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CHPN chapter 4&5 Exam with complete solutions 2024_2025
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CHPN chapter 4&5 Exam with complete solutions 2024_2025
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CHPN chapter 4&5 Exam with completesolutions 2024/2025
With cancer, what is the prevalence of pain?1/3 of patients with cancer
experience pain at the time of diagnosis, well 2/3 with metastatic disease report
pain. - ANSWER-With cancer, what is the prevalence of pain?
Impaired quality of life, and in some cases, increased risk of hastened Death. -
ANSWER-Higher pain intensity and pain interference are associated with what?
Lack of basic education, assessment of pain using only simple screening tools
such as 0 to 10 scale is insufficient, fears regarding addiction, tolerance, adverse
effects related to pain medications particularly opioids. - ANSWER-What are the
barriers related to pain assessment and treatment?
Stoicism, concerned about distracting healthcare providers from treatment,
believe the pain is an expected outcome of the disease, or pain may admit that
the disease is getting worse. Patients and family members may also for your
addiction and tolerance along with adverse effects. Other reasons it might
include not wanting to complain, pain is expected with aging, bearing the pain is
better than bearing side effects from pain medication, Strong pain medication
should only be used for severe pain and lastly morphine and other opioids
Hasten death. - ANSWER-Why might a patient or family member not report pain?
Pain is whatever the patient says it is. Never assume that someone should
demonstrate outward signs of pain. - ANSWER-What is the most important thing
for a nurse to remember about how the patient reports pain?
Misuse - ANSWER-Use of a medication other than as directed or as indicated.
Examples include use of pain medication for sleep rather than pain control.
, Addiction - ANSWER-A primary, chronic, neurobiological disease with genetic,
psychosocial, and environmental factors influencing its development and
manifestations. Characterized by behavior that include one or more of the
following impaired control over drug use, impulsive use, and continued use
despite harm and craving.
Tolerance - ANSWER-A state of adaption in which exposure to a drug induces
changes that result in a diminution of one or more of the drugs affect overtime.
Physical dependence - ANSWER-A state of adaptation that is manifested by drug
class specific withdrawal syndrome that can be produced by abrupt cessation,
rapid dose reduction, decreasing blood level of the drug.
Anxiety, irritability, lacrimination, rhinorrhea, sweating, nausea, vomiting,
diarrhea, abdominal cramps, insomnia, tachycardia, hypertension - ANSWER-
Signs and symptoms of abstinence syndrome or withdrawl
Opioid pseudoaddiction - ANSWER-Patients develop certain behavioral
characteristics of psychological dependence as a consequence of in adequate
pain treatment. These patients are often described as difficult patient, chronic
complainers, drug seekers. Patient will often resort to Bizzarre a dramatic
behavior in attempt to prove their pain is real so pain medications are provided.
Double effect - ANSWER-And ethical principle that permits in action, intended to
have a good effect, when there is a risk of also causing harmful affects, only
when the intention was to produce the good effect. And example of this would be
giving high does opioids at end of life to control pain, but may cause sedation.
Character - ANSWER-explanation of pain using words such as tingling, burning,
sharp, shooting.
A change in the patient's behavior. - ANSWER-The gold standard for measuring
effectiveness of pain interventions and patient's discomfort level.
Furrowed brow - ANSWER-Number one indicator of pain for a patient who is
unresponsive.
Peripheral neuropathy that occurs from both the virus and the treatment. Late
stage HIV is often associated with headaches from acute and chronic meningitis
and chest pain from pneumonia - ANSWER-Most common pain syndrome seen in
patients with HIV disease?
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