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2024 NDSU NURS 251 EXAM 2 WITH ANSWERS
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2024 NDSU NURS 251 EXAM 2 WITH ANSWERS
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2024 NDSU NURS 251 EXAM 2WITH ANSWERS
Effects of immobility: Urinary elimination - CORRECT-ANSWERSUrinary
Stasis->Renal Calculi->Infection
Urinary Elimination: assessment - CORRECT-ANSWERSAssess patients Intake
& Output, Assess urine for color, consistency & odor, Monitor for signs &
symptoms of infection
Urinary Elimination: Intervention - CORRECT-ANSWERSAssess Intake &
output
Assess elimination patterns
Monitor labs
Toileting schedule/aids
Encourage ambulation
Effects of immobility: integumentary System - CORRECT-ANSWERSPressure
Ulcers
•Inflammation
•Ischemia
Older Adults at greater risk
Integumentary System: Assessment - CORRECT-ANSWERSAssess
•What? Skin
•Where? Especially over bony prominences
•When? During routine assessment
•How often? During routine turning
Integumentary System:Interventions - CORRECT-ANSWERSRepo
skincare
Effects of immobility: psychosocial - CORRECT-ANSWERS•Emotional &
behavioral responses
•Sensory alterations
•Changes in Coping
•Social & Family difficulties
What Does Pain Affect? - CORRECT-ANSWERS´Affects functional abilities and
quality of life
´Interferes with work, recreation domestic activities
, ´Makes those who suffer wonder if life is worth living
´Pain is a HIGH PRIORITY problem for nurses—Nurses MUST be Advocates for
pain relief!!
Physiology of Pain - CORRECT-ANSWERS•Transduction:
•activation of nociceptors by stimuli
•Transmission:
•conduction of pain message to spinal cord
•Pain perception:
•recognizing and defining pain in cortex
•Pain modulation:
•changing pain perception
Etiology - CORRECT-ANSWERSNociceptive pain
•Somatic pain
•Visceral pain
Neuropathic pain
•Peripheral neuropathic pain
•Central neuropathic pain
•Sympathetically maintained pain
SUPERFICIAL Pain - CORRECT-ANSWERScutaneous
Deep SOMATIC pain - CORRECT-ANSWERScomes from sources such as blood
vessels, joints, tendons, muscles, and bone
RADIATING/REFERED - CORRECT-ANSWERS•appears to arise in different
areas of the body (ex. Cardiac pain, gallbladder pain)
VISCERAL - CORRECT-ANSWERS•pain arising from organs or hollow viscera
Intensity of Pain - CORRECT-ANSWERS•0 = no pain
•2 = awareness of pain only when paying attention to it
•4 = can ignore pain and to things
•6 = can't ignore pain, interferes with functioning
•8 = impairs ability to function or concentrate
•10 = intense incapacitating pain
Ethnic and Cultural Values Factors for pain - CORRECT-ANSWERS•Behavior
•Tolerance
•Nurse's attitude
•See handout
Developmental Stage Factors for pain - CORRECT-ANSWERSSee handout for
age variations and nursing interventions
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