JERSEY COLLEGE MEDSURG 1QUESTIONS WITH 100%
CORRECT ANSWERS!!
visual analog scale
Answers 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
Answers ranges from 0 to 10 with 0 representing no pain
Wong-Baker FACES Scale (ages 3+)
Answers consists of cartoon faces that the patient selects to report their pain
verbal descriptor scale
Answers uses words to help individuals describe the intensity of their pain
Wong-Baker FACES Scale
Answers should never be used by the provider to match the patient's facial
expression
produce a local effect
Answers effect produced by topical analgesics
produces drug absorption into the systemic circulaiton
Answers effect produced by transdermal route of analgesics
,provide PCA (patient controlled analgesia)
Answers Provide ____________ to help reduce complications related to pain.
Used in postoperative patients as a preventative measure for pain.
around the clock
Answers Provide administration of analgesics __(frequency)__ for chronic and
postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen
Answers given for mild to moderate pain
NSAIDS
Answers given for moderate pain
opioid analgesics (Morphine)
Answers given for severe pain
rectal route
Answers Avoid which medication administration route for patients who are
thrombocytopenic?
Acetaminophen
Answers Use of this analgesic could result in hepatoxicity and should not exceed
4,000mg/day.
NSAIDS
,Answers analgesic that could result in gastric ulcers or contribute to
cardiovascular events such as MI or stroke
NSAIDS
Answers analgesic that could lead to acute renal failure in patients with volume
depletion or who take it for chronic pain
prostaglandin
Answers needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression
Answers undesirable side effects of opioids
could increase absorption and result in lethal complications
Answers Never apply heat over transdermal patches. Why?
antidepressants or anticonvulsants
Answers adjuvant medications used to manage neuropathic pain
metabolic alkalosis
Answers Vomiting can lead to what acid-base imbalance
metabolic acidosis
Answers Diarrhea can lead to what acid-base imbalance
calcium
, Answers Mineral that helps to regulate muscle contraction and relaxation
high in calcium and low in phosphorus
Answers In the setting of hypoparathyroidism, provide a diet that is high in
_______ and low in __________.
osmotic pressure
Answers Chloride works with sodium to determine _______________.
hypochloremic metabolic alkalosis
Answers If chloride levels drop, bicarbonate is retained and results in
_______________________________.
action potentials
weakness or excitability
Answers Changes in electrolytes impair _________________ resulting in
________ or ____________.
fluid volume deficit (FVD)
Answers Small shifts in intravascular volume in children increases their risk for
__________________.
albumin
Answers Proteins like _______ create an oncotic pressure.
oncotic pressure
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