Advanced Medical-Surgical Nursing Principles –
Exam 1 Study Guide (Jersey College)
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
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
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
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 Study Guide (Jersey College)
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
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
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
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
