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List four modifiable risk factors. (general health promotion)
ANS:<< weight, smoking, sex practices, diet
List three non-modifiable risk factors. (general health promotion)
ANS:<< age, genetics, sex
What type of assessment should the nurse preform prior to initiating health
teaching?
ANS:<< cultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order?
ANS:<< 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
,Organization that identifies health promotion and disease prevention goals and
lists strategies along with resources in an attempt to improve the nation's health
ANS:<< Healthy People 2020
Organization that recommends ways to strengthen the practice of nursing in
order to improve health care.
ANS:<< The Institute of Medicine's report on the Future of Nursing
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?
ANS:<< The National Patient Safety Goals
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
ANS:<< Nurse Practice Acts
Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses
in providing continuous quality improvement in health care
ANS:<< QSEN - Quality and Safety Education for Nurses Institute
What is pain?
ANS:<< whatever the patient says it is
Pain is associated with __________________________________.
ANS:<< actual or potential tissue damage
The single most reliable indicator of pain is _______.
ANS:<< the patient's self report
,Pain stimulates the sympathetic nervous system and could result in an increase
in ___________, ___________, and ____________.
ANS:<< blood pressure, heart rate, and respirations
physiologic effects of unrelieved pain (4)
ANS:<< increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling and pain
ANS:<< prostaglandins
______ primarily produce pain relief by preventing prostaglandin formation.
ANS:<< NSAIDS
_____________ does not have anti-inflammatory properties.
ANS:<< Acetaminophen
______________ stimulates the inflammatory response and puts the patient at risk
for pain.
ANS:<< tissue damage
manage nociceptive pain with?
ANS:<< local anesthetics, non-opioids or opioids
pain that is associated with a noxious stimulus
ANS:<< allodynia
, ________________ could lead to allodynia.
ANS:<< nerve route injury
What does a comprehensive pain assessment include?
ANS:<< 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
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
ANS:<< visual analog scale
ranges from 0 to 10 with 0 representing no pain
ANS:<< numeric rating scale
consists of cartoon faces that the patient selects to report their pain
ANS:<< Wong-Baker FACES Scale (ages 3+)