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ADVANCED MED-SURG PRINCIPLES JERSEY COLLEGE EXAM 1 QUESTION WITH COMPLETE SOLUTIONS
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ADVANCED MED-SURG PRINCIPLES JERSEY COLLEGE EXAM 1 QUESTION WITH COMPLETE SOLUTIONS
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ADVANCED MED-SURG PRINCIPLESJERSEY COLLEGE EXAM 1 QUESTION
WITH COMPLETE SOLUTIONS
Whatsduringslaborsincreasessthesrisksofsneonatesaquiringsacutesencephalitis?s-
srightsanswer✔activesherpesssimplexsvirus-2
Howsdosyousadministersmeds?s-
srightsanswer✔startingswithstheslowestsdosesandstitratingsupsslowly
Whatsisspainsissassociatedswith?s-srightsanswer✔actualsorspotentialstissuesdamage
Whenspainsstimulatessthessympatheticsnervousssystem,swhatsdoessitsresultsin?s-
srightsanswer✔-sincreasesinsBP
-sincreasesinsHR
-sincreasesinsRR
Wheresarescatecholaminessreleasedsfrom?s-srightsanswer✔adrenalsmedulla
Wheresaressteroidshormoness(cortisols&saldosterone)sreleasedsfrom?s-
srightsanswer✔adrenalscortex
Whatsdoessunrelievedspainsleadsto?s-srightsanswer✔-sincreasessglucagonsproduction
-sdecreasessinsulinssecretion
-sdepresssimmunesfunction
-scansleadstosaddictivesbehaviors
Whatsinitiatessinflammation,scontributesstostissuessweeling,sandspain?s-
srightsanswer✔Prostaglandins
Whatscansnervesrootsinjurysleadsto?s-
srightsanswer✔allodynias(painsthatsissassociatedswithsnon-noxioussstimuli)
Whatsissneededsforsrenalsbloodsflow?s-srightsanswer✔Prostaglandin
Painsis?s-srightsanswer✔whateversthespatientssayssitsis
Whatsissthessinglesmostsreliablesindicatorsofspain?s-srightsanswer✔thespatient'ssself-report
,HowsdosNSAID'sspreimarilysproducespainsrelief?s-
srightsanswer✔byspreventingsprostaglandinsformation
Whatsdoessacetaminphensnotshave?s-srightsanswer✔anysinflammatorysproperties
Whatsdosyousmanagesnociceptivespainswith?s-srightsanswer✔-slocalsanesthetics
-snon-opioids
-sopioids
Whatsdoess0sonsthes0s-s10snumericspainsratingsscalesindicate?s-srightsanswer✔nospain
WhatsdoessthesWong-BakersFACESspainsscalesconsistsof?s-
srightsanswer✔cartoonsfacessthatsthespatients(agess3sandsup)sselectsstosreportsthierspainsl
evel
Whatsdoessthesvisualsanalogs10cmsscalesrepresent?s-
srightsanswer✔nospainstosthesworstspain,sthespatientsmarkssasspotssomewheresinsbetween
sindicatingstheirspainslevel
Whatspainsscaleshelpssindiviualssdescribesthesintensitysofspain?s-
srightsanswer✔verbalsdescriptorsscale
Whatsdoessascomprehensivespainsassessmentsconsistsof?s-srightsanswer✔-
sdurations(whensitsstarted/lasted)
-stypes(intensity/assocsfactors/influencingsfators)
-slocation
Whatspatientssdoswesavoidsthesrectalsroutesforsmedsadministration?s-
srightsanswer✔thrombocytopenic
Whatstypesofseffectsdostopicalsagentssproduce?s-srightsanswer✔local
Whatstypesofseffectsdostransdermalsagentssproduce?s-
srightsanswer✔drugsabsorptionsintosthessystemicscirculation
Whatswouldshelpsreducescomplicationssrelatedstospainsforspatients?s-
srightsanswer✔providesasPCA
Howsdoswesadministersaroundsthesclockspainsreliefsforspost-opsandschronicspain?s-
srightsanswer✔providesanalgesics,sneverswaitsforschronicspainstosreoccur
Whatsissprovidedsforsmildstosmoderatespain?s-srightsanswer✔aspirinsorsacetaminaphen
Whatsissprovidedsforsmoderatespain?s-srightsanswer✔NSAID's
,Whatsissprovidedsforsseverespain?s-srightsanswer✔morphine
Whyswouldsyouswakespatientsswhoshaveschronicspainsorswhoshavesmoderatestosseverespa
insfolowingssurgery?s-srightsanswer✔tosadministersprescribedsanalgcsics
Whatscansexcessivesusesofsacetaminophenscause?s-srightsanswer✔hepatoxicity
Whatsdoessofsacetaminophenscouldsleadstoshepatoxicity?s-srightsanswer✔4,000smg/day
WhatscansNSAID'ssmedssresultsin?s-srightsanswer✔-sgastricsulcers
-scontributestosCVseventss(MIsorsstroke)
WhatscansthesusesofsNSAID'ssleadstosinspatientsswithsvolumesdepletionsorswhostakesitsforsc
hronicspain?s-srightsanswer✔acutesrenalsfailure
Whatsundesirableseffectssdosopioidssproduce?s-srightsanswer✔-sconstipation
-snausea
-spupilsconstriction
-srespiratorysdistress
Physicalsdependencesandstolerancesaresnotsthessamesasswhat?s-srightsanswer✔addiction
Whysdosyousneversapplysheatsoversastransdermalspatch?s-
srightsanswer✔itscouldsincreasesabsorptionsandsresultsinslethalscomplications
Howsshouldsyousmanagesneuropathicspain?s-
srightsanswer✔withsadjuvantsmedsssuchsassantidepressantssorsanticonvulsants
Whatsshouldsnotsbesusedsinsasclincialspracticesthatsitswouldsviolatesthesnurse-
patientsrelationship?s-srightsanswer✔placebos
Whatsaressomesnon-pharmacologicspainsmanagementsstrategies?s-srightsanswer✔-
sphysicalsmodalities
-smind-bodysmethods
-sbiologicsandsenergy-basedstherapies
Whatsaresthesclinicalsmanifestationssofshyponatremia?s-srightsanswer✔-sheadaches
-sseizures
-slethargy
-stachycardia
-sdecreasedsBP
-sthreadyspulse
-shyperactivesbowelssounds
, -sabdominalscramps
Whatsaressignssofshypoxia?s-srightsanswer✔-srestlessness
-sconfusion
-spallor
-stachycardia
-stachypnea
Whatscansvagalsstimulationsbescausedsby?s-srightsanswer✔-svomiting
-ssuctioning
-sseverespain
allsresultingsinsbradycardia
Whatsissaslosssofstransparencysofstheseyeslens,sresultssinsblurrysvision,sdecreasedsvisualsa
cuity,sandssensitivitystosglare?s-srightsanswer✔ascataract
Whatsaressomesrisksreductionssforscatarats?s-srightsanswer✔-sreducingsweight
-ssmokingscessation
-soptimizingsbloodssugars
-susingssunglassesswhensoutdoors
WhatsaresS/Ssofsansendopthalmitiss(infection)sthatscansoccursafterscataratssurgery?s-
srightsanswer✔-smarkedsbyspain
-sdecreasingsvision
-seyelidsredness
-seyelidsedema
-syellowish/greensdischargesfromstheseye
Viralsconjunctivitissis?s-srightsanswer✔highlyscontageous
WhatsaresS/Ssofsviralsconjunctivitis?s-srightsanswer✔-smarkedsbysconjunctivalshyperemia
-slidsedema
-sptosis
-sforeignsbodyssensation
-swaterysdischarge
Whatscranialsnerveshassnervesfiberssfromsthesrightsandsleftseyesthatscrosssoversbeforessen
dingsimpulsesstosthesoccipitalslobe?s-srightsanswer✔CranialsnervesIIs(opticsnerve)
Whatsincreasessthesrisksforsretinalsarterysorsveinsocclusionsandslosssofsvision?s-
srightsanswer✔-sdiabetes
-sglaucoma
-saging
-sHTN
-satherosclerosis
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