NSG 318 EXAM 2 2026 STUDY GUIDE REVISION
SHEET CORE CONCEPT BREAKDOWN
◉ antiinflammatories inhibit what substance.
Answer: prostaglandin
◉ which physiological change occurs during the delayed process of
inflammation.
Answer: infiltration of leukocytes into the site
◉ pathophysiology of pain.
Answer: chemical mediators sensitize the pain receptors
◉ a pt with migraine headaches who is on SSRI therapy is
prescribed sumatriptan. what possible complication might the nurse
see in the pt.
Answer: serotonin syndrome (manifested by inc serotonin levels in
the blood)
◉ which lab levels should the nurse monitor for a pt receiving
acetaminophen therapy.
Answer: INC potassium, bilirubin, LDH, dec. WBC. RBC, platelets,
albumin, ALP, ALT
,◉ which med would a nurse administer to a pt admitted for tx of an
opioid addiction.
Answer: methadone
◉ which narcotic drug is the drug of choice for pain relief during
childbirth.
Answer: meperidine
◉ what medication is contraindicated for a pt with a head injury.
Answer: nalbuphine
◉ adjuvant analgesics.
Answer: used to treat chronic pain with neuropathic nature. used
with opioids and nonopioids, anticonvulsants, antidepressants,
corticosteroids, local anesthetics
◉ superficial pain.
Answer: Pain that originates from the skin or mucous membranes
◉ deep pain.
Answer: pain that occurs in tissues below skin level
,◉ somatic pain.
Answer: Pain that originates from skeletal muscles, ligaments, or
joints.
◉ visceral pain.
Answer: pain that originates from organs or smooth muscles
◉ cluster headaches.
Answer: -severe unilateral, nonthrobbing pain
-located around eye
-series of cluster attacks
-more common in males
◉ migraine headaches.
Answer: -unilateral throbbing head pain, accompanied by nausea,
vomiting and photophobia
-triggers: cheese, chocolate, red wine, aspartame, fatigue, stress,
monosodium glutamate, missed meals, odors, light, hormone
changes, drugs, weather, sleep
◉ Migraine and Cluster Headaches
Prevention:.
Answer: Beta-adrenergic Blockers:
, -propranolol
-atenolol
Anticonvulsants:
-valproic acid
-gabapentin
Tricyclic antidepressants:
-amitriptyline
-imipramine
◉ function of adrenergics.
Answer: -dilates pupils
-dilate bronchioles
-inc HR
-vasoconstriction
-relax GI
-relax bladder
-relax uterus
◉ sympathomimetic.
SHEET CORE CONCEPT BREAKDOWN
◉ antiinflammatories inhibit what substance.
Answer: prostaglandin
◉ which physiological change occurs during the delayed process of
inflammation.
Answer: infiltration of leukocytes into the site
◉ pathophysiology of pain.
Answer: chemical mediators sensitize the pain receptors
◉ a pt with migraine headaches who is on SSRI therapy is
prescribed sumatriptan. what possible complication might the nurse
see in the pt.
Answer: serotonin syndrome (manifested by inc serotonin levels in
the blood)
◉ which lab levels should the nurse monitor for a pt receiving
acetaminophen therapy.
Answer: INC potassium, bilirubin, LDH, dec. WBC. RBC, platelets,
albumin, ALP, ALT
,◉ which med would a nurse administer to a pt admitted for tx of an
opioid addiction.
Answer: methadone
◉ which narcotic drug is the drug of choice for pain relief during
childbirth.
Answer: meperidine
◉ what medication is contraindicated for a pt with a head injury.
Answer: nalbuphine
◉ adjuvant analgesics.
Answer: used to treat chronic pain with neuropathic nature. used
with opioids and nonopioids, anticonvulsants, antidepressants,
corticosteroids, local anesthetics
◉ superficial pain.
Answer: Pain that originates from the skin or mucous membranes
◉ deep pain.
Answer: pain that occurs in tissues below skin level
,◉ somatic pain.
Answer: Pain that originates from skeletal muscles, ligaments, or
joints.
◉ visceral pain.
Answer: pain that originates from organs or smooth muscles
◉ cluster headaches.
Answer: -severe unilateral, nonthrobbing pain
-located around eye
-series of cluster attacks
-more common in males
◉ migraine headaches.
Answer: -unilateral throbbing head pain, accompanied by nausea,
vomiting and photophobia
-triggers: cheese, chocolate, red wine, aspartame, fatigue, stress,
monosodium glutamate, missed meals, odors, light, hormone
changes, drugs, weather, sleep
◉ Migraine and Cluster Headaches
Prevention:.
Answer: Beta-adrenergic Blockers:
, -propranolol
-atenolol
Anticonvulsants:
-valproic acid
-gabapentin
Tricyclic antidepressants:
-amitriptyline
-imipramine
◉ function of adrenergics.
Answer: -dilates pupils
-dilate bronchioles
-inc HR
-vasoconstriction
-relax GI
-relax bladder
-relax uterus
◉ sympathomimetic.