Jersey College MedSurg 1 RN FINAL
EXAM
This governs nursing practice and is a law that is put into place to protect the public - nurses must follow
and comply with their state's regulations - Nurse Practice Acts
Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing continuous
quality improvement in health care - QSEN - Quality and Safety Education for Nurses Institute
List four modifiable risk factors. (general health promotion) - weight, smoking, sex practices, diet
List three non-modifiable risk factors. (general health promotion) - age, genetics, sex
What type of assessment should the nurse preform prior to initiating health teaching? - cultural
assessment
Maslow's Hierarchy of Needs
--priorities?
--what order? - physiological integrity
safety and security
belongingness and affection
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above
Organization that identifies health promotion and disease prevention goals and lists strategies along with
resources in an attempt to improve the nation's health - Healthy People 2020
,Organization that recommends ways to strengthen the practice of nursing in order to improve health
care. - The Institute of Medicine's report on the Future of Nursing
The Joint Commission lists the top patient safety concerns and includes medication safety, infection
prevention, surgery-related mistakes, patient identification and improving staff communication. What is
this list called? - The National Patient Safety Goals
What is pain? - whatever the patient says it is
Pain is associated with __________________________________. - actual or potential tissue
damage
The single most reliable indicator of pain is _______. - the patient's self report
Pain stimulates the sympathetic nervous system and could result in an increase in ___________,
___________, and ____________. - blood pressure, heart rate, and respirations
physiologic effects of unrelieved pain (4) - increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling and pain - prostaglandins
______ primarily produce pain relief by preventing prostaglandin formation. - NSAIDS
_____________ does not have anti-inflammatory properties. - Acetaminophen
______________ stimulates the inflammatory response and puts the patient at risk for pain. -
tissue damage
,manage nociceptive pain with? - local anesthetics, non-opioids or opioids
pain that is associated with a noxious stimulus - allodynia
________________ could lead to allodynia. - nerve route injury
What does a comprehensive pain assessment include? - timing:
onset - when it started
duration - where it started
frequency - how often/for how long
type - includes intensity, associated factors
influencing factors - what makes it better/worse
intensity - how bad does it hurt
quality - what does it feel like
location - where does it hurt
effects on function/daily activities
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 - visual analog scale
ranges from 0 to 10 with 0 representing no pain - numeric rating scale
, consists of cartoon faces that the patient selects to report their pain - Wong-Baker FACES Scale
(ages 3+)
uses words to help individuals describe the intensity of their pain - verbal descriptor scale
should never be used by the provider to match the patient's facial expression - Wong-Baker FACES
Scale
effect produced by topical analgesics - produce a local effect
effect produced by transdermal route of analgesics - produces drug absorption into the systemic
circulaiton
Provide ____________ to help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain. - provide PCA (patient controlled analgesia)
Provide administration of analgesics __(frequency)__ for chronic and postoperative pain, never wait for
chronic pain to reoccur. - around the clock
given for mild to moderate pain - aspirin or acetaminophen
given for moderate pain - NSAIDS
given for severe pain - opioid analgesics (Morphine)
Avoid which medication administration route for patients who are thrombocytopenic? - rectal
route
Use of this analgesic could result in hepatoxicity and should not exceed 4,000mg/day. -
Acetaminophen
EXAM
This governs nursing practice and is a law that is put into place to protect the public - nurses must follow
and comply with their state's regulations - Nurse Practice Acts
Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing continuous
quality improvement in health care - QSEN - Quality and Safety Education for Nurses Institute
List four modifiable risk factors. (general health promotion) - weight, smoking, sex practices, diet
List three non-modifiable risk factors. (general health promotion) - age, genetics, sex
What type of assessment should the nurse preform prior to initiating health teaching? - cultural
assessment
Maslow's Hierarchy of Needs
--priorities?
--what order? - physiological integrity
safety and security
belongingness and affection
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above
Organization that identifies health promotion and disease prevention goals and lists strategies along with
resources in an attempt to improve the nation's health - Healthy People 2020
,Organization that recommends ways to strengthen the practice of nursing in order to improve health
care. - The Institute of Medicine's report on the Future of Nursing
The Joint Commission lists the top patient safety concerns and includes medication safety, infection
prevention, surgery-related mistakes, patient identification and improving staff communication. What is
this list called? - The National Patient Safety Goals
What is pain? - whatever the patient says it is
Pain is associated with __________________________________. - actual or potential tissue
damage
The single most reliable indicator of pain is _______. - the patient's self report
Pain stimulates the sympathetic nervous system and could result in an increase in ___________,
___________, and ____________. - blood pressure, heart rate, and respirations
physiologic effects of unrelieved pain (4) - increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
initiate inflammation and contribute to tissue swelling and pain - prostaglandins
______ primarily produce pain relief by preventing prostaglandin formation. - NSAIDS
_____________ does not have anti-inflammatory properties. - Acetaminophen
______________ stimulates the inflammatory response and puts the patient at risk for pain. -
tissue damage
,manage nociceptive pain with? - local anesthetics, non-opioids or opioids
pain that is associated with a noxious stimulus - allodynia
________________ could lead to allodynia. - nerve route injury
What does a comprehensive pain assessment include? - timing:
onset - when it started
duration - where it started
frequency - how often/for how long
type - includes intensity, associated factors
influencing factors - what makes it better/worse
intensity - how bad does it hurt
quality - what does it feel like
location - where does it hurt
effects on function/daily activities
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 - visual analog scale
ranges from 0 to 10 with 0 representing no pain - numeric rating scale
, consists of cartoon faces that the patient selects to report their pain - Wong-Baker FACES Scale
(ages 3+)
uses words to help individuals describe the intensity of their pain - verbal descriptor scale
should never be used by the provider to match the patient's facial expression - Wong-Baker FACES
Scale
effect produced by topical analgesics - produce a local effect
effect produced by transdermal route of analgesics - produces drug absorption into the systemic
circulaiton
Provide ____________ to help reduce complications related to pain. Used in postoperative patients as a
preventative measure for pain. - provide PCA (patient controlled analgesia)
Provide administration of analgesics __(frequency)__ for chronic and postoperative pain, never wait for
chronic pain to reoccur. - around the clock
given for mild to moderate pain - aspirin or acetaminophen
given for moderate pain - NSAIDS
given for severe pain - opioid analgesics (Morphine)
Avoid which medication administration route for patients who are thrombocytopenic? - rectal
route
Use of this analgesic could result in hepatoxicity and should not exceed 4,000mg/day. -
Acetaminophen
