Both the peripheral and the central nervous systems are involved in the transmission of a pain stimulus. When there is continued input from the peripheral nervous system, what can develop?
A) Fibromyalgia
B) A peripherally mediated pain syndrome
C) Neuronal plasticity
D) A centrally mediated pain syndrome
D
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A patient who takes lithium for manic episodes has been walking daily. Now that the weather is very hot, it is important to instruct the patient that:
1. she should stay in the shade when she walks. 2. she should stop walking. 3. she will need to maintain her hydration to avoid lithium toxicity. 4. she can continue with her exercise program, because lithium toxicity is very rare.
A patient who has been admitted with symptoms of stroke is to have a CT scan. What rationale for this testing would the nurse provide to the patient and family?
1. CT scans are used to determine the effectiveness of the cerebral circulation to perfuse all areas of the brain. 2. The CT scan will evaluate how much brain swelling is associated with this stroke. 3. The CT scan will pinpoint the exact area of the brain affected by the stroke. 4. The CT scan can guide treatment by differentiating hemorrhagic from ischemic causes of the stroke.
During a fishing trip, a patient pierced his finger with a large fishhook. He is now in the emergency department to have it removed. The nurse anticipates that which type of anesthesia will be used for this procedure?
a. No anesthesia b. Topical benzocaine spray on the area c. Topical prilocaine (EMLA) cream around the site d. Infiltration of the puncture wound with lidocaine
A patient diagnosed with an eating disorder refuses to be weighed and says, "I just drank a big glass of water." Select the nurse's best response
a. "Call me after you have emptied your bladder." b. "This is weight day. Please step on the scale." c. "I will weigh you tomorrow." d. "You know the rules."