RNSG 1430 Comfort, Mobility, Functional Ability Questions
With Complete Solutions
_____ are less likely to report pain and at high risk for under
treatment Correct Answer older adults
_____ report pain more frequently with lower pain tolerance
levels Correct Answer women
(structure) aging (older adults) Correct Answer -thinning of
vertebral disk, shortening of spinal column, and onset of
kyphosis with spinal compression
-bone density decreases, bones become brittle
-cartilage becomes rigid and fragile, loss of resiliency and
elasticity of ligaments
-muscle mass and tone reduce significance
-reduced ROM, pain in joints, reduced muscle strength
(Structure) infancy, childhood, and adolescence Correct Answer
-bone changes in composition, grow length in diameter, and
undergo changes in rotation and alignment
-size and composition of muscles undergo changes as a result of
physical growth and development
*Opioid Agonist-*
analgesia, sedation, euphoria, respiratory depression, cough
suppression, suppression of bowel motility
*Primary Use*
- pain relief
,*Pharmacokinetics*
Oral, IM, IV, subQ, epidural, intrathecal
Only a small fraction of the drug crosses the BBB
Inactivated first pass- oral morphine larger dose
Tolerance and Physical Dependence
Abstinence Syndrome Correct Answer morphine
4 Domains of Functional Ability Correct Answer physical,
physiological, social, cognitive
abnormal findings Correct Answer -deformities of bone or joint
-edema
-ecchymosis
-localized warmth or tenderness
-loss of function
-numbness
-guarding
-limitations in movement of mobility
Acetaminophen Correct Answer Analgesia, antipyretic
Oral dosing
Metabolized in the liver
Hepatic Necrosis
Avoid Alcohol
aching, cramping, throbbing pain Correct Answer nociceptive
Adjuvant analgesics Correct Answer local anesthetics,
anticonvulsants, antidepressants
,Adjuvants are medications that are _____ and include _____,
_____, and _____. Correct Answer added in addition to pain
meds, local anesthetics, anticonvulsants, antidepressants
adverse effects of *Opioid Antagonists* (3) Correct Answer
Tachycardia- monitor heart rate and rhythm
Tachypnea- have resuscitation equipment and O2
Abstinence syndrome
Alzheimer's Disease is characterized by Correct Answer loss of
memory, judgement, visual-spatial perception, and changes in
personality
An older adult who was in a car accident and fractured his femur
has been immobilized for 5 days. Which nursing diagnosis is
related to patient safety when the nurse assists this patient out of
bed for the first time?
a) Chronic pain
b) Impaired skin integrity
c) Risk for ineffective cerebral tissue perfusion
d) Risk for activity intolerance Correct Answer d) Risk for
activity intolerance
Patients on bed rest are at risk for activity intolerance, which
increases patients' risk for falling.
appendicular skeleton grows faster than Correct Answer axial
skeleton in childhood
, arises within the body cavity, most commonly the thorax,
abdomen, and pelvis Correct Answer visceral pain
arthrography Correct Answer visualization of the joint my
injection of radiopaque substance into the joint cavity allowing
for evaluation of bones, cartilage, and ligaments
arthroscopy Correct Answer procedure that allows
visualization of the interior of a joint a through endoscope
articular cartilage Correct Answer acts as cushion by
distributing joint loads over a wide area, reduce prolonged
compression
Assessment finding for osteoarthritis (4) Correct Answer pain
that worsens after periods of rest, functional limitations, limited
ROM, joint stiffness
biphosphonates Correct Answer stop reabsorption of calcium
in bone
blood test Correct Answer alkaline phosphate, calcium,
phosphorus, uric acid, creatine kinase, BUN, creatinine,
myoglobinuria
bone mineral density Correct Answer -determines core mineral
content and density of bone
-used for diagnosis of osteoporosis and osteopenia
bone roles related to mobility Correct Answer -structural
foundation for body and as leverage to move body parts
With Complete Solutions
_____ are less likely to report pain and at high risk for under
treatment Correct Answer older adults
_____ report pain more frequently with lower pain tolerance
levels Correct Answer women
(structure) aging (older adults) Correct Answer -thinning of
vertebral disk, shortening of spinal column, and onset of
kyphosis with spinal compression
-bone density decreases, bones become brittle
-cartilage becomes rigid and fragile, loss of resiliency and
elasticity of ligaments
-muscle mass and tone reduce significance
-reduced ROM, pain in joints, reduced muscle strength
(Structure) infancy, childhood, and adolescence Correct Answer
-bone changes in composition, grow length in diameter, and
undergo changes in rotation and alignment
-size and composition of muscles undergo changes as a result of
physical growth and development
*Opioid Agonist-*
analgesia, sedation, euphoria, respiratory depression, cough
suppression, suppression of bowel motility
*Primary Use*
- pain relief
,*Pharmacokinetics*
Oral, IM, IV, subQ, epidural, intrathecal
Only a small fraction of the drug crosses the BBB
Inactivated first pass- oral morphine larger dose
Tolerance and Physical Dependence
Abstinence Syndrome Correct Answer morphine
4 Domains of Functional Ability Correct Answer physical,
physiological, social, cognitive
abnormal findings Correct Answer -deformities of bone or joint
-edema
-ecchymosis
-localized warmth or tenderness
-loss of function
-numbness
-guarding
-limitations in movement of mobility
Acetaminophen Correct Answer Analgesia, antipyretic
Oral dosing
Metabolized in the liver
Hepatic Necrosis
Avoid Alcohol
aching, cramping, throbbing pain Correct Answer nociceptive
Adjuvant analgesics Correct Answer local anesthetics,
anticonvulsants, antidepressants
,Adjuvants are medications that are _____ and include _____,
_____, and _____. Correct Answer added in addition to pain
meds, local anesthetics, anticonvulsants, antidepressants
adverse effects of *Opioid Antagonists* (3) Correct Answer
Tachycardia- monitor heart rate and rhythm
Tachypnea- have resuscitation equipment and O2
Abstinence syndrome
Alzheimer's Disease is characterized by Correct Answer loss of
memory, judgement, visual-spatial perception, and changes in
personality
An older adult who was in a car accident and fractured his femur
has been immobilized for 5 days. Which nursing diagnosis is
related to patient safety when the nurse assists this patient out of
bed for the first time?
a) Chronic pain
b) Impaired skin integrity
c) Risk for ineffective cerebral tissue perfusion
d) Risk for activity intolerance Correct Answer d) Risk for
activity intolerance
Patients on bed rest are at risk for activity intolerance, which
increases patients' risk for falling.
appendicular skeleton grows faster than Correct Answer axial
skeleton in childhood
, arises within the body cavity, most commonly the thorax,
abdomen, and pelvis Correct Answer visceral pain
arthrography Correct Answer visualization of the joint my
injection of radiopaque substance into the joint cavity allowing
for evaluation of bones, cartilage, and ligaments
arthroscopy Correct Answer procedure that allows
visualization of the interior of a joint a through endoscope
articular cartilage Correct Answer acts as cushion by
distributing joint loads over a wide area, reduce prolonged
compression
Assessment finding for osteoarthritis (4) Correct Answer pain
that worsens after periods of rest, functional limitations, limited
ROM, joint stiffness
biphosphonates Correct Answer stop reabsorption of calcium
in bone
blood test Correct Answer alkaline phosphate, calcium,
phosphorus, uric acid, creatine kinase, BUN, creatinine,
myoglobinuria
bone mineral density Correct Answer -determines core mineral
content and density of bone
-used for diagnosis of osteoporosis and osteopenia
bone roles related to mobility Correct Answer -structural
foundation for body and as leverage to move body parts
