NURS 3632 EXAM 2 QUESTIONS AND
ANSWERS
What6is6the6best6tool6to6get6perception6of6pain6from6patient?6-6ans-✔✔Self6Report
Meperidine6is6contraindicated6with6what6age6group6for6pain?6-6ans-✔✔Older6clients
T/F
Fentanyl6patches6are6great6for6acute6pain.6-6ans-
✔✔False,6Fentanyl6patches6are6more6for6Chronic6pain6and6delivers6246hours6of6coverag
e.
Who6is6only6allowed6to6deliver6Epidural?6-6ans-✔✔CRNA'S
What6is6visceral6pain?6-6ans-
✔✔Originating6from6interior6organs,6DEEP6ORGAN6PAIN6(intestines,6liver,6abdomen,6ch
est,6cranium)
What6is6somatic6pain?6-6ans-
✔✔originating6from6muscle,6bone,6joints,6tendons,6or6blood6vessels,6a6Particular6part6of6t
he6body
Injury6pain,6inflammation6pain
What6is6enoxaparin6used6for?6-6ans-✔✔prevent6deep6vein6thrombus-6DVT6(prophalaxis)
good6for6bedridden6patients,6You6monitor6HCT,6and6HMG
What6is6antidote6to6Enoxaparin?6-6ans-✔✔protamine6sulfate
Procedure6for6Inhalers6is6-6ans-
✔✔*start6inhaling6while6pressing6and6INHALE6SLOW6over63-
56seconds6(16puff6each6breath)6once6inhaled,6have6pt6HOLD6breath6for6106seconds
wait616minute6between6each6puff
, how6to6insert6a6rectal6suppository6-6ans-✔✔left6sims6position
insert63-46inches6past6sphincter6to6the6walls6(not6directly6into6poop)
Perioperative6stage6of6SX6-6ans-✔✔decision6to6have6sx,6last6until6pt6is6in6operating6room
Intraoperative6stage6SX6-6ans-
✔✔operating6room6until6taken6to6PACU6(Post6Anesthesia6Care6Unit)
Postoperative6stage6of6SX6-6ans-✔✔PACU6to6complete6recovery6from6SX/
last6follow6up6with6HCP
What6happens6during6PREoperative6stage6of6sx?6-6ans-
✔✔Informed6consent6(unless6Emergency)6teaching6about6sx6(not6after,6because6drowsy
6from6sx),6check6for6risk6factors6to6make6sure6safe6for6patient
Why6is6it6important6to6get6informed6consent6before6sx?6-6ans-
✔✔After6sx6the6patient6is6drowsy6from6anesthesia,6you6want6to6make6sure6they6are6well6
aware6of6what6will6occur
What6do6we6do6during6the6Intraoperative6stage6of6sx?6-6ans-
✔✔positioning6(decr6risk6of6pressure6ulcers6from6the6OR6table)
document6vitals,6blood6deficit,6pain6management6and6adjusting6anesthesia6if6needed
What6do6we6monitor6in6PACU?6-6ans-
✔✔nutrition,6signs6of6infection,6teaching6on6care6and6movement6restrictions,6shock,6thro
mbophlebitis
Elective6Sx6-6ans-
✔✔schedule6in6advance6(does6not6mean6NOT6NECCESARY)6it6means6it6can6wait,6but6n
eccesary
Urgent6Sx6-6ans-✔✔can6wait6until6patient6is6more6stable,6<less6than626days
Emergent6Sx6-6ans-✔✔do6w/o6delay,6NOW!
6can6result6in6death6or6permanent6damage6if6not6done6STAT
preventative6sx6-6ans-✔✔prophylactic6(prevents6dz)
Ablative6sx6-6ans-✔✔removing6diseased/damaged6organ6(destroy/destruct)
Curative6sx6-6ans-✔✔cures/fixes6the6issue
ANSWERS
What6is6the6best6tool6to6get6perception6of6pain6from6patient?6-6ans-✔✔Self6Report
Meperidine6is6contraindicated6with6what6age6group6for6pain?6-6ans-✔✔Older6clients
T/F
Fentanyl6patches6are6great6for6acute6pain.6-6ans-
✔✔False,6Fentanyl6patches6are6more6for6Chronic6pain6and6delivers6246hours6of6coverag
e.
Who6is6only6allowed6to6deliver6Epidural?6-6ans-✔✔CRNA'S
What6is6visceral6pain?6-6ans-
✔✔Originating6from6interior6organs,6DEEP6ORGAN6PAIN6(intestines,6liver,6abdomen,6ch
est,6cranium)
What6is6somatic6pain?6-6ans-
✔✔originating6from6muscle,6bone,6joints,6tendons,6or6blood6vessels,6a6Particular6part6of6t
he6body
Injury6pain,6inflammation6pain
What6is6enoxaparin6used6for?6-6ans-✔✔prevent6deep6vein6thrombus-6DVT6(prophalaxis)
good6for6bedridden6patients,6You6monitor6HCT,6and6HMG
What6is6antidote6to6Enoxaparin?6-6ans-✔✔protamine6sulfate
Procedure6for6Inhalers6is6-6ans-
✔✔*start6inhaling6while6pressing6and6INHALE6SLOW6over63-
56seconds6(16puff6each6breath)6once6inhaled,6have6pt6HOLD6breath6for6106seconds
wait616minute6between6each6puff
, how6to6insert6a6rectal6suppository6-6ans-✔✔left6sims6position
insert63-46inches6past6sphincter6to6the6walls6(not6directly6into6poop)
Perioperative6stage6of6SX6-6ans-✔✔decision6to6have6sx,6last6until6pt6is6in6operating6room
Intraoperative6stage6SX6-6ans-
✔✔operating6room6until6taken6to6PACU6(Post6Anesthesia6Care6Unit)
Postoperative6stage6of6SX6-6ans-✔✔PACU6to6complete6recovery6from6SX/
last6follow6up6with6HCP
What6happens6during6PREoperative6stage6of6sx?6-6ans-
✔✔Informed6consent6(unless6Emergency)6teaching6about6sx6(not6after,6because6drowsy
6from6sx),6check6for6risk6factors6to6make6sure6safe6for6patient
Why6is6it6important6to6get6informed6consent6before6sx?6-6ans-
✔✔After6sx6the6patient6is6drowsy6from6anesthesia,6you6want6to6make6sure6they6are6well6
aware6of6what6will6occur
What6do6we6do6during6the6Intraoperative6stage6of6sx?6-6ans-
✔✔positioning6(decr6risk6of6pressure6ulcers6from6the6OR6table)
document6vitals,6blood6deficit,6pain6management6and6adjusting6anesthesia6if6needed
What6do6we6monitor6in6PACU?6-6ans-
✔✔nutrition,6signs6of6infection,6teaching6on6care6and6movement6restrictions,6shock,6thro
mbophlebitis
Elective6Sx6-6ans-
✔✔schedule6in6advance6(does6not6mean6NOT6NECCESARY)6it6means6it6can6wait,6but6n
eccesary
Urgent6Sx6-6ans-✔✔can6wait6until6patient6is6more6stable,6<less6than626days
Emergent6Sx6-6ans-✔✔do6w/o6delay,6NOW!
6can6result6in6death6or6permanent6damage6if6not6done6STAT
preventative6sx6-6ans-✔✔prophylactic6(prevents6dz)
Ablative6sx6-6ans-✔✔removing6diseased/damaged6organ6(destroy/destruct)
Curative6sx6-6ans-✔✔cures/fixes6the6issue