulses

TRANSDUCTION

In this phase the impulses travel from their original site to the brain

TRANSMISSION

This phase the brain then recognizes, defines, and responds to the pain

PERCEPTION

This phase is when the body activates needed responses to the effects of pain

MODULATION

___ pain is the term used for chronic pain that resists therapeutic interventions

INTRACTABLE

The lowest point of pain is known as

PAIN THRESHOLD

__ denotes the point at which a person can no longer endure pain

PAIN TOLERANCE

The CNS produces ___ that relieves pain that dissipates rapidly

ENDORPHINS

The documentation of pain includes __ of pain, description of pain, action taken, and __

o level

o results

What scale is used to determine pain in children ages 7 and older and also adults as well

o PAIN INTENSITY SCALE

What scale is used for children ages 3-7?

Wong Baker faces pain scale

What is used to determine pain in children younger than 3

FLACC

(Face, Legs, Activity, Cry, Consolability)

NIPS

(Neonatal/Infant Pain Scale)

The application of __ or __ may help control localized pain by causing vasodilation or vasoconstriction

heat or cold

What is COLDSPA (data gathering of pain)

o CHARACTER

o ONSET (when)

o LOCATION

o DURATION

o SEVERITY

o PATTERN

o ASSOCIATED FACTORS

___ pain originates in one body part but is perceived in another part of the body

REFERRED

CHAPTER 56

Preoperative and Postoperative Care

What is preoperative, intraoperative, and postoperative care

Pre- nursing care and teaching before surgery

Intra- nursing care during surgery

Post-op: nursing care and teaching after surgery

T or F

It is necessary for the nurse to teach the pt beforehand as much as possible about what to expect from the surgery

TRUE

__ is the complete or partial loss of sensation

ANESTHESIA

T or F

The client is allowed to continue to take NSAIDs and herbal supplements before surgery

FALSE

Certain herbal supplements can also contribute to the risk of bleeding

After surgery, __ orders for medications and diet must be established

new

___ is the opening or separation of the surgical incision

DEHISCENCE

__ is the opening of the surgical incision with abdominal organs protruding

EVISCERATION