JERSEY COLLEGE MED-SURG WEEK 1 EXAM (LATEST) QUESTIONS WITH SOLVED ANSWERS 100% CORRECT!!

Wake patients who have _____________ or who have___________________________ pain following surgery and administer analgesics as prescribe - chronic pain, moderate to severe pain Acetaminophen use could result in ____________________ and should not exceed __________ mg/day - hepatoxicity, 4,000 mg/day The purpose of nursing is to treat the patient ___________ to illness and to use __________ _____________________ to improve out come. - Response, evidence based practices Determine how to prioritize the needs of the patient by using Maslows hierarchy of needs, which are? and remember that ________________ (basic needs) and __________________ issues are a Prioity. - Physiological integrity, Safety, Security, Belongingness ,Affection, Esteem,Self-respect and Selfactualization Physiological needs Life threatening In what order do we met the patients needs in? - Physiologic integrity, Safety and Security, Belongingness/Affection, Esteem/Self-respect, and Self-actualization Who identifies health promotion and disease prevention goals and list strategies along wit resources in an attempt to improve the nation's health? - Healthy People 2020 The __________________________ report on the Future of Nursing recommends ways to strengthen the practice of nursing in order to improve health care - Institute of Medicine's The National Patient Safety Goals list the top patient safety concerns that include. - medication safety, infection prevention,surgery-related mistakes, patient identification and improving staff communication Nurses must comply with their _______________________ since it governs nursing practice and it is a law that's put in place to protect the public. - State nurse practice actWho seeks to strengthen the knowledge, skills and attitudes of nurses in proving continuous quality improvement in health care. - Quality and Safety Education for Nurses (QSEN) __________ is what ever the patient say it is - Pain Pain is associated with ___________ or ____________ tissue damage - actual , potential The single most reliable indicator of pain is the? - Patient's self-report Pain stimulates the ________________________ and could result in an increase in ? - Sympathetic, BP, HR, and Resp What does Unrelieved pain increase ? decreases, and depresses what? And can lead to addictive behavior - Glucagon Production, Immune function What Initiate inflammation and contribute to tissue swelling and pain - Prostaglandins Non steroidal anti-inflammatory medications primarily produce pain relief by preventing? - prostaglandin formation Does not have anti-inflammatory properties - Acetaminophen What stimulates the inflammatory response and puts the patient at risk for pain. - Tissue damage . Manage nociceptive pain with local ____________, ______________ or __________. - local anesthetics, nonopioids or opioids Nerve route injury could lead to - Allodynia (pain that is associated with a non-noxious stimulus)Allodynia - Pain that is associated with a nonnoxious stimulus A comprehensive pain assessment includes - Duration (includes when it started), Type (includes intensity, Associated factors, Influencing factors (what makes it better or worse) and location _________ is a 10 cm line that represents no pain to worst pain on opposites sides of the line and the individual place a mark somewhere between the two ends depending on the severity of pain The numeric rating scale ranges from 0 to 10 with 0 representing no pain - The visual analog scale Wong-Baker FACES scale - (ages 3 and up) consists of cartoon faces that the patient selects to report their pain. 1 Teach patient about _____________ and ____________ risk factors. - modifiable and non modifiable You should conduct a ____________ assessment prior to initiating health teaching. - Cultural Use the nursing process to provide individualized care that is ? - Evidence based Scale that uses words to help individuals describe the intensity of pain - The verbal descriptor scale A 10 cm line that represents no pain to worst pain on opposites sides of the line and the individual places a mark somewhere between the two ends depending on the severity of pain - The visual analog scale Scale that should never be used by the provider to match the patient's facial expression - WongBaker FACES scale ____________ produce a local effect whereby the______________ produces drug absorption into the systemic circulation - Topical effects ,transdermal routeProvide patient controlled _______________to help reduce complications related to pain - Analgesia Provide around the clock administration of analgesics for ___________and __________________ , never wait for chronic pain to reoccur. - Chronic and Postoperative pain