2
NURS 3632 EXAM 2 with precise detailed answers || || || || || || ||
What is the best tool to get perception of pain from patient? - ✔✔Self Report
|| || || || || || || || || || || || || ||
Meperidine is contraindicated with what age group for pain? - ✔✔Older clients
|| || || || || || || || || || ||
T/F
Fentanyl patches are great for acute pain. - ✔✔False, Fentanyl patches are more for Chronic
|| || || || || || || || || || || || || ||
pain and delivers 24 hours of coverage.
|| || || || || || ||
Who is only allowed to deliver Epidural? - ✔✔CRNA'S
|| || || || || || || ||
What is visceral pain? - ✔✔Originating from interior organs, DEEP ORGAN PAIN
|| || || || || || || || || || || ||
(intestines, liver, abdomen, chest, cranium) || || || ||
What is somatic pain? - ✔✔originating from muscle, bone, joints, tendons, or blood vessels,
|| || || || || || || || || || || || || ||
a Particular part of the body
|| || || || ||
Injury pain, inflammation pain
|| || ||
What is enoxaparin used for? - ✔✔prevent deep vein thrombus- DVT (prophalaxis)
|| || || || || || || || || || ||
good for bedridden patients, You monitor HCT, and HMG
|| || || || || || || ||
What is antidote to Enoxaparin? - ✔✔protamine sulfate
|| || || || || || ||
,2
Procedure for Inhalers is - ✔✔*start inhaling while pressing and INHALE SLOW over 3-5
|| || || || || || || || || || || || || ||
seconds (1 puff each breath) once inhaled, have pt HOLD breath for 10 seconds
|| || || || || || || || || || || || ||
wait 1 minute between each puff
|| || || || ||
how to insert a rectal suppository - ✔✔left sims position
|| || || || || || || || ||
insert 3-4 inches past sphincter to the walls (not directly into poop)
|| || || || || || || || || || ||
Perioperative stage of SX - ✔✔decision to have sx, last until pt is in operating room
|| || || || || || || || || || || || || || ||
Intraoperative stage SX - ✔✔operating room until taken to PACU (Post Anesthesia Care || || || || || || || || || || || || ||
Unit)
Postoperative stage of SX - ✔✔PACU to complete recovery from SX/last follow up with HCP
|| || || || || || || || || || || || || ||
What happens during PREoperative stage of sx? - ✔✔Informed consent (unless Emergency)
|| || || || || || || || || || ||
teaching about sx (not after, because drowsy from sx), check for risk factors to make sure
|| || || || || || || || || || || || || || || || ||
safe for patient
|| ||
Why is it important to get informed consent before sx? - ✔✔After sx the patient is drowsy
|| || || || || || || || || || || || || || || || ||
from anesthesia, you want to make sure they are well aware of what will occur
|| || || || || || || || || || || || || ||
What do we do during the Intraoperative stage of sx? - ✔✔positioning (decr risk of pressure
|| || || || || || || || || || || || || || || ||
ulcers from the OR table)|| || || ||
document vitals, blood deficit, pain management and adjusting anesthesia if needed
|| || || || || || || || || ||
, 2
What do we monitor in PACU? - ✔✔nutrition, signs of infection, teaching on care and
|| || || || || || || || || || || || || || ||
movement restrictions, shock, thrombophlebitis
|| || ||
Elective Sx - ✔✔schedule in advance (does not mean NOT NECCESARY) it means it can
|| || || || || || || || || || || || || || ||
wait, but neccesary
|| ||
Urgent Sx - ✔✔can wait until patient is more stable, <less than 2 days
|| || || || || || || || || || || || ||
Emergent Sx - ✔✔do w/o delay, NOW! can result in death or permanent damage if not done
|| || || || || || || || || || || || || || || ||
STAT
||
preventative sx - ✔✔prophylactic (prevents dz) || || || || ||
Ablative sx - ✔✔removing diseased/damaged organ (destroy/destruct)
|| || || || || ||
Curative sx - ✔✔cures/fixes the issue
|| || || || ||
Palliative sx - ✔✔relieves s&s. doesnt CURE, like tumors, removing tumor because it causes
|| || || || || || || || || || || || ||
pain on the nerves
|| || || ||
reconstructive sx - ✔✔using body parts to reconstruct something else for the body
|| || || || || || || || || || || ||
constructive sx - ✔✔build something up, congenital abnormalities
|| || || || || || ||
transplantive sx - ✔✔remove and replace || || || || ||
NURS 3632 EXAM 2 with precise detailed answers || || || || || || ||
What is the best tool to get perception of pain from patient? - ✔✔Self Report
|| || || || || || || || || || || || || ||
Meperidine is contraindicated with what age group for pain? - ✔✔Older clients
|| || || || || || || || || || ||
T/F
Fentanyl patches are great for acute pain. - ✔✔False, Fentanyl patches are more for Chronic
|| || || || || || || || || || || || || ||
pain and delivers 24 hours of coverage.
|| || || || || || ||
Who is only allowed to deliver Epidural? - ✔✔CRNA'S
|| || || || || || || ||
What is visceral pain? - ✔✔Originating from interior organs, DEEP ORGAN PAIN
|| || || || || || || || || || || ||
(intestines, liver, abdomen, chest, cranium) || || || ||
What is somatic pain? - ✔✔originating from muscle, bone, joints, tendons, or blood vessels,
|| || || || || || || || || || || || || ||
a Particular part of the body
|| || || || ||
Injury pain, inflammation pain
|| || ||
What is enoxaparin used for? - ✔✔prevent deep vein thrombus- DVT (prophalaxis)
|| || || || || || || || || || ||
good for bedridden patients, You monitor HCT, and HMG
|| || || || || || || ||
What is antidote to Enoxaparin? - ✔✔protamine sulfate
|| || || || || || ||
,2
Procedure for Inhalers is - ✔✔*start inhaling while pressing and INHALE SLOW over 3-5
|| || || || || || || || || || || || || ||
seconds (1 puff each breath) once inhaled, have pt HOLD breath for 10 seconds
|| || || || || || || || || || || || ||
wait 1 minute between each puff
|| || || || ||
how to insert a rectal suppository - ✔✔left sims position
|| || || || || || || || ||
insert 3-4 inches past sphincter to the walls (not directly into poop)
|| || || || || || || || || || ||
Perioperative stage of SX - ✔✔decision to have sx, last until pt is in operating room
|| || || || || || || || || || || || || || ||
Intraoperative stage SX - ✔✔operating room until taken to PACU (Post Anesthesia Care || || || || || || || || || || || || ||
Unit)
Postoperative stage of SX - ✔✔PACU to complete recovery from SX/last follow up with HCP
|| || || || || || || || || || || || || ||
What happens during PREoperative stage of sx? - ✔✔Informed consent (unless Emergency)
|| || || || || || || || || || ||
teaching about sx (not after, because drowsy from sx), check for risk factors to make sure
|| || || || || || || || || || || || || || || || ||
safe for patient
|| ||
Why is it important to get informed consent before sx? - ✔✔After sx the patient is drowsy
|| || || || || || || || || || || || || || || || ||
from anesthesia, you want to make sure they are well aware of what will occur
|| || || || || || || || || || || || || ||
What do we do during the Intraoperative stage of sx? - ✔✔positioning (decr risk of pressure
|| || || || || || || || || || || || || || || ||
ulcers from the OR table)|| || || ||
document vitals, blood deficit, pain management and adjusting anesthesia if needed
|| || || || || || || || || ||
, 2
What do we monitor in PACU? - ✔✔nutrition, signs of infection, teaching on care and
|| || || || || || || || || || || || || || ||
movement restrictions, shock, thrombophlebitis
|| || ||
Elective Sx - ✔✔schedule in advance (does not mean NOT NECCESARY) it means it can
|| || || || || || || || || || || || || || ||
wait, but neccesary
|| ||
Urgent Sx - ✔✔can wait until patient is more stable, <less than 2 days
|| || || || || || || || || || || || ||
Emergent Sx - ✔✔do w/o delay, NOW! can result in death or permanent damage if not done
|| || || || || || || || || || || || || || || ||
STAT
||
preventative sx - ✔✔prophylactic (prevents dz) || || || || ||
Ablative sx - ✔✔removing diseased/damaged organ (destroy/destruct)
|| || || || || ||
Curative sx - ✔✔cures/fixes the issue
|| || || || ||
Palliative sx - ✔✔relieves s&s. doesnt CURE, like tumors, removing tumor because it causes
|| || || || || || || || || || || || ||
pain on the nerves
|| || || ||
reconstructive sx - ✔✔using body parts to reconstruct something else for the body
|| || || || || || || || || || || ||
constructive sx - ✔✔build something up, congenital abnormalities
|| || || || || || ||
transplantive sx - ✔✔remove and replace || || || || ||
