Jersey College MedSurg 1 RN FINAL EXAM Questions and Answers

Jersey College MedSurg 1 RN FINAL EXAM Questions and Answers List four modifiable risk factors. (general health promotion) - Answer️️ -weight, smoking, sex practices, diet List three non-modifiable risk factors. (general health promotion) - Answer️️ -age, genetics, sex What type of assessment should the nurse preform prior to initiating health teaching? - Answer️️ -cultural assessment Maslow's Hierarchy of Needs --priorities? --what order? - Answer️️ -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 ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM 2 attempt to improve the nation's health - Answer️️ -Healthy People 2020 Organization that recommends ways to strengthen the practice of nursing in order to improve health care. - Answer️️ -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? - Answer️️ -The National Patient Safety Goals 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 - Answer️️ -Nurse Practice Acts Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing continuous quality improvement in health care - Answer️️ -QSEN - Quality and Safety Education for Nurses Institute What is pain? - Answer️️ -whatever the patient says it is Pain is associated with __________________________________. - Answer️️ -actual or potential tissue damage The single most reliable indicator of pain is _______. - Answer️️ -the patient's self report ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM 3 Pain stimulates the sympathetic nervous system and could result in an increase in ___________, ___________, and ____________. - Answer️️ -blood pressure, heart rate, and respirations physiologic effects of unrelieved pain (4) - Answer️️ -increases glucagon production decreases insulin secretion depresses immune function can lead to addictive behaviors initiate inflammation and contribute to tissue swelling and pain - Answer️️ -prostaglandins ______ primarily produce pain relief by preventing prostaglandin formation. - Answer️️ -NSAIDS _____________ does not have anti-inflammatory properties. - Answer️️ -Acetaminophen ______________ stimulates the inflammatory response and puts the patient at risk for pain. - Answer️️ -tissue damage manage nociceptive pain with? - Answer️️ -local anesthetics, non- opioids or opioids pain that is associated with a noxious stimulus - Answer️️ - allodynia ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM 4 ________________ could lead to allodynia. - Answer️️ -nerve route injury What does a comprehensive pain assessment include? - Answer️️ - 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 ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM 5 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 - Answer️️ -visual analog scale ranges from 0 to 10 with 0 representing no pain - Answer️️ - numeric rating scale consists of cartoon faces that the patient selects to report their pain - Answer️️ -Wong-Baker FACES Scale (ages 3+) uses words to help individuals describe the intensity of their pain - Answer️️ -verbal descriptor scale should never be used by the provider to match the patient's facial expression - Answer️️ -Wong-Baker FACES Scale effect produced by topical analgesics - Answer️️ -produc