NURS 3632 EXAM 2 questions and
answers
What is the best tool to get perception of pain from patient? - ✔️✔️Self Report
Meperidine is contraindicated with what age group for pain? - ✔️✔️Older clients
T/F
Fentanyl patches are great for acute pain. - ✔️✔️False, Fentanyl patches are more for Chronic pain
and delivers 24 hours of coverage.
Who is only allowed to deliver Epidural? - ✔️✔️CRNA'S
What is visceral pain? - ✔️✔️Originating from interior organs, DEEP ORGAN PAIN (intestines, liver,
abdomen, chest, cranium)
What is somatic pain? - ✔️✔️originating from muscle, bone, joints, tendons, or blood vessels, a
Particular part of the body
Injury pain, inflammation pain
What is enoxaparin used for? - ✔️✔️prevent deep vein thrombus- DVT (prophalaxis)
good for bedridden patients, You monitor HCT, and HMG
What is antidote to Enoxaparin? - ✔️✔️protamine sulfate
,Procedure for Inhalers is - ✔️✔️*start inhaling while pressing and INHALE SLOW over 3-5 seconds (1
puff each breath) once inhaled, have pt HOLD breath for 10 seconds
wait 1 minute between each puff
how to insert a rectal suppository - ✔️✔️left sims position
insert 3-4 inches past sphincter to the walls (not directly into poop)
Perioperative stage of SX - ✔️✔️decision to have sx, last until pt is in operating room
Intraoperative stage SX - ✔️✔️operating room until taken to PACU (Post Anesthesia Care Unit)
Postoperative stage of SX - ✔️✔️PACU to complete recovery from SX/last follow up with HCP
What happens during PREoperative stage of sx? - ✔️✔️Informed consent (unless Emergency)
teaching about sx (not after, because drowsy from sx), check for risk factors to make sure safe for
patient
Why is it important to get informed consent before sx? - ✔️✔️After sx the patient is drowsy from
anesthesia, you want to make sure they are well aware of what will occur
What do we do during the Intraoperative stage of sx? - ✔️✔️positioning (decr risk of pressure ulcers
from the OR table)
document vitals, blood deficit, pain management and adjusting anesthesia if needed
, What do we monitor in PACU? - ✔️✔️nutrition, signs of infection, teaching on care and movement
restrictions, shock, thrombophlebitis
Elective Sx - ✔️✔️schedule in advance (does not mean NOT NECCESARY) it means it can wait, but
neccesary
Urgent Sx - ✔️✔️can wait until patient is more stable, <less than 2 days
Emergent Sx - ✔️✔️do w/o delay, NOW! can result in death or permanent damage if not done STAT
preventative sx - ✔️✔️prophylactic (prevents dz)
Ablative sx - ✔️✔️removing diseased/damaged organ (destroy/destruct)
Curative sx - ✔️✔️cures/fixes the issue
Palliative sx - ✔️✔️relieves s&s. doesnt CURE, like tumors, removing tumor because it causes pain on
the nerves
reconstructive sx - ✔️✔️using body parts to reconstruct something else for the body
constructive sx - ✔️✔️build something up, congenital abnormalities
transplantive sx - ✔️✔️remove and replace
General Anesthesia - ✔️✔️Inhalation or IV (patient is OUT most of the sx)
answers
What is the best tool to get perception of pain from patient? - ✔️✔️Self Report
Meperidine is contraindicated with what age group for pain? - ✔️✔️Older clients
T/F
Fentanyl patches are great for acute pain. - ✔️✔️False, Fentanyl patches are more for Chronic pain
and delivers 24 hours of coverage.
Who is only allowed to deliver Epidural? - ✔️✔️CRNA'S
What is visceral pain? - ✔️✔️Originating from interior organs, DEEP ORGAN PAIN (intestines, liver,
abdomen, chest, cranium)
What is somatic pain? - ✔️✔️originating from muscle, bone, joints, tendons, or blood vessels, a
Particular part of the body
Injury pain, inflammation pain
What is enoxaparin used for? - ✔️✔️prevent deep vein thrombus- DVT (prophalaxis)
good for bedridden patients, You monitor HCT, and HMG
What is antidote to Enoxaparin? - ✔️✔️protamine sulfate
,Procedure for Inhalers is - ✔️✔️*start inhaling while pressing and INHALE SLOW over 3-5 seconds (1
puff each breath) once inhaled, have pt HOLD breath for 10 seconds
wait 1 minute between each puff
how to insert a rectal suppository - ✔️✔️left sims position
insert 3-4 inches past sphincter to the walls (not directly into poop)
Perioperative stage of SX - ✔️✔️decision to have sx, last until pt is in operating room
Intraoperative stage SX - ✔️✔️operating room until taken to PACU (Post Anesthesia Care Unit)
Postoperative stage of SX - ✔️✔️PACU to complete recovery from SX/last follow up with HCP
What happens during PREoperative stage of sx? - ✔️✔️Informed consent (unless Emergency)
teaching about sx (not after, because drowsy from sx), check for risk factors to make sure safe for
patient
Why is it important to get informed consent before sx? - ✔️✔️After sx the patient is drowsy from
anesthesia, you want to make sure they are well aware of what will occur
What do we do during the Intraoperative stage of sx? - ✔️✔️positioning (decr risk of pressure ulcers
from the OR table)
document vitals, blood deficit, pain management and adjusting anesthesia if needed
, What do we monitor in PACU? - ✔️✔️nutrition, signs of infection, teaching on care and movement
restrictions, shock, thrombophlebitis
Elective Sx - ✔️✔️schedule in advance (does not mean NOT NECCESARY) it means it can wait, but
neccesary
Urgent Sx - ✔️✔️can wait until patient is more stable, <less than 2 days
Emergent Sx - ✔️✔️do w/o delay, NOW! can result in death or permanent damage if not done STAT
preventative sx - ✔️✔️prophylactic (prevents dz)
Ablative sx - ✔️✔️removing diseased/damaged organ (destroy/destruct)
Curative sx - ✔️✔️cures/fixes the issue
Palliative sx - ✔️✔️relieves s&s. doesnt CURE, like tumors, removing tumor because it causes pain on
the nerves
reconstructive sx - ✔️✔️using body parts to reconstruct something else for the body
constructive sx - ✔️✔️build something up, congenital abnormalities
transplantive sx - ✔️✔️remove and replace
General Anesthesia - ✔️✔️Inhalation or IV (patient is OUT most of the sx)
