NSG-316 Exam 1 Questions And Answers Verified 100% Correct

NSG-316 Exam 1 Questions And Answers Verified 100% Correct chronic pain - ANSWER --lasts 6 months or longer -slow onset -malignant -nonmalignant (arthritis, fibromyalgia, low back pain) -isn't associated with injury -BRADS (bracing, rubbing, appetite, decreased activity, sighing) breakthrough pain - ANSWER -Occurs when patient has recurrence of pain before next scheduled dose of medication visceral pain - ANSWER -large internal organs (dull, deep, squeezing, cramping) ex. appendicitis and cholecystitis somatic pain - ANSWER -Pain that originates from skeletal muscles, ligaments, or joints. (aching, throbbing) cutaneous pain - ANSWER -pain from skin surface and subcutaneous tissue (superficial, sharp, nausea, sweating, tachycardia, HTN) referred pain - ANSWER -pain felt in a part of the body other than its actual source nociceptive pain - ANSWER --nerve fibers are stimulated -Triggered by events outside the nervous system from actual or potential tissue damage -transduction, transmission, perception, modulation (arthritis, mechanical back pain) neuropathic pain - ANSWER -Does not adhere to the typical phases Due to a lesion or disease in the somatosensory nervous system Implies abnormal processing of the pain message from an injury to the nerve fibers Most difficult to assess, diagnose, and treat May evolve into chronic condition May be caused by diabetes, shingles, HIV, chemotherapy, stroke, MS, a tumor, etc. PQRST - ANSWER -provocative/palliative, quality, region/radiation, severity, timing Identify changes that occur when a client's pain is poorly controlled. - ANSWER Cardiac changes: tachycardia, elevated BP, increased myocardial oxygen demand, increased cardiac input Pulmonary changes: hypoventilation, hypoxia, decreased cough, atelectasis GI changes: nausea, vomiting, ileus Renal changes: oliguria, urinary retention Musculoskeletal changes: spasm, joint stiffness Endocrine changes: increased adrenergic activity CNS changes: fear, anxiety, fatigue Immune changes: impaired cellular immunity, impaired wound healing Poorly controlled chronic pain: depression, isolation, limited mobility and function, confusion, family distress, diminished quality of life what information is important for the nurse to know when providing care for people from diverse backgrounds - ANSWER -cultural competence which interventions will the nurse do to obtain objective data - ANSWER conduct physical exam, review lab reports, summon previous med records when would a nurse establish a complete database of a patient - ANSWER -during initial home visit, in primary health setting, community health care setting ACE unit - ANSWER -focuses on preventing functional decline in older adults during hospitalization TUG test - ANSWER -timed up and go test; quantifies functional mobility; going outside alone safely, walking 10 ft, turn, walk back to chair and sit down, ADL - ANSWER -activities of daily living; walking, dressing, using stairs, eating, feeding, grooming, toileting IADLs - ANSWER -instrumental activities of daily living; shopping, meal cooking, cleaning, laundry, managing finances, counting, housekeeping, taking meds, using transportation Mini Mental State Exam - ANSWER -Concentrates only on cognitive functioning, not on mood or thought processes Montreal Cognitive Assessment (MoCA) - ANSWER -Mild cognitive dysfunction; Attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking calculations and orientation AADLs - ANSWER -Advanced Activities of Daily Living; activities performed in the community- social or recreational, activities performed within the family Katz Index of ADL - ANSWER --Assessment for evaluation of activities of daily living -Focus: assessment of level of independence functioning and type of assistance required in six areas of ADL: 1) bathing 2) dressing 3) toileting 4) transferring 5) continence 6) feeding syncope - ANSWER -loss of consciousness or fainting due to weakness complete skin assessment - ANSWER -- scrutinize outer surface of skin -concentrate on underlying structures and inspect thoroughly -inspect feet, toenails, and between toes -check for color, temperature, moisture, texture, thickness, edema, mobility and turgor, vascularity or bruising, and lesions what causes true pallor (skin) - ANSWER -could be due to blood loss or anemic; slowed circulation (immobility/inactivity, prolonged elevation) jaundice (skin) - ANSWER -Yellowing - decreased liver function Where is jaundice first seen? - ANSWER -In the sclera of the eye, and then the skin cyanotic (skin) - ANSWER -blue- Not enough oxygen getting to red blood cells erythema (skin) - ANSWER -red- indicates trauma, fever or infection; vasodilation what might multiple bruises at different stages of healing indicate - ANSWER physical abuse edema can indicate - ANSWER -heart failure