AGACNP ANCC Board Review- Common Problems with correct answers

Cutaneous Pain correct answers-localized on the skin or body surface -eg bad sunburn or blister Visceral Pain correct answers-poorly localized such as with internal organs eg. gallbladder pain, PUD pain Somatic Pain correct answers-non localized -originates in muscle, bone, nerves, blood vessels eg. soft tissue injury Neuropathic pain correct answersinvolves nerve pathway injury or compression WHO Pain Ladder correct answersStep 1: ASA, NSAIDs, tylenol +/- adjuvant (eg is a TCA like amitryptiline for migraine) Step 2: step 1 + codeine, hydrocodone, oxycodone, tramadol +/- adjuvants Step 3: morphine, hydromorphone, methadone, fentanyl plus non-opiods plus adjuvants Break-through cancer pain correct answersuse of fentanyl patch for sustained release Stage 1 pressure ulcer correct answersintact skin w erythema that does NOT blanch Stage 2 pressure ulcer correct answerspartial thickness loss of skin w exposed dermis can present as intact or ruptured serum filled blister stage 3 pressure ulcer correct answersfull thickness skin loss, visible adipose tissue