NUR 239: Final Exam UPDATED ACTUAL Questions and
CORRECT Answers
what are the components of a prescription? patients name, date, time
drug name, dose, frequency, route
quantity, number of refills
what are implications with giving medications to oral syringes not spoons, food/juice with medications
children?
what is used to calculate dosages for kids? weight and body surface area
what is included/not included in incident reports? no subjective data, not in medical chart
assess first, notify, document
what are CYP enzymes? break down drugs in liver, impacted by grapefruit = slowed down causes drug
accumulation
what is proliferation? production of new cells
what is cell differentiation? cell specialization
what is cell atrophy? decrease in cell size
what is cell hypertrophy? cells growing, ex. lifting or if kidney removed other one grows
what is cell dysplasia? change in type of cell, typically cancerous, ex. tanning
what is cell hyperplasia? increase in number of cells, ex. fracture
what is cell metaplasia? replaced, ex. smoking
what is acute inflammation? short, rapid inflammation that occurs, brief moment of vasoconstriction prior to
vasodilation
what are the 5 cardinal signs of inflammation? redness, warmth, swelling, pain, loss of function
what is seen with chronic inflammation? WBC increase, fibrosis, scarring, exacerbations
what is seen with systemic inflammation? fever, leukocytosis (inc neutrophils), headache, anorexia
what are the diagnostic tests for inflammation? ESR: red blood cells clump
CRP: proteins and liver
fibrinogen: acute infections
what is pain? whatever the patient says it is
, what is seen with acute pain? rapid, short, localized, change in vitals
what is seen with chronic pain? long, slow, no objective signs of pain
what is nociceptive pain? normal perceived pain
what is neuropathic pain? tingling, numbness, diabetic
what is visceral pain? deep organ pain
what is somatic pain? tendons, deep tissue pain
what is referred pain? pain elsewhere, MI arm pain
what is intractable pain? pain that is resistant to treatment
what is OLD CART pain assessment onset, location, duration, characteristics, aggravation, radiation & relieving,
timing
what is aspirin used for? analgesic, antipyretic, antiinflammatory, anticoagulant
what is the dosage of aspirin? 325 mg or 81 mg for anticoagulant
what are AE of aspirin? risk for bleeding, renal toxicity, GI bleeding
what is seen with aspirin toxicity? 8000 mg, give sodium bicarbonate
what is the BBW for aspirin? reye syndrome with kids
what is naproxen? analgesic, NSAID, antipyretic
what are AEs of naproxen? GI, nephrotoxicity, MI
what are implications of naproxen? monitor BUN + creatinine, don't take with renal impairment, take with food
what is acetaminophen? Tylenol, not NSAIDD, analgesic, antipyretic
what is seen with acetaminophen? 4000 mg, take acetylcystine
What are the AEs of Morphine? sedation, respiration depression, GI, hypotension, itching, retention
what schedule is morphine? schedule 2 high alert med = must be renewed, have someone watch throw it
away
what are IV implications with morphine? slowly over 5 minutes
what is seen with morphine overdose? <12 RR = nalaxone
what do you do with epidurals? consent, special IV pump infusion, elevate HOB, maintain IV dressing
what is opioid abstinence? abrupt withdrawl, taper down dosage to prevent
CORRECT Answers
what are the components of a prescription? patients name, date, time
drug name, dose, frequency, route
quantity, number of refills
what are implications with giving medications to oral syringes not spoons, food/juice with medications
children?
what is used to calculate dosages for kids? weight and body surface area
what is included/not included in incident reports? no subjective data, not in medical chart
assess first, notify, document
what are CYP enzymes? break down drugs in liver, impacted by grapefruit = slowed down causes drug
accumulation
what is proliferation? production of new cells
what is cell differentiation? cell specialization
what is cell atrophy? decrease in cell size
what is cell hypertrophy? cells growing, ex. lifting or if kidney removed other one grows
what is cell dysplasia? change in type of cell, typically cancerous, ex. tanning
what is cell hyperplasia? increase in number of cells, ex. fracture
what is cell metaplasia? replaced, ex. smoking
what is acute inflammation? short, rapid inflammation that occurs, brief moment of vasoconstriction prior to
vasodilation
what are the 5 cardinal signs of inflammation? redness, warmth, swelling, pain, loss of function
what is seen with chronic inflammation? WBC increase, fibrosis, scarring, exacerbations
what is seen with systemic inflammation? fever, leukocytosis (inc neutrophils), headache, anorexia
what are the diagnostic tests for inflammation? ESR: red blood cells clump
CRP: proteins and liver
fibrinogen: acute infections
what is pain? whatever the patient says it is
, what is seen with acute pain? rapid, short, localized, change in vitals
what is seen with chronic pain? long, slow, no objective signs of pain
what is nociceptive pain? normal perceived pain
what is neuropathic pain? tingling, numbness, diabetic
what is visceral pain? deep organ pain
what is somatic pain? tendons, deep tissue pain
what is referred pain? pain elsewhere, MI arm pain
what is intractable pain? pain that is resistant to treatment
what is OLD CART pain assessment onset, location, duration, characteristics, aggravation, radiation & relieving,
timing
what is aspirin used for? analgesic, antipyretic, antiinflammatory, anticoagulant
what is the dosage of aspirin? 325 mg or 81 mg for anticoagulant
what are AE of aspirin? risk for bleeding, renal toxicity, GI bleeding
what is seen with aspirin toxicity? 8000 mg, give sodium bicarbonate
what is the BBW for aspirin? reye syndrome with kids
what is naproxen? analgesic, NSAID, antipyretic
what are AEs of naproxen? GI, nephrotoxicity, MI
what are implications of naproxen? monitor BUN + creatinine, don't take with renal impairment, take with food
what is acetaminophen? Tylenol, not NSAIDD, analgesic, antipyretic
what is seen with acetaminophen? 4000 mg, take acetylcystine
What are the AEs of Morphine? sedation, respiration depression, GI, hypotension, itching, retention
what schedule is morphine? schedule 2 high alert med = must be renewed, have someone watch throw it
away
what are IV implications with morphine? slowly over 5 minutes
what is seen with morphine overdose? <12 RR = nalaxone
what do you do with epidurals? consent, special IV pump infusion, elevate HOB, maintain IV dressing
what is opioid abstinence? abrupt withdrawl, taper down dosage to prevent
