Jersey College MedSurg 1 RN FINAL EXAM QUESTIONS & ANSWERS(GRADED A)
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Course
Jersey College MedSurg 1 RN
Institution
Jersey College MedSurg 1 RN
weight, smoking, sex practices, diet - ANSWER List four modifiable risk factors. (general health promotion)
age, genetics, sex - ANSWER List three non-modifiable risk factors. (general health promotion)
cultural assessment - ANSWER What type of assessment should the nurse preform prior to ini...
Jersey College
MedSurg 1 RN FINAL
EXAM QUESTIONS &
ANSWERS(GRADED A)
weight, smoking, sex practices, diet - ANSWER List four modifiable risk factors. (general health
promotion)
age, genetics, sex - ANSWER List three non-modifiable risk factors. (general health promotion)
cultural assessment - ANSWER What type of assessment should the nurse preform prior to initiating
health teaching?
physiological integrity
safety and security
belongingness and affection
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above - ANSWER Maslow's Hierarchy of Needs
--priorities?
--what order?
, Healthy People 2020 - ANSWER Organization that identifies health promotion and disease prevention
goals and lists strategies along with resources in an attempt to improve the nation's health
The Institute of Medicine's report on the Future of Nursing - ANSWER Organization that recommends
ways to strengthen the practice of nursing in order to improve health care.
The National Patient Safety Goals - ANSWER 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 - ANSWER 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
nerve route injury - ANSWER ________________ 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
effects on function/daily activities - ANSWER What does a comprehensive pain assessment include?
visual analog scale - ANSWER 10cm line that represents no pain to worst pain on each end of the line
and the patient places a mark somewhere between the two ends depending on the severity of pain
numeric rating scale - ANSWER ranges from 0 to 10 with 0 representing no pain
Wong-Baker FACES Scale (ages 3+) - ANSWER consists of cartoon faces that the patient selects to report
their pain
verbal descriptor scale - ANSWER uses words to help individuals describe the intensity of their pain
Wong-Baker FACES Scale - ANSWER should never be used by the provider to match the patient's facial
expression
produce a local effect - ANSWER effect produced by topical analgesics
produces drug absorption into the systemic circulaiton - ANSWER effect produced by transdermal route
of analgesics
provide PCA (patient controlled analgesia) - ANSWER Provide ____________ to help reduce
complications related to pain. Used in postoperative patients as a preventative measure for pain.
around the clock - ANSWER Provide administration of analgesics __(frequency)__ for chronic and
postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - ANSWER given for mild to moderate pain
NSAIDS - ANSWER given for moderate pain
, opioid analgesics (Morphine) - ANSWER given for severe pain
rectal route - ANSWER Avoid which medication administration route for patients who are
thrombocytopenic?
Acetaminophen - ANSWER Use of this analgesic could result in hepatoxicity and should not exceed
4,000mg/day.
NSAIDS - ANSWER analgesic that could result in gastric ulcers or contribute to cardiovascular events such
as MI or stroke
NSAIDS - ANSWER analgesic that could lead to acute renal failure in patients with volume depletion or
who take it for chronic pain
prostaglandin - ANSWER needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression - ANSWER undesirable side effects of
opioids
could increase absorption and result in lethal complications - ANSWER Never apply heat over
transdermal patches. Why?
antidepressants or anticonvulsants - ANSWER adjuvant medications used to manage neuropathic pain
metabolic alkalosis - ANSWER Vomiting can lead to what acid-base imbalance
metabolic acidosis - ANSWER Diarrhea can lead to what acid-base imbalance
calcium - ANSWER Mineral that helps to regulate muscle contraction and relaxation
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