weight, smoking, sex practices, diet List four modifiable risk factors. (general health promotion)
age, genetics, sex List three non-modifiable risk factors. (general health promotion)
cultural assessment What type of assessment should the nurse preform prior to initiating health teaching?
physiological integrity Maslow's Hierarchy of Needs
safety and security --priorities?
belongingness and affection --what order?
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
Healthy People 2020
strategies along with resources in an attempt to improve the nation's health
The Institute of Medicine's report on the Organization that recommends ways to strengthen the practice of nursing in order to
Future of Nursing improve health care.
The Joint Commission lists the top patient safety concerns and includes medication
The National Patient Safety Goals safety, infection prevention, surgery-related mistakes, patient identification and
improving staff communication. What is this list called?
This governs nursing practice and is a law that is put into place to protect the public -
Nurse Practice Acts
nurses must follow and comply with their state's regulations
QSEN - Quality and Safety Education for Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in
Nurses Institute providing continuous quality improvement in health care
whatever the patient says it is What is pain?
actual or potential tissue damage Pain is associated with _______________________ _.
the patient's self report The single most reliable indicator of pain is ____ _.
Jersey College MedSurg 1 RN FINAL EXAM
Pain stimulates the sympathetic nervous system and could result in an increase in
blood pressure, heart rate, and respirations
___________, ___________, and _____________ _.
1/5
, 8/13/24, 5:36 AM
increases glucagon production physiologic effects of unrelieved pain (4)
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
prostaglandins initiate inflammation and contribute to tissue swelling and pain
NSAIDS ______ primarily produce pain relief by preventing prostaglandin formation.
Acetaminophen _____________ does not have anti-inflammatory properties.
tissue damage ______________ stimulates the inflammatory response and puts the patient at risk for pain.
local anesthetics, non-opioids or opioids manage nociceptive pain with?
allodynia pain that is associated with a noxious stimulus
nerve route injury ________________ could lead to allodynia.
timing: What does a comprehensive pain assessment include?
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
visual analog scale
places a mark somewhere between the two ends depending on the severity of pain
numeric rating scale ranges from 0 to 10 with 0 representing no pain
Wong-Baker FACES Scale (ages 3+) consists of cartoon faces that the patient selects to report their pain
verbal descriptor scale uses words to help individuals describe the intensity of their pain
Wong-Baker FACES Scale should never be used by the provider to match the patient's facial expression
produce a local effect effect produced by topical analgesics
produces drug absorption into the systemic effect produced by transdermal route of analgesics
circulaiton
Provide _______ to help reduce complications related to pain. Used in postoperative
provide PCA (patient controlled analgesia)
patients as a preventative measure for pain.
Provide administration of analgesics __(frequency)__ for chronic and postoperative pain,
around the clock
never wait for chronic pain to reoccur.
aspirin or acetaminophen given for mild to moderate pain
NSAIDS given for moderate pain
opioid analgesics (Morphine) given for severe pain
rectal route Avoid which medication administration route for patients who are thrombocytopenic?
Jersey College MedSurg 1 RN FINAL EXAM
2/5
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Denyss. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.