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Physical Assessment: Pain

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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

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