Agacnp Ancc Board Review- Common Problems/ Exam Review Q| Latest Updates 2024/25 Approved| Uestions And Answers, Rated A+

AGACNP ANCC BOARD REVIEW- COMMON PROBLEMS/ EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+ Cutaneous Pain - --localized on the skin or body surface -eg bad sunburn or blister Visceral Pain - --poorly localized such as with internal organs eg. gallbladder pain, PUD pain Somatic Pain - --non localized -originates in muscle, bone, nerves, blood vessels eg. soft tissue injury Neuropathic pain - -involves nerve pathway injury or compression WHO Pain Ladder - -Step 1: ASA, NSAIDs, tylenol +/- adjuvant (eg is a TCA like amitryptiline for migraine) Step 2: step 1 + codeine, hydrocodone, oxycodone, tramadol +/- adjuvants Step 3: morphine, hydromorphone, methadone, fentanyl plus non-opiods plus adjuvants Break-through cancer pain - -use of fentanyl patch for sustained release Stage 1 pressure ulcer - -intact skin w erythema that does NOT blanch Stage 2 pressure ulcer - -partial thickness loss of skin w exposed dermis can present as intact or ruptured serum filled blister stage 3 pressure ulcer - -full thickness skin loss, visible adipose tissue stage 4 pressure ulcer - -full thickness skin & tissue loss w exposed or palpable fascia, muscle, tendon, ligament or bone unstageable pressure ulcer - -obscured by slough or eschar causes of non-infectious post op fever - -# 1 is post-op atelectasis 2. increase basal metabolic rate 3. dehydration 4. drug reactions (increase eosonophils, drug fever comes on insidiously and tends to linger; drugs inlcude ampthericin B, bactrim, procainamide, beta-lactam abx and others Risperidone toxicity (anti-psychotic) - -neuroleptic malignant syndrome tx w dantrolene most commonly cultured organisms inpatient - -staph epi (on your skin) & staph aureus infectious causes of post-op fever - --usually w increase in WBC and left shift (neutrophils go up in bacterial infxn up to like 85% norm