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Jersey College MedSurg 1 RN Midterm Exam Fully Answered.
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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 pri...

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  • August 13, 2024
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Jersey College MedSurg 1 RN Midterm
Exam Fully Answered.
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



QSEN - Quality and Safety Education for Nurses Institute - 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 - Answer What is pain?



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



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



blood pressure, heart rate, and respirations - 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 - Answer physiologic effects of unrelieved pain (4)



prostaglandins - Answer initiate inflammation and contribute to tissue swelling and pain



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



Acetaminophen - Answer _____________ does not have anti-inflammatory properties.

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



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



allodynia - Answer pain that is associated with a noxious stimulus



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?

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