Advanced Med-Surg Principles Jersey College Exam 1 Questions & Answers 100% Correct
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Course
Advanced Med-Surg Principles Jersey College
Institution
Advanced Med-Surg Principles Jersey College
What during labor increases the risk of neonate aquiring acute encephalitis? - ANSWER-active herpes simplex virus-2
How do you administer meds? - ANSWER-starting with the lowest dose and titrating up slowly
What is pain is associated with? - ANSWER-actual or potential tissue damage
When pa...
Advanced Med-Surg
Principles Jersey
College Exam 1
Questions & Answers
100% Correct
What during labor increases the risk of neonate aquiring acute encephalitis? - ANSWER-active herpes
simplex virus-2
How do you administer meds? - ANSWER-starting with the lowest dose and titrating up slowly
What is pain is associated with? - ANSWER-actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in? - ANSWER-- increase
in BP
- increase in HR
- increase in RR
Where are catecholamines released from? - ANSWER-adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from? - ANSWER-adrenal cortex
,What does unrelieved pain lead to? - ANSWER-- increases glucagon production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What is needed for renal blood flow? - ANSWER-Prostaglandin
Pain is? - ANSWER-whatever the patient says it is
What is the single most reliable indicator of pain? - ANSWER-the patient's self-report
How do NSAID's preimarily produce pain relief? - ANSWER-by preventing prostaglandin formation
What does acetaminphen not have? - ANSWER-any inflammatory properties
What do you manage nociceptive pain with? - ANSWER-- local anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? - ANSWER-no pain
What does the Wong-Baker FACES pain scale consist of? - ANSWER-cartoon faces that the patient
(ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? - ANSWER-no pain to the worst pain, the patient
marks a spot somewhere in between indicating their pain level
What pain scale helps indiviuals describe the intensity of pain? - ANSWER-verbal descriptor scale
What does a comprehensive pain assessment consist of? - ANSWER-- duration (when it
started/lasted)
- type (intensity/assoc factors/influencing fators)
,- location
What patients do we avoid the rectal route for med administration? - ANSWER-thrombocytopenic
What type of effect do topical agents produce? - ANSWER-local
What type of effect do transdermal agents produce? - ANSWER-drug absorption into the systemic
circulation
What would help reduce complications related to pain for patients? - ANSWER-provide a PCA
What initiates inflammation, contributes to tissue sweeling, and pain? - ANSWER-Prostaglandins
What can nerve root injury lead to? - ANSWER-allodynia (pain that is associated with non-noxious
stimuli)
How do we administer around the clock pain relief for post-op and chronic pain? - ANSWER-provide
analgesics, never wait for chronic pain to reoccur
What is provided for mild to moderate pain? - ANSWER-aspirin or acetaminaphen
What is provided for moderate pain? - ANSWER-NSAID's
What is provided for severe pain? - ANSWER-morphine
Why would you wake patients who have chronic pain or who have moderate to severe pain folowing
surgery? - ANSWER-to administer prescribed analgcsics
What can excessive use of acetaminophen cause? - ANSWER-hepatoxicity
What does of acetaminophen could lead to hepatoxicity? - ANSWER-4,000 mg/day
, What can NSAID's meds result in? - ANSWER-- gastric ulcers
- contribute to CV events (MI or stroke)
What can the use of NSAID's lead to in patients with volume depletion or who take it for chronic
pain? - ANSWER-acute renal failure
What undesirable effects do opioids produce? - ANSWER-- constipation
- nausea
- pupil constriction
- respiratory distress
Physical dependence and tolerance are not the same as what? - ANSWER-addiction
What should not be used in a clincial practice that it would violate the nurse-patient relationship? -
ANSWER-placebos
What are some non-pharmacologic pain management strategies? - ANSWER-- physical modalities
- mind-body methods
- biologic and energy-based therapies
What are the clinical manifestations of hyponatremia? - ANSWER-- headaches
- seizures
- lethargy
- tachycardia
- decreased BP
- thready pulse
- hyperactive bowel sounds
- abdominal cramps
What are signs of hypoxia? - ANSWER-- restlessness
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