Jersey College Medsurg 1 RN FINAL EXAM Questions And Answers Graded A+.
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Jersey College MedSurg 1 RN
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Jersey College MedSurg 1 RN
Jersey College Medsurg 1 RN FINAL EXAM Questions And Answers Graded A+.
List four modifiable risk factors. (general health promotion) - correct answer. weight, smoking, sex practices, diet
List three non-modifiable risk factors. (general health promotion) - correct answer. age, ...
Jersey College Medsurg 1 RN FINAL
EXAM Questions And Answers Graded
A+.
List four modifiable risk factors. (general health promotion) - correct answer. weight,
smoking, sex practices, diet
List three non-modifiable risk factors. (general health promotion) - correct answer.
age, genetics, sex
What type of assessment should the nurse preform prior to initiating health teaching? -
correct answer. cultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order? - correct answer. 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
Organization that identifies health promotion and disease prevention goals and lists
strategies along with resources in an attempt to improve the nation's health - correct
answer. Healthy People 2020
Organization that recommends ways to strengthen the practice of nursing in order to
improve health care. - correct answer. The Institute of Medicine's report on the Future
of Nursing
,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? - correct answer. The National
Patient Safety Goals
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 - correct answer. Nurse
Practice Acts
Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in
providing continuous quality improvement in health care - correct answer. QSEN -
Quality and Safety Education for Nurses Institute
What is pain? - correct answer. whatever the patient says it is
Pain is associated with __________________________________. - correct answer.
actual or potential tissue damage
The single most reliable indicator of pain is _______. - correct answer. the patient's
self report
Pain stimulates the sympathetic nervous system and could result in an increase in
___________, ___________, and ____________. - correct answer. blood pressure,
heart rate, and respirations
physiologic effects of unrelieved pain (4) - correct answer. increases glucagon
production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling and pain - correct answer.
prostaglandins
______ primarily produce pain relief by preventing prostaglandin formation. - correct
answer. NSAIDS
_____________ does not have anti-inflammatory properties. - correct answer.
Acetaminophen
______________ stimulates the inflammatory response and puts the patient at risk for
pain. - correct answer. tissue damage
manage nociceptive pain with? - correct answer. local anesthetics, non-opioids or
opioids
,pain that is associated with a noxious stimulus - correct answer. allodynia
________________ could lead to allodynia. - correct answer. nerve route injury
What does a comprehensive pain assessment include? - correct answer. 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
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 -
correct answer. visual analog scale
ranges from 0 to 10 with 0 representing no pain - correct answer. numeric rating scale
consists of cartoon faces that the patient selects to report their pain - correct answer.
Wong-Baker FACES Scale (ages 3+)
uses words to help individuals describe the intensity of their pain - correct answer.
verbal descriptor scale
should never be used by the provider to match the patient's facial expression - correct
answer. Wong-Baker FACES Scale
effect produced by topical analgesics - correct answer. produce a local effect
effect produced by transdermal route of analgesics - correct answer. produces drug
absorption into the systemic circulaiton
Provide ____________ to help reduce complications related to pain. Used in
postoperative patients as a preventative measure for pain. - correct answer. provide
PCA (patient controlled analgesia)
, Provide administration of analgesics __(frequency)__ for chronic and postoperative
pain, never wait for chronic pain to reoccur. - correct answer. around the clock
given for mild to moderate pain - correct answer. aspirin or acetaminophen
given for moderate pain - correct answer. NSAIDS
given for severe pain - correct answer. opioid analgesics (Morphine)
Avoid which medication administration route for patients who are thrombocytopenic? -
correct answer. rectal route
Use of this analgesic could result in hepatoxicity and should not exceed 4,000mg/day. -
correct answer. Acetaminophen
analgesic that could result in gastric ulcers or contribute to cardiovascular events such
as MI or stroke - correct answer. NSAIDS
analgesic that could lead to acute renal failure in patients with volume depletion or who
take it for chronic pain - correct answer. NSAIDS
needed for renal blood flow - correct answer. prostaglandin
undesirable side effects of opioids - correct answer. constipation, nausea, pupil
constriction, and respiratory depression
Never apply heat over transdermal patches. Why? - correct answer. could increase
absorption and result in lethal complications
adjuvant medications used to manage neuropathic pain - correct answer.
antidepressants or anticonvulsants
Vomiting can lead to what acid-base imbalance - correct answer. metabolic alkalosis
Diarrhea can lead to what acid-base imbalance - correct answer. metabolic acidosis
Mineral that helps to regulate muscle contraction and relaxation - correct answer.
calcium
In the setting of hypoparathyroidism, provide a diet that is high in _______ and low in
__________. - correct answer. high in calcium and low in phosphorus
Chloride works with sodium to determine _______________. - correct answer.
osmotic pressure
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