JERSEY COLLEGE MEDSURG 1 RN
MIDTERM EXAM WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+
quality - what does it feel like
location - where does it hurt
effects on function/daily activities - ANSWERS-What does a
comprehensive pain assessment include?
visual analog scale - ANSWERS-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 - ANSWERS-ranges from 0 to 10 with 0
representing no pain
Wong-Baker FACES Scale (ages 3+) - ANSWERS-consists of
cartoon faces that the patient selects to report their pain
verbal descriptor scale - ANSWERS-uses words to help
individuals describe the intensity of their pain
Wong-Baker FACES Scale - ANSWERS-should never be used
by the provider to match the patient's facial expression
produce a local effect - ANSWERS-effect produced by topical
analgesics
produces drug absorption into the systemic circulaiton -
ANSWERS-effect produced by transdermal route of
analgesics
provide PCA (patient controlled analgesia) - ANSWERS-
Provide ____________ to help reduce complications related
to pain. Used in postoperative patients as a preventative
measure for pain.
,around the clock - ANSWERS-Provide administration of
analgesics __(frequency)__ for chronic and postoperative
pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - ANSWERS-given for mild to
moderate pain
NSAIDS - ANSWERS-given for moderate pain
opioid analgesics (Morphine) - ANSWERS-given for severe
pain
rectal route - ANSWERS-Avoid which medication
administration route for patients who are
thrombocytopenic?
Acetaminophen - ANSWERS-Use of this analgesic could
result in hepatoxicity and should not exceed 4,000mg/day.
NSAIDS - ANSWERS-analgesic that could result in gastric
ulcers or contribute to cardiovascular events such as MI or
stroke
, NSAIDS - ANSWERS-analgesic that could lead to acute renal
failure in patients with volume depletion or who take it for
chronic pain
prostaglandin - ANSWERS-needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory
depression - ANSWERS-undesirable side effects of opioids
could increase absorption and result in lethal complications
- ANSWERS-Never apply heat over transdermal patches.
Why?
antidepressants or anticonvulsants - ANSWERS-adjuvant
medications used to manage neuropathic pain
metabolic alkalosis - ANSWERS-Vomiting can lead to what
acid-base imbalance
metabolic acidosis - ANSWERS-Diarrhea can lead to what
acid-base imbalance
MIDTERM EXAM WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+
quality - what does it feel like
location - where does it hurt
effects on function/daily activities - ANSWERS-What does a
comprehensive pain assessment include?
visual analog scale - ANSWERS-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 - ANSWERS-ranges from 0 to 10 with 0
representing no pain
Wong-Baker FACES Scale (ages 3+) - ANSWERS-consists of
cartoon faces that the patient selects to report their pain
verbal descriptor scale - ANSWERS-uses words to help
individuals describe the intensity of their pain
Wong-Baker FACES Scale - ANSWERS-should never be used
by the provider to match the patient's facial expression
produce a local effect - ANSWERS-effect produced by topical
analgesics
produces drug absorption into the systemic circulaiton -
ANSWERS-effect produced by transdermal route of
analgesics
provide PCA (patient controlled analgesia) - ANSWERS-
Provide ____________ to help reduce complications related
to pain. Used in postoperative patients as a preventative
measure for pain.
,around the clock - ANSWERS-Provide administration of
analgesics __(frequency)__ for chronic and postoperative
pain, never wait for chronic pain to reoccur.
aspirin or acetaminophen - ANSWERS-given for mild to
moderate pain
NSAIDS - ANSWERS-given for moderate pain
opioid analgesics (Morphine) - ANSWERS-given for severe
pain
rectal route - ANSWERS-Avoid which medication
administration route for patients who are
thrombocytopenic?
Acetaminophen - ANSWERS-Use of this analgesic could
result in hepatoxicity and should not exceed 4,000mg/day.
NSAIDS - ANSWERS-analgesic that could result in gastric
ulcers or contribute to cardiovascular events such as MI or
stroke
, NSAIDS - ANSWERS-analgesic that could lead to acute renal
failure in patients with volume depletion or who take it for
chronic pain
prostaglandin - ANSWERS-needed for renal blood flow
constipation, nausea, pupil constriction, and respiratory
depression - ANSWERS-undesirable side effects of opioids
could increase absorption and result in lethal complications
- ANSWERS-Never apply heat over transdermal patches.
Why?
antidepressants or anticonvulsants - ANSWERS-adjuvant
medications used to manage neuropathic pain
metabolic alkalosis - ANSWERS-Vomiting can lead to what
acid-base imbalance
metabolic acidosis - ANSWERS-Diarrhea can lead to what
acid-base imbalance
