Physical Assessment: Pain
Terms
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- At what phase during nociception does the individual become aware of a painful sensation?
- perception
- The patient describes a burning, painful sensation that moves around his toes and bottoms of his feet. These symptoms are suggestive of :
- neuropathic pain
- During your physical exam, you patient is diaphoretic, pale,and complains of pain directly over the LUQ of the abdoment. This would be categorized as:
- visceral pain.
- The most reliable indicator of pain in the adult is:
- the client's self report
- Normal age-related findings in the lower etremities of an 80 year old would be:
- diminished strength bilaterally
- When a person presents with acute pain of the abdomen, following the initial exam, it is best to withold analgesia until diagnostic testing is compled and a diagnosis is made. t/f
- False
- For elderly postoperative patients, poorly controlled pain places them a higher risk for:
- atelectasis, increased myocardial oxygen demand, and impaired wound healing.
- A 30 year old female reports haveing persistand intense pain in her right are related to trauma sustained from a car accident 5 months ago. She state that the slightest touch or clothin can exacerate the pain. This is called:
- Complex regional pain
- The CRIES is an appropriate pain assessment tool for:
- preterm and term neonates.
- A pain problem should be anticipated in cognitively impaired older aduls with a history of
- periperhal vascular disease.
- Brocca’a area injury
- Difficulty speaking
- Body temperature is controlled by
- Hypothalamus
- To test for stereognosis
- Place a coin in the person’s hand and ask them to identify it
- Neruologic exam, tendon reflex doesn’t appear, before further testing the examiner uses the technique of
- Reinforcement
- Cerebellar function is assessed by
- Coordination hop on one foot
- Babinski relflex is elicited by
- Stroking the lateral aspect of the sole of the foot from heel to ball
- Positive babinski sign
- Is dorsiflexion of the big toe and fanning of all toes
- Cremateric response
- Is positive when the ipsilateral testicle elevates upon storking of the inner aspect of the thibh
- Senile tremors may resemble parkinsonism, except that sentile tremors do not include
- Rigidity and weakness of voluntary movement
- People who have Parkinson’s disease usually have speech that is
- Slow and monotonous
- Cranial nerve for: olfactory
- Controls function: smell
- Cranial nerve for: optic
- Controls function: vision
- Cranial nerve for: oculomotor
- Controls function: extraocular movement, pupil contraction, down and inward movement of the eye
- Cranial nerve for: trochlear
- Controls function: down and inward movement of the eye
- Cranial nerve for: trigeminal
- Controls function: mastication and sensation of face, scalp, cornea
- Cranial nerve for: abducens
- Controls function: lateral movement of the eyes
- Cranial nerve for: facial
- Controls function: taste anterior 2/3 of tongue, close eyes
- Cranial nerve for: acoustic
- Controls function: hearing and equilibrium
- Cranial nerve for: gossopharyngeal
- Controls function: phonation, swallowing, taste posterior 1/3 of tongue
- Cranial nerve for: vagus
- Controls function: talking, swallowing, carotid sinus, and carotid reflex
- Cranial nerve for:spinal
- Controls function: movement of trapezius and sternomastoid muscles
- Cranial nerve for: hypoglossal
- Controls function: movement of the tongue