Jersey College MedSurg 1 RN FINAL EXAM Questions with Correct Solutions, Rated A+

weight, smoking, sex practices, diet - Correct Solution List four modifiable risk factors. (general health promotion) age, genetics, sex - Correct Solution List three non-modifiable risk factors. (general health promotion) cultural assessment - Correct Solution What type of assessment should the nurse preform prior to initiating health teaching? 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 - Correct Solution Maslow's Hierarchy of Needs --priorities? --what order? Healthy People 2020 - Correct Solution Organization that identifies health promotion and disease prevention goals and lists strategies along with resources in an attempt to improve the nation's health The Institute of Medicine's report on the Future of Nursing - Correct Solution Organization that recommends ways to strengthen the practice of nursing in order to improve health care. The National Patient Safety Goals - Correct Solution 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? Nurse Practice Acts - Correct Solution 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 QSEN - Quality and Safety Education for Nurses Institute - Correct Solution Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing continuous quality improvement in health care whatever the patient says it is - Correct Solution What is pain? actual or potential tissue damage - Correct Solution Pain is associated with __________________________________. the patient's self report - Correct Solution The single most reliable indicator of pain is _______. blood pressure, heart rate, and respirations - Correct Solution Pain stimulates the sympathetic nervous system and could result in an increase in ___________, ___________, and ____________. increases glucagon production decreases insulin secretion depresses immune function can lead to addictive behaviors - Correct Solution physiologic effects of unrelieved pain (4) prostaglandins - Correct Solution initiate inflammation and contribute to tissue swelling and pain NSAIDS - Correct Solution ______ primarily produce pain relief by preventing prostaglandin formation. Acetaminophen - Correct Solution _____________ does not have anti-inflammatory properties. tissue damage - Correct Solution ______________ stimulates the inflammatory response and puts the patient at risk for pain. local anesthetics, non-opioids or opioids - Correct Solution manage nociceptive pain with? allodynia - Correct Solution pain that is associated with a noxious stimulus nerve route injury - Correct Solution ________________ could lead to allodynia. 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 - Correct Solution What does a comprehensive pain assessment include? visual analog scale - Correct Solution 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 numeric rating scale - Correct Solution ranges from 0 to 10 with 0 representing no pain Wong-Baker FACES Scale (ages 3+) - Correct Solution consists of cartoon faces that the patient selects to report their pain verbal descriptor scale - Correct Solution uses words to help individuals describe the intensity of their pain Wong-Baker FACES Scale - Correct Solution should never be used by the provider to match the patient's facial expression produce a local effect - Correct Solution effect produced by topical analgesics produces drug absorption into the systemic circulaiton - Correct Solution effect produced by transdermal route of analgesics provide PCA (patient controlled analgesia) - Correct Solution Provide ____________ to help reduce complications related to pain. Used in postoperative patients as a preventative measure for pain. around the clock - Correct Solution Provide administration of analgesics __(frequency)__ for chronic and postoperative pain, never wait for chronic pain to reoccur. aspirin or acetaminophen - Correct Solution given for mild to moderate pain NSAIDS - Correct Solution given for moderate pain