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