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fayez_83 fayez_83
wrote...
Posts: 573
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6 years ago
A patient asks the nurse why he felt pain prior to a myocardial infarction primarily in his left arm. How should the nurse respond?
 
  1. Pain in the arm related to cardiac tissue damage is a type of referred pain.
  2. Cardiac pain is generally unexplainable.
  3. Were you doing some physical activity with your arm just prior to the event?
  4. What you are describing relates to psychogenic pain.

Question 2

A patient is being treated for chronic pain. What should the nurse keep in mind when assessing this patient's level of pain?
 
  1. The pain rating may be inconsistent with the underlying pathology.
  2. There is usually a clear, physiologic cause.
  3. Pain typically lasts 2 months or less.
  4. The pain reported is usually less severe than acute pain.

Question 3

The nurse is managing care for a group of patients with pain. For which health problem should the nurse expect the patient to experience acute pain?
 
  1. cholecystectomy
  2. phantom limb pain
  3. complex regional pain syndrome
  4. degenerative joint disease

Question 4

After assessing a patient for pain, the nurse concludes that the pain is caused by a mechanical stimulus. What should the nurse consider as a possible cause of this patient's pain?
 
  1. muscle tear
  2. burn
  3. frostbite
  4. myocardial infarction
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 1
Referred pain is pain perceived in an area distant from the stimulus. Visceral sensory fibers synapse at the level of the spinal cord, close to fibers innervating other subcutaneous tissue areas of the body. Cardiac pain is explainable. Physical activity did not trigger the pain. Psychogenic pain occurs in the absence of a diagnosed physiological cause or event.

The answer to question 2

Correct Answer: 1
The patient might not exhibit signs of pain such as elevations in vital signs, grimacing, writhing, or moaning. Chronic pain may persist for longer than 2 months and may not have an identified physiologic cause. There is no indication that chronic pain is less severe than acute pain, although in some instances it may be more diffuse.

The answer to question 3

Correct Answer: 1
Acute pain has a sudden onset, is usually self-limited, and is localized. The cause of acute pain generally can be identified. It generally results from tissue injury from trauma, surgery, or inflammation. Surgical pain such as after gallbladder removal is considered acute pain. The neuropathic pain associated with amputation, phantom limb pain, may not begin immediately and may become a chronic problem. Complex regional pain syndrome is a chronic exaggerated response to a painful stimulus. Degenerative joint disease is chronic; the accompanying joint pain is also chronic.

The answer to question 4

Correct Answer: 1
There are three types of painful stimuli: mechanical, chemical, and thermal. Mechanical causes of pain include spasm, compression, or extreme muscle stretch or contraction. A muscle tear creates pain from a mechanical source. Myocardial infarction involves pain from a chemical source. Burn and frostbite involve pain from a thermal source.
fayez_83 Author
wrote...
6 years ago
God bless you! Helped my grade so much.
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