Jersey College MedSurg 1 RN FINAL EXAM
weight, smoking, sex practices, diet - ANS List four modifiable risk factors. (general health promotion)
age, genetics, sex - ANS List three non-modifiable risk factors. (general health promotion)
cultural assessment - ANS What type of...
weight, smoking, sex practices, diet - ANS List four modifiable risk factors. (general health
promotion)
age, genetics, sex - ANS List three non-modifiable risk factors. (general health promotion)
cultural assessment - ANS What type of assessment should the nurse preform prior to initiating
health teaching?
physiological integrity
safety and security
belongingness and affection
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above - ANS Maslow's Hierarchy of
Needs
--priorities?
--what order?
Healthy People 2020 - ANS Organization that identifies health promotion and disease
prevention goals and lists strategies along with resources in an attempt to improve the nation's
health
The Institute of Medicine's report on the Future of Nursing - ANS Organization that
recommends ways to strengthen the practice of nursing in order to improve health care.
The National Patient Safety Goals - ANS The Joint Commission lists the top patient safety
concerns and includes medication safety, infection prevention, surgery-related mistakes, patient
identification and improving staff communication. What is this list called?
Nurse Practice Acts - ANS This governs nursing practice and is a law that is put into place to
protect the public - nurses must follow and comply with their state's regulations
,QSEN - Quality and Safety Education for Nurses Institute - ANS Institute that seeks to
strengthen the knowledge, skills, and attitudes of nurses in providing continuous quality
improvement in health care
whatever the patient says it is - ANS What is pain?
actual or potential tissue damage - ANS Pain is associated with
__________________________________.
the patient's self report - ANS The single most reliable indicator of pain is _______.
blood pressure, heart rate, and respirations - ANS Pain stimulates the sympathetic nervous
system and could result in an increase in ___________, ___________, and ____________.
increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors - ANS physiologic effects of unrelieved pain (4)
prostaglandins - ANS initiate inflammation and contribute to tissue swelling and pain
NSAIDS - ANS ______ primarily produce pain relief by preventing prostaglandin formation.
Acetaminophen - ANS _____________ does not have anti-inflammatory properties.
tissue damage - ANS ______________ stimulates the inflammatory response and puts the
patient at risk for pain.
local anesthetics, non-opioids or opioids - ANS manage nociceptive pain with?
allodynia - ANS pain that is associated with a noxious stimulus
nerve route injury - ANS ________________ could lead to allodynia.
timing:
onset - when it started
duration - where it started
frequency - how often/for how long
type - includes intensity, associated factors
influencing factors - what makes it better/worse
intensity - how bad does it hurt
,quality - what does it feel like
location - where does it hurt
effects on function/daily activities - ANS What does a comprehensive pain assessment
include?
visual analog scale - ANS 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 - ANS ranges from 0 to 10 with 0 representing no pain
Wong-Baker FACES Scale (ages 3+) - ANS consists of cartoon faces that the patient selects
to report their pain
verbal descriptor scale - ANS uses words to help individuals describe the intensity of their pain
Wong-Baker FACES Scale - ANS should never be used by the provider to match the patient's
facial expression
produce a local effect - ANS effect produced by topical analgesics
produces drug absorption into the systemic circulaiton - ANS effect produced by transdermal
route of analgesics
provide PCA (patient controlled analgesia) - ANS Provide ____________ to help reduce
complications related to pain. Used in postoperative patients as a preventative measure for
pain.
around the clock - ANS Provide administration of analgesics __(frequency)__ for chronic and
postoperative pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - ANS given for mild to moderate pain
NSAIDS - ANS given for moderate pain
opioid analgesics (Morphine) - ANS given for severe pain
rectal route - ANS Avoid which medication administration route for patients who are
thrombocytopenic?
, Acetaminophen - ANS Use of this analgesic could result in hepatoxicity and should not exceed
4,000mg/day.
NSAIDS - ANS analgesic that could result in gastric ulcers or contribute to cardiovascular
events such as MI or stroke
NSAIDS - ANS analgesic that could lead to acute renal failure in patients with volume
depletion or who take it for chronic pain
prostaglandin - ANS needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory depression - ANS undesirable side
effects of opioids
could increase absorption and result in lethal complications - ANS Never apply heat over
transdermal patches. Why?
antidepressants or anticonvulsants - ANS adjuvant medications used to manage neuropathic
pain
metabolic alkalosis - ANS Vomiting can lead to what acid-base imbalance
metabolic acidosis - ANS Diarrhea can lead to what acid-base imbalance
calcium - ANS Mineral that helps to regulate muscle contraction and relaxation
high in calcium and low in phosphorus - ANS In the setting of hypoparathyroidism, provide a
diet that is high in _______ and low in __________.
osmotic pressure - ANS Chloride works with sodium to determine _______________.
hypochloremic metabolic alkalosis - ANS If chloride levels drop, bicarbonate is retained and
results in _______________________________.
action potentials
weakness or excitability - ANS Changes in electrolytes impair _________________ resulting in
________ or ____________.
fluid volume deficit (FVD) - ANS Small shifts in intravascular volume in children increases their
risk for __________________.
albumin - ANS Proteins like _______ create an oncotic pressure.
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