NU 126 Final Exam Guide With
Complete Solution
Community Based Nursing - ANSWERphilosophy of care in which the care is
provided as patients and their families move among various service providers
outside of hospitals
What are some examples of community health nurses? -
ANSWERepidemiologist
case manager
coordinator of services provided to a group of patients
hospice or parish nurse
Primary Prevention - ANSWERIMMUNIZATION
HEALTHY DIETS
Secondary Prevention - ANSWEREARLY DETECTION
SCREENINGS
Tertiary Prevention - ANSWERminimizing deterioration and improving
quality of life
How does the ANA define nursing? - ANSWERthe protection
promotion
and optimization of health and the ability to prevent illness or injury,
alleviate suffering through diagnosis and treatment and to advocate in the
,care of individuals
Maslows Hierarchy of Needs - ANSWERPhysiological
Safety
Love and Belonging
Self Esteem
Self Actualization
HCAHPS Score - ANSWERquality metric that measures the patients quality of
care from a random sampling of patients that were hospitalized
Which route of administration of medication is preferred in most acute care
situations? - ANSWERIntravenous - because it is more comfortable. Peak
serum concentrations and pain relief occur more rapidly and reliably
A client is receiving morphine through a patient-controlled analgesia (PCA)
system following surgery. The nurse states to the client: - ANSWEROnly you
are to push the button for medication. pushing the button frequently does
not result in pain relief because there are time limits. dont wait until the pain
is severe to push the button
What is a disadvantage of using the transdermal route of opioid
administration? - ANSWERA delay in effect until the dermal layer is saturated
A client with appendicitis has had an appendectomy. After surgery, what type
of pain does the nurse anticipate the client will have? - ANSWERAcute Pain
The nurse is assessing a patient complaining of severe pain. What physiologic
indicator does the nurse recognize as significant of acute pain? -
ANSWERDiaphoresis
,Neuropathic Pain = - ANSWERPATHOLOGICAL
EX. DM NEUROPATHY OF LEGS
NOCICEPTIVE - ANSWERPHYSICAL
ex. Sunburn
Mixed Pain = - ANSWERphysiological + pathological
ex. Phantom Pain
What type of pain is phantom pain? - ANSWERMixed
Which intervention is appropriate for a nurse caring for a client in severe pain
receiving a continuous IV of morphine? - ANSWERget a baseline of vitals
before giving IV
Which type of pain arises from internal organs such as the kidneys? -
ANSWERVisceral
A client has a long hx of DM and developed Diabetic Neuropathy over 25
years ago. The client is w/o breakthrough pain at this point in time. how
would this client's pain be classified? - ANSWERNeuropathic and Chronic
breakthrough pain - ANSWERacute pain
The nurse is assessing an older adult patient just admitted to the hospital.
Why is it important that the nurse carefully assess pain in the older adult
patient? - ANSWEROlder people experience reduced sensory perception
A client is on a second round of radiation therapy for an inoperable tumor,
and asks the nurse for medication to help with pain. The nurse suspects that
the client's pain is the result of nerve damage from the radiation. Which type
of pain is the client likely experiencing? - ANSWERNeuropathic Pain
, The nurse is assisting the anesthesiologist with the insertion of an epidural
catheter and the administration of an epidural opioid for pain control. What
adverse effect of epidural opioids should the nurse monitor for? -
ANSWERBradypnea
The nurse is caring for a client with kidney stones who is complaining of
severe pain. What type of pain does the nurse understand this client is
experiencing? - ANSWERVisceral Pain
According to the Joint Commission, which of the following is a focus of
assessment related to quality of pain? - ANSWERDescription in the clients
own words
A client being treated for rheumatoid arthritis has been prescribed a
glucocorticosteroid. How should the nurse best ensure this client's safety
during treatment? - ANSWEREnsure the client knows to taper down the dose
if it is discontinued by the care provider
Why must corticosteroids by tapered down slowly? - ANSWERto prevent an
adrenal crisis
What should the nurse monitor when a patient is administering
corticosteroids? - ANSWERWeight
Vital Signs
Serum Glucose Concentration
When administering anticonvulsants what should the nurse monitor? -
ANSWERblood counts and liver function tests
For clients that are prescribed psychostimulants What should the nurse
instruct to the client? - ANSWERavoid caffeine or other stimulants, such as
Complete Solution
Community Based Nursing - ANSWERphilosophy of care in which the care is
provided as patients and their families move among various service providers
outside of hospitals
What are some examples of community health nurses? -
ANSWERepidemiologist
case manager
coordinator of services provided to a group of patients
hospice or parish nurse
Primary Prevention - ANSWERIMMUNIZATION
HEALTHY DIETS
Secondary Prevention - ANSWEREARLY DETECTION
SCREENINGS
Tertiary Prevention - ANSWERminimizing deterioration and improving
quality of life
How does the ANA define nursing? - ANSWERthe protection
promotion
and optimization of health and the ability to prevent illness or injury,
alleviate suffering through diagnosis and treatment and to advocate in the
,care of individuals
Maslows Hierarchy of Needs - ANSWERPhysiological
Safety
Love and Belonging
Self Esteem
Self Actualization
HCAHPS Score - ANSWERquality metric that measures the patients quality of
care from a random sampling of patients that were hospitalized
Which route of administration of medication is preferred in most acute care
situations? - ANSWERIntravenous - because it is more comfortable. Peak
serum concentrations and pain relief occur more rapidly and reliably
A client is receiving morphine through a patient-controlled analgesia (PCA)
system following surgery. The nurse states to the client: - ANSWEROnly you
are to push the button for medication. pushing the button frequently does
not result in pain relief because there are time limits. dont wait until the pain
is severe to push the button
What is a disadvantage of using the transdermal route of opioid
administration? - ANSWERA delay in effect until the dermal layer is saturated
A client with appendicitis has had an appendectomy. After surgery, what type
of pain does the nurse anticipate the client will have? - ANSWERAcute Pain
The nurse is assessing a patient complaining of severe pain. What physiologic
indicator does the nurse recognize as significant of acute pain? -
ANSWERDiaphoresis
,Neuropathic Pain = - ANSWERPATHOLOGICAL
EX. DM NEUROPATHY OF LEGS
NOCICEPTIVE - ANSWERPHYSICAL
ex. Sunburn
Mixed Pain = - ANSWERphysiological + pathological
ex. Phantom Pain
What type of pain is phantom pain? - ANSWERMixed
Which intervention is appropriate for a nurse caring for a client in severe pain
receiving a continuous IV of morphine? - ANSWERget a baseline of vitals
before giving IV
Which type of pain arises from internal organs such as the kidneys? -
ANSWERVisceral
A client has a long hx of DM and developed Diabetic Neuropathy over 25
years ago. The client is w/o breakthrough pain at this point in time. how
would this client's pain be classified? - ANSWERNeuropathic and Chronic
breakthrough pain - ANSWERacute pain
The nurse is assessing an older adult patient just admitted to the hospital.
Why is it important that the nurse carefully assess pain in the older adult
patient? - ANSWEROlder people experience reduced sensory perception
A client is on a second round of radiation therapy for an inoperable tumor,
and asks the nurse for medication to help with pain. The nurse suspects that
the client's pain is the result of nerve damage from the radiation. Which type
of pain is the client likely experiencing? - ANSWERNeuropathic Pain
, The nurse is assisting the anesthesiologist with the insertion of an epidural
catheter and the administration of an epidural opioid for pain control. What
adverse effect of epidural opioids should the nurse monitor for? -
ANSWERBradypnea
The nurse is caring for a client with kidney stones who is complaining of
severe pain. What type of pain does the nurse understand this client is
experiencing? - ANSWERVisceral Pain
According to the Joint Commission, which of the following is a focus of
assessment related to quality of pain? - ANSWERDescription in the clients
own words
A client being treated for rheumatoid arthritis has been prescribed a
glucocorticosteroid. How should the nurse best ensure this client's safety
during treatment? - ANSWEREnsure the client knows to taper down the dose
if it is discontinued by the care provider
Why must corticosteroids by tapered down slowly? - ANSWERto prevent an
adrenal crisis
What should the nurse monitor when a patient is administering
corticosteroids? - ANSWERWeight
Vital Signs
Serum Glucose Concentration
When administering anticonvulsants what should the nurse monitor? -
ANSWERblood counts and liver function tests
For clients that are prescribed psychostimulants What should the nurse
instruct to the client? - ANSWERavoid caffeine or other stimulants, such as
