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AGACNP ANCC Board Review- Common Problems 2024 Final Exam $13.99   Add to cart

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AGACNP ANCC Board Review- Common Problems 2024 Final Exam

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AGACNP ANCC Board Review- Common Problems 2024 Final Exam Cutaneous Pain - ANSWER--localized on the skin or body surface -eg bad sunburn or blister Visceral Pain - ANSWER--poorly localized such as with internal organs eg. gallbladder pain, PUD pain Somatic Pain - ANSWER--non localized -origin...

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  • November 7, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
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  • AGACNP ANCC Board
  • AGACNP ANCC Board
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NURSING2EXAM
AGACNP ANCC Board
Review- Common
Problems 2024 Final
Exam




Cutaneous Pain - ✔✔✔ANSWER--localized on the skin or body surface
-eg bad sunburn or blister


Visceral Pain - ✔✔✔ANSWER--poorly localized such as with internal organs
eg. gallbladder pain, PUD pain


Somatic Pain - ✔✔✔ANSWER--non localized
-originates in muscle, bone, nerves, blood vessels

,eg. soft tissue injury


Neuropathic pain - ✔✔✔ANSWER-involves nerve pathway injury or compression


WHO Pain Ladder - ✔✔✔ANSWER-Step 1: ASA, NSAIDs, tylenol +/- adjuvant
(eg is a TCA like amitryptiline for migraine)
Step 2: step 1 + codeine, hydrocodone, oxycodone, tramadol +/- adjuvants
Step 3: morphine, hydromorphone, methadone, fentanyl plus non-opiods plus
adjuvants


Break-through cancer pain - ✔✔✔ANSWER-use of fentanyl patch for sustained
release


Stage 1 pressure ulcer - ✔✔✔ANSWER-intact skin w erythema that does NOT
blanch


Stage 2 pressure ulcer - ✔✔✔ANSWER-partial thickness loss of skin w exposed
dermis
can present as intact or ruptured serum filled blister


stage 3 pressure ulcer - ✔✔✔ANSWER-full thickness skin loss, visible adipose
tissue


stage 4 pressure ulcer - ✔✔✔ANSWER-full thickness skin & tissue loss w
exposed or palpable fascia, muscle, tendon, ligament or bone


unstageable pressure ulcer - ✔✔✔ANSWER-obscured by slough or eschar

, causes of non-infectious post op fever - ✔✔✔ANSWER-# 1 is post-op atelectasis
2. increase basal metabolic rate
3. dehydration
4. drug reactions (increase eosonophils, drug fever comes on insidiously and tends
to linger; drugs inlcude ampthericin B, bactrim, procainamide, beta-lactam abx and
others


Risperidone toxicity (anti-psychotic) - ✔✔✔ANSWER-neuroleptic malignant
syndrome
tx w dantrolene


most commonly cultured organisms inpatient - ✔✔✔ANSWER-staph epi (on your
skin) & staph aureus


infectious causes of post-op fever - ✔✔✔ANSWER--usually w increase in WBC
and left shift (neutrophils go up in bacterial infxn up to like 85% normal range is
57-67% on differential)
-if WBC >30k usually not infxn
-surgical incision site- red, pus from suture line
-point of entry from catheter
-urinary tract
-lungs
-sinusitis from NGT


Initial Tx of post-op fever - ✔✔✔ANSWER-no indicators for infection, hydrate
and measures to promote lunge expansion

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