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NURS 366 Exam Questions And Answers
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NURS 366 Exam Questions And AnswersName some pain behaviors of an infant ANSWER Eyes closed, crying, stiff posture,
Pain behaviors of children/adolescents? ANSWER Anxious, drawing up knees,
massaging area, immobile or guarding, depression, aggressive behavior, fear pain will
worsen
FLACC Assessment Scale What does this assessment scale measure, and how is it
used? -ANSWER Pain assessment scale; observable behaviors of children in pain.
Observe Face, Legs, Activity, Cry, Consolability. Each gets a score from 0-2, added
together to get a pain scale of 0-10
What is the age range for the FLACC scale? -ANSWER 2 months to 7 years
FACES assessment scale This is what, and how is it used? ANSWER Pain assessment
scale using cartoon faces that outline amounts of pain from 5 to 10. Child points to face
that best describes how she/he is feeling. A self-report pain assessment tool.
What age and what type of assessment tool can be utilized with the numeric pain
assessment scale? ANSWER Age 5 years and older; a self-report assessment tool
How is medication dosage calculated for pediatrics? ANSWER Based on body weight. If
weight is > 100 lbs, use adult dosages
Medications and Dosages: Four things to remember when dosing for a child? -ANSWER
1. Children metabolize drugs faster than adults. 2. Children have more variability in drug
elimination and side effects than adults. 3. Children may require higher doses of opioids
than adults to achieve the same analgesic effect. 4. Dosages are calculated based on
body weight.
,What is ceiling effect, and what class of drugs exhibits it? -ANSWER Ceiling effect refers
to a larger dose not producing an enhanced analgesic effect. I.e., going beyond the
recommended dose will not produce more pain relief. Ceiling effect is observed in
non-opioids but NOT in opioids.
For children, anesthetic creams are useful for what? Name two types. - ANSWER Useful
for IV placement or IMs. EMLA or LMX4. Apply 30-60 minutes prior to
procedure/administration
Name some non-pharmacological pain relief methods - ANSWER Allow parents to stay
with child (when able), distraction, relaxation guided imagery. For newborns: pacifiers,
sucrose, kangaroo care
List five characteristics of IV solution/bag that one must review before administration. -
ANSWER 1. Types of fluid-isotonic, hypertonic, hypotonic-ie diluent
2. Amount of fluid
3. Med, dosage, route
4. Expiration
5. Patient identifiers
Fluid leaking? Fluid clear? Right solution? (check order)
What are three things to assess for in IV sites? - ANSWER Phlebitis - inflammation of the
vein; Infiltration - medicine that has seeped from the IV into immediate surrounding
tissue; Extravasation - same as infiltration but the medicine involved is a vesicant.
Action taken if phlebitis is observed at IV site? - ANSWER DC IV and apply warm
compress
What should be done if infiltration is noted at IV site? - ANSWER DC IV and apply warm
compress
What should be done if extravasation is noted at IV site? - ANSWER DC infusion, attempt
, to aspirate drug, apply ice, research device (antidote for vesicant?), notify provider
Name sites of body to assess for fluid excess and fluid deficit. - ANSWER Head, neck,
trunk, extremities
Name the signs/symptoms of phlebitis. - ANSWER Erythema (streaks), pain, edema
Signs/symptoms of infiltration - ANSWER Skin blanched and cool to touch, edema, pain,
bruising
Name three reasons an IV may be required - ANSWER 1. Administer meds
2. Alterations in fluid balance
3. Alterations in electrolyte balance
During IV therapy, name the things that should be monitored/assessed - ANSWER Labs,
fluid balance, electrolytes, weight, vital signs, I&O, review of systems, physical
assessment
Name the 4 Ps of hourly rounding - ANSWER Pain, Position, Potty, Possessions
Three results from the BMJ Quality and Safety study? - ANSWER Hospitals should have
unrestricted visitor access, patients should participate in shift change reports (bedside
shift report), and hospitals need policies for disclosure/apology of errors.
SOAPIE format for writing a nurse's note? - ANSWER Subjective, Objective,
Assessment, Plan, Implement, Evaluate
What are cataracts? Symptoms and treatment? - ANSWER Altered transparency in the
lens of the eye. Symptoms: glare, blurred vision --> like looking through smokey glass.
Treatment: none other than surgical removal and implant
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