NURS 3632 University Of Texas - Arlington -N3632 -
Exam 3 (Clinical Foundations - Washington) Questions
With Complete Solutions
What is the best tool to get perception of pain from patient? - ANSWER Self Report
Meperidine is contraindicated with what age group for pain? - ANSWER Older
clients
T/F
Fentanyl patches are great for acute pain. - ANSWER False, Fentanyl patches are
more for Chronic pain and delivers 24 hours of coverage.
Who is only allowed to deliver Epidural? - ANSWER CRNA'S
What is visceral pain? - ANSWER Originating from interior organs, DEEP ORGAN
PAIN (intestines, liver, abdomen, chest, cranium)
What is somatic pain? - ANSWER originating from muscle, bone, joints, tendons, or
blood vessels, a Particular part of the body
Injury pain, inflammation pain
What is enoxaparin used for? - ANSWER prevent deep vein thrombus- DVT
(prophalaxis)
good for bedridden patients, You monitor HCT, and HMG
What is antidote to Enoxaparin? - ANSWER protamine sulfate
Procedure for Inhalers is - ANSWER *start inhaling while pressing and INHALE
SLOW over 3-5 seconds (1 puff each breath) once inhaled, have pt HOLD breath for
10 seconds
wait 1 minute between each puff
how to insert a rectal suppository - ANSWER left sims position
insert 3-4 inches past sphincter to the walls (not directly into poop)
Perioperative stage of SX - ANSWER decision to have sx, last until pt is in
operating room
Intraoperative stage SX - ANSWER operating room until taken to PACU (Post
Anesthesia Care Unit)
, Postoperative stage of SX - ANSWER PACU to complete recovery from SX/last
follow up with HCP
What happens during PREoperative stage of sx? - ANSWER Informed consent
(unless Emergency) teaching about sx (not after, because drowsy from sx), check for
risk factors to make sure safe for patient
Why is it important to get informed consent before sx? - ANSWER After sx the
patient is drowsy from anesthesia, you want to make sure they are well aware of
what will occur
What do we do during the Intraoperative stage of sx? - ANSWER positioning (decr
risk of pressure ulcers from the OR table)
document vitals, blood deficit, pain management and adjusting anesthesia if needed
What do we monitor in PACU? - ANSWER nutrition, signs of infection, teaching on
care and movement restrictions, shock, thrombophlebitis
Elective Sx - ANSWER schedule in advance (does not mean NOT NECCESARY) it
means it can wait, but neccesary
Urgent Sx - ANSWER can wait until patient is more stable, <less than 2 days
Emergent Sx - ANSWER do w/o delay, NOW! can result in death or permanent
damage if not done STAT
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