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Exam (elaborations)

2024 NSG 251 MARIAN UNIVERSITY EXAM 2 WITH ANSWERS

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  • NSG 251 MARIAN UNIVERSITY
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  • NSG 251 MARIAN UNIVERSITY

2024 NSG 251 MARIAN UNIVERSITY EXAM 2 WITH ANSWERS

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  • September 24, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NSG 251 MARIAN UNIVERSITY
  • NSG 251 MARIAN UNIVERSITY
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Elitaa
2024 NSG 251 MARIAN
UNIVERSITY EXAM 2 WITH
ANSWERS



Acute Pain - CORRECT-ANSWERSResults from injury, trauma, disease process
that damages the body tissue. Intensity of pain is proportional to amount of
tissue damage. Also known as fast pain - occurs quickly after damange

Chronic Pain - CORRECT-ANSWERSLasts 3 months or longer. Demands
attention less urgently. Always there. May not have wide spread visible
signs. Often accompanied by stress, irritability, depression, and problems
sleeping.

Referred Pain - CORRECT-ANSWERSOriginates from smooth organs or
muscles. Ex gallbladder attack

Oxycodone (oxycontin) - CORRECT-ANSWERSPopular drug of abuse

Combined with ASA - Percodan, w/ acetaminophen Percocett

Codeine - CORRECT-ANSWERSUsually with acetaminophen

Sometimes pt might say has an allergy with this, but usually AE of N/V. So a
lot of people can't take.

Hydrocodone (Norco) - CORRECT-ANSWERSSchedule II, abuse issues

Common after surgery and in ER

Packaged with 325mg of acetaminophen. Drug similar is Vicodin (packaged
with 500mg acetaminophen and FDA put a limit on how much can put with
products)

Meperidine (Demerol) - CORRECT-ANSWERSSynthetic

May cause tremors, hallucinations, seizures

With repeated dosages can cause renal impairment. Get accumulation of
toxic metabolite called normeperidine and so drug is not used much.

, Sometimes still used in ER for migraines. More common 5 years ago

Tramadol - CORRECT-ANSWERSSynthetic

Original use for chronic pain, but now seeing abuse potential

Schedule IV due to abuse potential

Opioid Agonist/Antagonist - CORRECT-ANSWERSButorphanol (Stadol)

Nalnbuphine (Nubain)

Agonist at some receptors and antagonist activity at others

Reduced potential of abuse

Never give to someone who has received opioid analgesics (due to
antagonist activity)

Not given very often

Opioid Nursing Implications - CORRECT-ANSWERSMost schedule II, well
absorbed orally

Caution if used for chronic due to risk of addiction

Monitor for sedation. Especially if have never take an opioid (opioid naive)

Alternate with non-narcotics

Do not drive, operate machinery, smoke or ETOH

Constipation is common

IR vs SR

May be used in PCA pumps (pt controlled analgesic)

PCA Pump - CORRECT-ANSWERSRN programs to amt of drug MD orders. Can
be morphine or hydromorphone. Pt presses button to release drug when in
pain. Program allows for certain amt of med to be given and no more than
MD ordered. Common postop.

Opioid Adverse Effects - CORRECT-ANSWERSSedation, respiratory depression
(due to sedation), postural hypotension, flushing, N/V, constipation, urinary
retention, pupil constriction

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