Nursing 325 Adults Exam 1 Questions With Complete
Solutions
"Teach back" vs. "Show back" Correct Answers Show Back
Demonstration with return demonstration, show back
§ Evaluating SKILLS
§ "Can you show me how you would give yourself insulin?"
Teach Back Return verbal confirmation of learning; so I know I
was clear
Accommodations for older adults Correct Answers
Acute vs. chronic pain (clinical manifestations, medication
management,how to evaluate effectiveness of interventions)
Correct Answers Acute Pain
o Clinical Manifestations Onset is sudden, lasts for no less than
3 months, mild to severe pain, generally can identify a
precipitating event, over time it will go away
§ Inc HR, Inc RR, Inc BP, diaphoresis, anxiety, urine retention
o Medication Management nonopioids for mild-moderate &
opioids PCA for moderate-severe
o Evaluate effectiveness of Interventions want to take pain to 0
Chronic Pain
o Clinical Manifestations Gradual or sudden, lasts for more than
3 months.
, could start as an acute injury or event but continues PAST the
normal time for recovery
§ Mild to severe pain, the cause of pain may not be known,
typically pain does not go away, often characterized by periods
of waning and waxing
§ Flat affect, decrease physical movement and activity, fatigue,
withdrawal from others and social interaction
§ Breakthrough pain: transient, moderate to severe pain that
occurs in patients with a baseline chronic pain
Assessment required prior to administration Correct Answers
mild- moderate pain
Care in the PACU, on clinical unit, and discharge Correct
Answers o Priorities:
§ Respiratory, cardiovascular, pain, temperature, surgical site
o Monitoring:
§ Pulse oximetry, ECG, and frequent VS
· Care in Clinical Unit
· Discharge
o PACU:
§ Pt is awake at baseline
§ Vital signs stable or at baseline
§ No excessive bleeding or drainage
§ No resp depression
§ O2 stat above 90, report given
o Ambulatory Surgery:
§ ALL pacu criteria
Solutions
"Teach back" vs. "Show back" Correct Answers Show Back
Demonstration with return demonstration, show back
§ Evaluating SKILLS
§ "Can you show me how you would give yourself insulin?"
Teach Back Return verbal confirmation of learning; so I know I
was clear
Accommodations for older adults Correct Answers
Acute vs. chronic pain (clinical manifestations, medication
management,how to evaluate effectiveness of interventions)
Correct Answers Acute Pain
o Clinical Manifestations Onset is sudden, lasts for no less than
3 months, mild to severe pain, generally can identify a
precipitating event, over time it will go away
§ Inc HR, Inc RR, Inc BP, diaphoresis, anxiety, urine retention
o Medication Management nonopioids for mild-moderate &
opioids PCA for moderate-severe
o Evaluate effectiveness of Interventions want to take pain to 0
Chronic Pain
o Clinical Manifestations Gradual or sudden, lasts for more than
3 months.
, could start as an acute injury or event but continues PAST the
normal time for recovery
§ Mild to severe pain, the cause of pain may not be known,
typically pain does not go away, often characterized by periods
of waning and waxing
§ Flat affect, decrease physical movement and activity, fatigue,
withdrawal from others and social interaction
§ Breakthrough pain: transient, moderate to severe pain that
occurs in patients with a baseline chronic pain
Assessment required prior to administration Correct Answers
mild- moderate pain
Care in the PACU, on clinical unit, and discharge Correct
Answers o Priorities:
§ Respiratory, cardiovascular, pain, temperature, surgical site
o Monitoring:
§ Pulse oximetry, ECG, and frequent VS
· Care in Clinical Unit
· Discharge
o PACU:
§ Pt is awake at baseline
§ Vital signs stable or at baseline
§ No excessive bleeding or drainage
§ No resp depression
§ O2 stat above 90, report given
o Ambulatory Surgery:
§ ALL pacu criteria
