Advanced Med-Surg Principles Jersey College
Exam 1; Questions & Answers
What during labor increases the risk of neonate aquiring acute encephalitis?
Answer-active herpes simplex virus-2
How do you administer meds? Answer-starting with the lowest dose and
titrating up slowly
What is pain is associated with? Answer-actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in?
Answer-- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? Answer-adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from?
Answer-adrenal cortex
, Advanced Med-Surg Principles Jersey College
Exam 1; Questions & Answers
What does unrelieved pain lead to? Answer-- increases glucagon
production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What initiates inflammation, contributes to tissue sweeling, and pain?
Answer-Prostaglandins
What can nerve root injury lead to? Answer-allodynia (pain that is
associated with non-noxious stimuli)
What is needed for renal blood flow? Answer-Prostaglandin
Pain is? Answer-whatever the patient says it is
What is the single most reliable indicator of pain? Answer-the patient's
self-report
, Advanced Med-Surg Principles Jersey College
Exam 1; Questions & Answers
How do NSAID's preimarily produce pain relief? Answer-by preventing
prostaglandin formation
What does acetaminphen not have? Answer-any inflammatory properties
What do you manage nociceptive pain with? Answer-- local anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? Answer-no
pain
What does the Wong-Baker FACES pain scale consist of? Answer-cartoon
faces that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? Answer-no pain to the
worst pain, the patient marks a spot somewhere in between indicating their
pain level
, Advanced Med-Surg Principles Jersey College
Exam 1; Questions & Answers
What pain scale helps indiviuals describe the intensity of pain? Answer-
verbal descriptor scale
What does a comprehensive pain assessment consist of? Answer--
duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration?
Answer-thrombocytopenic
What type of effect do topical agents produce? Answer-local
What type of effect do transdermal agents produce? Answer-drug
absorption into the systemic circulation
What would help reduce complications related to pain for patients?
Answer-provide a PCA
Exam 1; Questions & Answers
What during labor increases the risk of neonate aquiring acute encephalitis?
Answer-active herpes simplex virus-2
How do you administer meds? Answer-starting with the lowest dose and
titrating up slowly
What is pain is associated with? Answer-actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in?
Answer-- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? Answer-adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from?
Answer-adrenal cortex
, Advanced Med-Surg Principles Jersey College
Exam 1; Questions & Answers
What does unrelieved pain lead to? Answer-- increases glucagon
production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What initiates inflammation, contributes to tissue sweeling, and pain?
Answer-Prostaglandins
What can nerve root injury lead to? Answer-allodynia (pain that is
associated with non-noxious stimuli)
What is needed for renal blood flow? Answer-Prostaglandin
Pain is? Answer-whatever the patient says it is
What is the single most reliable indicator of pain? Answer-the patient's
self-report
, Advanced Med-Surg Principles Jersey College
Exam 1; Questions & Answers
How do NSAID's preimarily produce pain relief? Answer-by preventing
prostaglandin formation
What does acetaminphen not have? Answer-any inflammatory properties
What do you manage nociceptive pain with? Answer-- local anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? Answer-no
pain
What does the Wong-Baker FACES pain scale consist of? Answer-cartoon
faces that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? Answer-no pain to the
worst pain, the patient marks a spot somewhere in between indicating their
pain level
, Advanced Med-Surg Principles Jersey College
Exam 1; Questions & Answers
What pain scale helps indiviuals describe the intensity of pain? Answer-
verbal descriptor scale
What does a comprehensive pain assessment consist of? Answer--
duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration?
Answer-thrombocytopenic
What type of effect do topical agents produce? Answer-local
What type of effect do transdermal agents produce? Answer-drug
absorption into the systemic circulation
What would help reduce complications related to pain for patients?
Answer-provide a PCA
