AGACNP ANCC Board Review- Common Problems | 123 Questions and Correct Solutions Latest Update

AGACNP ANCC Board Review- Common Problems | 123 Questions and Correct Solutions Latest Update Cutaneous Pain - Answer - -localized on the skin or body surface -eg bad sunburn or blister Visceral Pain - Answer - -poorly localized such as with internal organs eg. gallbladder pain, PUD pain Somatic Pain - Answer - -non localized -originates in muscle, bone, nerves, blood vessels eg. soft tissue injury Neuropathic pain - Answer - involves nerve pathway injury or compression WHO Pain Ladder - Answer - 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 - Answer - use of fentanyl patch for sustained release Stage 1 pressure ulcer - Answer - intact skin w erythema that does NOT blanch Stage 2 pressure ulcer - Answer - partial thickness loss of skin w exposed dermis can present as intact or ruptured serum filled blister stage 3 pressure ulcer - Answer - full thickness skin loss, visible adipose tissue stage 4 pressure ulcer - Answer - full thickness skin & tissue loss w exposed or palpable fascia, muscle, tendon, ligament or bone unstageable pressure ulcer - Answer - obscured by slough or eschar causes of non-infectious post op fever - A