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NURSING MISCMS2 Exam 1 study guide graded A
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MS2 Exam 1 study guide 1MS 2 Exam 1 Critical Thinking
Ch. 8=4
1. What is pain?
a. Nociceptive Pain=caused by damage to somatic or visceral tissue
i. Superficial pain- from skin, mucous membranes or sub
tissue
ii. Deep pain- aching, throbbing. From bone, joint,
muscle or connective tissue.
iii. Visceral pain- from internal organs and lining of body
cavities
b. Neuropathic pain=caused by damage to peripheral nerves or
structures in the CNS
i. Described as numbing, hot, burning, shooting, stabbing,
sharp, or electric shock-like.
ii. Can be sudden, intense, short lived or lingering
c. Acute= Sudden pain. Usually lasting less than 3 months
d. Chronic= Gradual or sudden. Usually lasting longer than 3 months
2. What is referred pain?
a. Pain felt in a part of the body other than its actual source.
3. In pain management, what characteristic of pain should be assessed by
the RN? SEE TABLE 8-5 p 108
a. Use of COLDERS
i. Cause, Onset, Location, Duration, Exacerbation, Relieving
factors, Severity
4. What are some Non-drug therapies to use in managing a patient pain?
When would you use these non-drug therapies? P 122
a. Acupuncture
b. Heat or cold
c. Exercise
d. Massage
e. TENS unit
f. Distraction
g. Hypnosis
h. Imagery
i. Relaxation
5. What patient education is needed with a patient-controlled
analgesia (PCA)?
a. For use by only the patient
b. Has a max dose that only give so much per button push.
Once max is reached, no more is given. Adjusted if needed
by nurse or HCP
,MS2 Exam 1 study guide 2
c. TO GIVE BEFORE PAIN IS SEVERE P 120
, MS2 Exam 1 study guide 3
6. What is the best method for the nurse to evaluate effectiveness of ANY
pain management intervention?
a. LOWER BP, LOWER PULSE, LOWER PAIN LEVEL, LOWER ANXIETY
Ch. 9=2
7. Imagine you are acute care nurse on a MS unit caring for a patient that is
suffering from a terminal illness, who shares with you that they do not
quite understand the difference between palliative care and hospice
care. What would you tell them in response?
a. Palliative care
i. Any form of care or treatment that focuses on reducing
the severity of disease symptoms.
ii. Prevent and relieve suffering and improve quality of life
for patients with serious life-limiting illnesses.
b. Hospice
i. Provided when the physician determines a person has 6
months or less to live, and that person or health care
proxy decides to forgo curative treatments.
ii. Main goal is to assist the patient to live fully as
comfortable as possible and to die pain free and with
dignity.
8. Then the same patient tells you that they think they want hospice
care. What would you then say and or do?
a. Not a place but a concept of care that provides compassion,
concern and support for persons in the last phases of a terminal
disease
b. Admission has two criteria- the patient must desire the services
and agree in writing that only hospice care (not curative care)
can be used to treat the terminal illness- 2 physicians certify
that the patient's prognosis is terminal with less than 6 months
to live
9. Then imagine you are a hospice nurse caring for a EOL cancer patient
who is experiencing lots of pain. How would you best manage their pain?
a. Morphine – BOTH ER AND SHORT ACTING/INTERMEDIATE
ACTING. ALSO FENTANYL PATCH
Ch. 61=1 & 62=11
10. Describe how to perform a focus assessment for the
musculoskeletal system. P 1464 TABLE 62-3 + P 1474 TABLE 62-7
a. ABC’S
b. Normal spinal curvature
c. No muscle atrophy or asymmetry
d. No joint, swelling, deformity, or crepitation
e. No tenderness on palpation of spine, joints or muscles
f. Full ROM of all joints without pain or laxity
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