Advanced Med-Surg Principles Jersey College Exam 1 Questions and Answers Latest Update Fully Solved 100%
13 keer bekeken 0 keer verkocht
Vak
Advanced Med-Surg Principles Jersey College
Instelling
Advanced Med-Surg Principles Jersey College
What would help reduce complications related to pain for patients? - provide a PCA
How do we administer around the clock pain relief for post-op and chronic pain? - provide
analgesics, never wait for chronic pain to reoccur
What is pain is associated with? - actual or potential tissue damage
Wh...
Advanced Med-Surg Principles Jersey
College Exam 1
What would help reduce complications related to pain for patients? - provide a PCA
How do we administer around the clock pain relief for post-op and chronic pain? - provide
analgesics, never wait for chronic pain to reoccur
What is pain is associated with? - actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in? - - increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? - adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from? - adrenal cortex
What does unrelieved pain lead to? - - increases glucagon production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What initiates inflammation, contributes to tissue sweeling, and pain? - Prostaglandins
What can nerve root injury lead to? - allodynia (pain that is associated with non-noxious stimuli)
What is needed for renal blood flow? - Prostaglandin
,Pain is? - whatever the patient says it is
What is the single most reliable indicator of pain? - the patient's self-report
How do NSAID's preimarily produce pain relief? - by preventing prostaglandin formation
What does acetaminphen not have? - any inflammatory properties
What do you manage nociceptive pain with? - - local anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? - no pain
What does the Wong-Baker FACES pain scale consist of? - cartoon faces that the patient (ages 3
and up) selects to report thier pain level
What does the visual analog 10cm scale represent? - no pain to the worst pain, the patient marks
a spot somewhere in between indicating their pain level
What during labor increases the risk of neonate aquiring acute encephalitis? - active herpes
simplex virus-2
How do you administer meds? - starting with the lowest dose and titrating up slowly
What pain scale helps indiviuals describe the intensity of pain? - verbal descriptor scale
What does a comprehensive pain assessment consist of? - - duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
,- location
What patients do we avoid the rectal route for med administration? - thrombocytopenic
What type of effect do topical agents produce? - local
What type of effect do transdermal agents produce? - drug absorption into the systemic
circulation
What is provided for mild to moderate pain? - aspirin or acetaminaphen
What is provided for moderate pain? - NSAID's
What is provided for severe pain? - morphine
Why would you wake patients who have chronic pain or who have moderate to severe pain folowing
surgery? - to administer prescribed analgcsics
What can excessive use of acetaminophen cause? - hepatoxicity
What does of acetaminophen could lead to hepatoxicity? - 4,000 mg/day
What can NSAID's meds result in? - - 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? -
acute renal failure
What undesirable effects do opioids produce? - - constipation
, - nausea
- pupil constriction
- respiratory distress
Physical dependence and tolerance are not the same as what? - addiction
Why do you never apply heat over a transdermal patch? - it could increase absorption and result
in lethal complications
How should you manage neuropathic pain? - with adjuvant meds such as antidepressants or
anticonvulsants
What should not be used in a clincial practice that it would violate the nurse-patient relationship? -
placebos
What are some non-pharmacologic pain management strategies? - - physical modalities
- mind-body methods
- biologic and energy-based therapies
What are the clinical manifestations of hyponatremia? - - headaches
- seizures
- lethargy
- tachycardia
- decreased BP
- thready pulse
- hyperactive bowel sounds
- abdominal cramps
What are signs of hypoxia? - - restlessness
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
√ Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, Bancontact of creditcard voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper PatrickKaylian. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €7,60. Je zit daarna nergens aan vast.
