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Jersey College MedSurg 1 RN FINAL EXAM Questions With 100%Verified AnswersA+GRADED
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Jersey College MedSurg 1 RN FINAL EXAM Questions With 100%Verified AnswersA+GRADED weight, smoking, sex practices, diet - correct answer...List four modifiable risk factors. (general health promotion) age, genetics, sex - correct answer...List three non-modifiable risk factors. (general healt...

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  • August 12, 2024
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Jersey College MedSurg 1 RN FINAL
EXAM Questions With 100%Verified
AnswersA+GRADED
weight, smoking, sex practices, diet - correct answer...✔✔List four modifiable risk
factors. (general health promotion)

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

cultural assessment - correct 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 - correct answer...✔✔
Maslow's Hierarchy of Needs
--priorities?
--what order?

Healthy People 2020 - correct 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 - correct answer...✔✔
Organization that recommends ways to strengthen the practice of nursing in order to
improve health care.

The National Patient Safety Goals - correct 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 - correct 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




AGRADESOLUTIONS

,QSEN - Quality and Safety Education for Nurses Institute - correct answer...✔✔
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 - correct answer...✔✔What is pain?

actual or potential tissue damage - correct answer...✔✔Pain is associated with
__________________________________.

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

blood pressure, heart rate, and respirations - correct answer...✔✔Pain stimulates the
sympathetic nervous system and could result in an increase in ___________,
___________, and ____________.

increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors - correct answer...✔✔physiologic effects of unrelieved
pain (4)

prostaglandins - correct answer...✔✔initiate inflammation and contribute to tissue
swelling and pain

NSAIDS - correct answer...✔✔______ primarily produce pain relief by preventing
prostaglandin formation.

Acetaminophen - correct answer...✔✔_____________ does not have anti-inflammatory
properties.

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

local anesthetics, non-opioids or opioids - correct answer...✔✔manage nociceptive
pain with?

allodynia - correct answer...✔✔pain that is associated with a noxious stimulus

nerve route injury - correct answer...✔✔________________ could lead to allodynia.

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


AGRADESOLUTIONS

,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 - correct answer...✔✔What does a comprehensive
pain assessment include?

visual analog scale - correct 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 - correct answer...✔✔ranges from 0 to 10 with 0 representing no
pain

Wong-Baker FACES Scale (ages 3+) - correct answer...✔✔consists of cartoon faces
that the patient selects to report their pain

verbal descriptor scale - correct answer...✔✔uses words to help individuals describe
the intensity of their pain

Wong-Baker FACES Scale - correct answer...✔✔should never be used by the provider
to match the patient's facial expression

produce a local effect - correct answer...✔✔effect produced by topical analgesics

produces drug absorption into the systemic circulaiton - correct answer...✔✔effect
produced by transdermal route of analgesics

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

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

aspirin or acetaminophen - correct answer...✔✔given for mild to moderate pain



AGRADESOLUTIONS

, NSAIDS - correct answer...✔✔given for moderate pain

opioid analgesics (Morphine) - correct answer...✔✔given for severe pain

rectal route - correct answer...✔✔Avoid which medication administration route for
patients who are thrombocytopenic?

Acetaminophen - correct answer...✔✔Use of this analgesic could result in hepatoxicity
and should not exceed 4,000mg/day.

NSAIDS - correct answer...✔✔analgesic that could result in gastric ulcers or contribute
to cardiovascular events such as MI or stroke

NSAIDS - correct answer...✔✔analgesic that could lead to acute renal failure in
patients with volume depletion or who take it for chronic pain

prostaglandin - correct answer...✔✔needed for renal blood flow

constipation, nausea, pupil constriction, and respiratory depression - correct answer...✔
✔undesirable side effects of opioids

could increase absorption and result in lethal complications - correct answer...✔✔
Never apply heat over transdermal patches. Why?

antidepressants or anticonvulsants - correct answer...✔✔adjuvant medications used to
manage neuropathic pain

metabolic alkalosis - correct answer...✔✔Vomiting can lead to what acid-base
imbalance

metabolic acidosis - correct answer...✔✔Diarrhea can lead to what acid-base
imbalance

calcium - correct answer...✔✔Mineral that helps to regulate muscle contraction and
relaxation

high in calcium and low in phosphorus - correct answer...✔✔In the setting of
hypoparathyroidism, provide a diet that is high in _______ and low in __________.

osmotic pressure - correct answer...✔✔Chloride works with sodium to determine
_______________.

hypochloremic metabolic alkalosis - correct answer...✔✔If chloride levels drop,
bicarbonate is retained and results in _______________________________.


AGRADESOLUTIONS

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