NEWEST RN MED-SURG EXAM FOR JERSEY COLLEGE OF NURSING Q&A VERIFIED ANSWERS GRADED A+

NEWEST RN MED-SURG EXAM FOR JERSEY COLLEGE OF NURSING Q&A VERIFIED ANSWERS GRADED A+ weight, smoking, sex practices, diet - CORRECT ANSWER-List four modifiable risk factors. (general health promotion) age, genetics, sex - CORRECT ANSWER-List three non-modifiable risk factors. (general health promotion) cultural assessment - CORRECT ANSWER- What type of assessment should the nurse perform before initiating health teaching? er listed above - CORRECT ANSWER-Maslow's Hierarchy of Needs --priorities? --what order? 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 ord Healthy People 2020 - CORRECT organisation 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 ANSWER-Organization recommends ways to strengthen the practice of nursing to improve health care. The National Patient Safety Goals - CORRECT ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-What is pain? actual or potential tissue damage - CORRECT ANSWER-Pain is associated with __________________________________. the patient's self report - CORRECT ANSWER-The single most reliable indicator of pain is _______. blood pressure, heart rate, and respirations - CORRECT ANSWER-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 ANSWER-physiologic effects of unrelieved pain (4) prostaglandins - CORRECT ANSWER-initiate inflammation and contribute to tissue swelling and pain NSAIDS - CORRECT ANSWER-______ primarily produce pain relief by preventing prostaglandin formation. Acetaminophen - CORRECT ANSWER-_____________ does not have anti-inflammatory properties. tissue damage - CORRECT ANSWER-______________ stimulates the inflammatory response and puts the patient at risk for pain. local anesthetics, non-opioids or opioids - CORRECT ANSWER-manage nociceptive pain with? allodynia - CORRECT ANSWER-pain that is associated with a noxious stimulus nerve route injury - CORRECT ANSWER-________________ 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 ANSWER-What does a comprehensive pain assessment include? visual analog scale - CORRECT ANSWER-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 ANSWER-ranges from 0 to 10 with 0 representing no pain Wong-Baker FACES Scale (ages 3+) - CORRECT ANSWER-consists of cartoon faces that the patient selects to report their pain verbal descriptor scale - CORRECT ANSWER-uses words to help individuals describe the intensity of their pain Wong-Baker FACES Scale - CORRECT ANSWER-should never be used by the provider to match the patient's facial expression produce a local effect - CORRECT ANSWER-effect produced by topical analgesics produces drug absorption into the systemic circulaiton - CORRECT ANSWER-effect produced by transdermal route of analgesics provide PCA (patient controlled analgesia) - CORRECT ANSWER-Provide ____________ to help reduce complications related to pain. Used in postoperative patients as a preventative measure for pain. around the clock - CORRECT ANSWER-Provide administration of analgesics __(frequency)__ for chronic and postoperative pain, never wait for chronic pain to reoccur. aspirin or acetaminophen - CORRECT ANSWER-given for mild to moderate pain NSAIDS - CORRECT ANSWER-given for moderate pain opioid analgesics (Morphine) - CORRECT ANSWER-given for severe pain rectal route - CORRECT ANSWER-Avoid which medication administration route for patients who are thrombocytopenic? Acetaminophen - CORRECT ANSWER-Use of this analgesic could result in hepatoxicity and should not exceed 4,000mg/day. NSAIDS - CORRECT ANSWER-analgesic that could result in gastric ulcers or contribute to cardiovascular events such as MI or stroke NSAIDS - CORRECT ANSWER-analgesic that could lead to acute renal failure in patients with volume depletion or who take it for chronic pain prostaglandin - CORRECT ANSWER-needed for renal blood flow constipation, nausea, pupil constriction, and respiratory depression - CORRECT ANSWER-undesirable side effects of opioids could increase absorption and result in lethal complications - CORRECT ANSWER-Never apply heat over transdermal patches. Why? antidepressants or anticonvulsants - CORRECT ANSWER-adjuvant medications used to manage neuropathic pain metabolic alkalosis - CORRECT ANSWER-Vomiting can lead to what acid-base imbalance metabolic acidosis - CORRECT ANSWER-Diarrhea can lead to what acid-base imbalance calcium - CORRECT ANSWER-Mineral that helps to regulate muscle contraction and relaxation high in calcium and low in phosphorus - CORRECT ANSWER-In the setting of hypoparathyroidism, provide a diet that is high in _______ and low in __________. osmotic pressure - CORRECT ANSWER-Chloride works with sodium to determine _______________. hypochloremic metabolic alkalosis - CORRECT ANSWER-If chloride levels drop, bicarbonate is retained and results in _______________________________. action potentials weakness or excitability - CORRECT ANSWER-Changes in electrolytes impair _________________ resulting in ________ or ____________. fluid volume deficit (FVD) - CORRECT ANSWER-Small shifts in intravascular volume in children increases their risk for __________________.