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Jersey College MedSurg 1 RN FINAL EXAM 100% CORRECT ANSWERS

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Jersey College MedSurg 1 RN FINAL EXAM 100% CORRECT ANSWERS weight, smoking, sex practices, diet - ANS List four modifiable risk factors. (general health promotion) age, genetics, sex - ANS List three non-modifiable risk factors. (general health promotion) cultural assessment - ANS Wha...

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  • August 12, 2024
  • 36
  • 2024/2025
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  • Jersey College MedSurg 1 RN
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Jersey College MedSurg 1 RN FINAL
EXAM 100% CORRECT ANSWERS
weight, smoking, sex practices, diet - ANS List four modifiable risk factors. (general
health promotion)

age, genetics, sex - ANS List three non-modifiable risk factors. (general health
promotion)




A
cultural assessment - ANS What type of assessment should the nurse preform prior to




VI
initiating health teaching?

physiological integrity




TU
safety and security
belongingness and affection
esteem and self-respect
self-actualization
IS
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above - ANS Maslow's Hierarchy
of Needs
OM

--priorities?
--what order?

Healthy People 2020 - ANS Organization that identifies health promotion and disease
prevention goals and lists strategies along with resources in an attempt to improve the
NA


nation's health

The Institute of Medicine's report on the Future of Nursing - ANS Organization that
recommends ways to strengthen the practice of nursing in order to improve health care.
JP




The National Patient Safety Goals - ANS The Joint Commission lists the top patient
safety concerns and includes medication safety, infection prevention, surgery-related
mistakes, patient identification and improving staff communication. What is this list
called?

Nurse Practice Acts - ANS This governs nursing practice and is a law that is put into
place to protect the public - nurses must follow and comply with their state's regulations

,QSEN - Quality and Safety Education for Nurses Institute - ANS Institute that seeks to
strengthen the knowledge, skills, and attitudes of nurses in providing continuous quality
improvement in health care

whatever the patient says it is - ANS What is pain?

actual or potential tissue damage - ANS Pain is associated with
__________________________________.

the patient's self report - ANS The single most reliable indicator of pain is _______.




A
blood pressure, heart rate, and respirations - ANS Pain stimulates the sympathetic




VI
nervous system and could result in an increase in ___________, ___________, and
____________.




TU
increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors - ANS physiologic effects of unrelieved pain (4)
IS
prostaglandins - ANS initiate inflammation and contribute to tissue swelling and pain
OM

NSAIDS - ANS ______ primarily produce pain relief by preventing prostaglandin
formation.

Acetaminophen - ANS _____________ does not have anti-inflammatory properties.
NA


tissue damage - ANS ______________ stimulates the inflammatory response and
puts the patient at risk for pain.

local anesthetics, non-opioids or opioids - ANS manage nociceptive pain with?
JP




allodynia - ANS pain that is associated with a noxious stimulus

nerve route injury - ANS ________________ could lead to allodynia.

timing:
onset - when it started
duration - where it started
frequency - how often/for how long

, type - includes intensity, associated factors

influencing factors - what makes it better/worse

intensity - how bad does it hurt

quality - what does it feel like

location - where does it hurt




A
effects on function/daily activities - ANS What does a comprehensive pain assessment




VI
include?

visual analog scale - ANS 10cm line that represents no pain to worst pain on each end




TU
of the line and the patient places a mark somewhere between the two ends depending
on the severity of pain

numeric rating scale - ANS ranges from 0 to 10 with 0 representing no pain
IS
Wong-Baker FACES Scale (ages 3+) - ANS consists of cartoon faces that the patient
selects to report their pain
OM

verbal descriptor scale - ANS uses words to help individuals describe the intensity of
their pain

Wong-Baker FACES Scale - ANS should never be used by the provider to match the
NA


patient's facial expression

produce a local effect - ANS effect produced by topical analgesics

produces drug absorption into the systemic circulaiton - ANS effect produced by
JP




transdermal route of analgesics

provide PCA (patient controlled analgesia) - ANS Provide ____________ to help
reduce complications related to pain. Used in postoperative patients as a preventative
measure for pain.

around the clock - ANS Provide administration of analgesics __(frequency)__ for
chronic and postoperative pain, never wait for chronic pain to reoccur.

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