NR 455 Exam 1 questions with answers
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What complications can pain lead to for a patient? - CORRECT
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ANSWERS ✔✔Sleep deprivation, agitation, PTSD
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Pain vs. Anxiety - CORRECT ANSWERS ✔✔Pain: Unpleasant
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sensory and emotional experience associated with actual of
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potential tissue damage |\ |\
Anxiety: Prolonged state of apprehension in response to fear
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What are negative effects of pain/anxiety? - CORRECT ANSWERS
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✔✔Raises catecholamines -> Increased HR and BP
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Interference with healing |\ |\
Increased oxygen consumption - End-organ ischemia: cell death
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at organ level -> organ failure
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Increased respiratory effort and hyperventilation
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Subjective assessment tools for pain - CORRECT ANSWERS
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✔✔PQRST
Rating scale |\
FACES
,VAS
NPAT*
What is NPAT - CORRECT ANSWERS ✔✔Nonverbal pain
|\ |\ |\ |\ |\ |\ |\ |\
assessment tool |\
Used for many critically ill patients
|\ |\ |\ |\ |\
Objective assessment tools for pain - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Behavioral pain scale |\ |\
Critical-care pain observation toll |\ |\ |\
Checklist of nonverbal pain indicators
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What is sedation? - CORRECT ANSWERS ✔✔Decreasing
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awareness of someone's environment and reaction to external
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stimuli
Levels of sedation - CORRECT ANSWERS ✔✔Light: Alleviate
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patient anxiety but patient can still respond
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Moderate: Ensure comfort during a procedure, used with
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analgesics
Deep: Making patient completely unaware
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, Sedation assessment tools - CORRECT ANSWERS ✔✔*Richmond
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agitation-sedation scale (RASS) |\ |\
Riker sedation-agitation scale (SAS)
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Ramsey Scale |\
Motor activity assessment scale (MAAS)
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What patient assessments are important during sedation? -
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CORRECT ANSWERS ✔✔Monitoring BP and HR |\ |\ |\ |\ |\
Patient also needs established airway
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What is versed? - CORRECT ANSWERS ✔✔("Midazolam") A benzo
|\ |\ |\ |\ |\ |\ |\ |\ |\
sedative that can help patients feel relaxed or sleepy before
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery or medical procedures
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Hypnotic-Anesthetics - CORRECT ANSWERS ✔✔Propofol (Diprivan) |\ |\ |\ |\ |\
Dexmedetomidine (Precedex) |\
Propofol - CORRECT ANSWERS ✔✔(Diprivan)
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Suppresses CNS |\
Has a milky color/lipid based -> Monitor lipids and urine (green),
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
also monitor for sepsis
|\ |\ |\
Pt. should have trach or be mechanically ventilated
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|\ |\ |\ |\ |\ |\
What complications can pain lead to for a patient? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Sleep deprivation, agitation, PTSD
|\ |\ |\ |\
Pain vs. Anxiety - CORRECT ANSWERS ✔✔Pain: Unpleasant
|\ |\ |\ |\ |\ |\ |\ |\
sensory and emotional experience associated with actual of
|\ |\ |\ |\ |\ |\ |\ |\
potential tissue damage |\ |\
Anxiety: Prolonged state of apprehension in response to fear
|\ |\ |\ |\ |\ |\ |\ |\
What are negative effects of pain/anxiety? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Raises catecholamines -> Increased HR and BP
|\ |\ |\ |\ |\ |\
Interference with healing |\ |\
Increased oxygen consumption - End-organ ischemia: cell death
|\ |\ |\ |\ |\ |\ |\ |\
at organ level -> organ failure
|\ |\ |\ |\ |\
Increased respiratory effort and hyperventilation
|\ |\ |\ |\
Subjective assessment tools for pain - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔PQRST
Rating scale |\
FACES
,VAS
NPAT*
What is NPAT - CORRECT ANSWERS ✔✔Nonverbal pain
|\ |\ |\ |\ |\ |\ |\ |\
assessment tool |\
Used for many critically ill patients
|\ |\ |\ |\ |\
Objective assessment tools for pain - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Behavioral pain scale |\ |\
Critical-care pain observation toll |\ |\ |\
Checklist of nonverbal pain indicators
|\ |\ |\ |\
What is sedation? - CORRECT ANSWERS ✔✔Decreasing
|\ |\ |\ |\ |\ |\ |\
awareness of someone's environment and reaction to external
|\ |\ |\ |\ |\ |\ |\ |\
stimuli
Levels of sedation - CORRECT ANSWERS ✔✔Light: Alleviate
|\ |\ |\ |\ |\ |\ |\ |\
patient anxiety but patient can still respond
|\ |\ |\ |\ |\ |\
Moderate: Ensure comfort during a procedure, used with
|\ |\ |\ |\ |\ |\ |\ |\
analgesics
Deep: Making patient completely unaware
|\ |\ |\ |\
, Sedation assessment tools - CORRECT ANSWERS ✔✔*Richmond
|\ |\ |\ |\ |\ |\ |\
agitation-sedation scale (RASS) |\ |\
Riker sedation-agitation scale (SAS)
|\ |\ |\
Ramsey Scale |\
Motor activity assessment scale (MAAS)
|\ |\ |\ |\
What patient assessments are important during sedation? -
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Monitoring BP and HR |\ |\ |\ |\ |\
Patient also needs established airway
|\ |\ |\ |\
What is versed? - CORRECT ANSWERS ✔✔("Midazolam") A benzo
|\ |\ |\ |\ |\ |\ |\ |\ |\
sedative that can help patients feel relaxed or sleepy before
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery or medical procedures
|\ |\ |\
Hypnotic-Anesthetics - CORRECT ANSWERS ✔✔Propofol (Diprivan) |\ |\ |\ |\ |\
Dexmedetomidine (Precedex) |\
Propofol - CORRECT ANSWERS ✔✔(Diprivan)
|\ |\ |\ |\
Suppresses CNS |\
Has a milky color/lipid based -> Monitor lipids and urine (green),
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
also monitor for sepsis
|\ |\ |\
Pt. should have trach or be mechanically ventilated
|\ |\ |\ |\ |\ |\ |\
