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1. weight, smoking, sex practices, diet List four modifiable risk fac-
tors. (general health pro-
motion)
2. age, genetics, sex List three non-modifiable
risk factors. (general health
promotion)
3. cultural assessment What type of assessment
should the nurse preform
prior to initiating health
teaching?
4. physiological integrity Maslow's Hierarchy of
safety and security Needs
belongingness and affection --priorities?
esteem and self-respect --what order?
self-actualization
-- physiologic needs and life threatening is-
sues are a priority
-- confirm that these needs are met in the
order listed above
5. Healthy People 2020 Organization that identifies
health promotion and dis-
ease prevention goals and
lists strategies along with
resources in an attempt to
improve the nation's health
6. The Institute of Medicine's report on the Fu- Organization that recom-
ture of Nursing mends ways to strength-
en the practice of nursing
in order to improve health
care.
7. The National Patient Safety Goals The Joint Commission lists
the top patient safety con-
cerns and includes med-
, Jersey College MedSurg 1 RN FINAL EXAM WITH COMPLETE SOLUTIO
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ication safety, infection
prevention, surgery-relat-
ed mistakes, patient identi-
fication and improving staff
communication. What is
this list called?
8. Nurse Practice Acts This governs nursing prac-
tice and is a law that is
put into place to protect the
public - nurses must fol-
low and comply with their
state's regulations
9. QSEN - Quality and Safety Education for Institute that seeks to
Nurses Institute strengthen the knowledge,
skills, and attitudes of nurs-
es in providing continu-
ous quality improvement in
health care
10. whatever the patient says it is What is pain?
11. actual or potential tissue damage Pain is associated with
_______________________
12. the patient's self report The single most reliable in-
dicator of pain is _______.
13. blood pressure, heart rate, and respirations Pain stimulates the sym-
pathetic nervous system
and could result in an in-
crease in ___________,
___________, and
____________.
14. increases glucagon production physiologic effects of unre-
decreases insulin secretion lieved pain (4)
depresses immune function
can lead to addictive behaviors
, Jersey College MedSurg 1 RN FINAL EXAM WITH COMPLETE SOLUTIO
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15. prostaglandins initiate inflammation and
contribute to tissue
swelling and pain
16. NSAIDS ______ primarily produce
pain relief by preventing
prostaglandin formation.
17. Acetaminophen _____________ does not
have anti-inflammatory
properties.
18. tissue damage ______________ stimu-
lates the inflammatory re-
sponse and puts the pa-
tient at risk for pain.
19. local anesthetics, non-opioids or opioids manage nociceptive pain
with?
20. allodynia pain that is associated with
a noxious stimulus
21. nerve route injury ________________ could
lead to allodynia.
22. timing: What does a comprehen-
onset - when it started sive pain assessment in-
duration - where it started clude?
frequency - how often/for how long
type - includes intensity, associated factors
influencing factors - what makes it bet-
ter/worse
intensity - how bad does it hurt
quality - what does it feel like
, Jersey College MedSurg 1 RN FINAL EXAM WITH COMPLETE SOLUTIO
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location - where does it hurt
effects on function/daily activities
23. visual analog scale 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
24. numeric rating scale ranges from 0 to 10 with 0
representing no pain
25. Wong-Baker FACES Scale (ages 3+) consists of cartoon faces
that the patient selects to
report their pain
26. verbal descriptor scale uses words to help individ-
uals describe the intensity
of their pain
27. Wong-Baker FACES Scale should never be used by
the provider to match the
patient's facial expression
28. produce a local effect effect produced by topical
analgesics
29. produces drug absorption into the systemic effect produced by trans-
circulaiton dermal route of analgesics
30. provide PCA (patient controlled analgesia) Provide ____________ to
help reduce complications
related to pain. Used in
postoperative patients as
a preventative measure for
pain.