NRSG 2220-Exam 1 (Mod 1-5) questions with answers

NRSG 2220-Exam 1 (Mod 1-5) questions with answers
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General Survey: - CORRECT ANSWERS ✔✔-Provides clues to overall health
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-Begins the moment of contact
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-First impressions
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-Challenges your observational skills |\ |\ |\




-Usually includes vital signs, height and weight. We are focusing on skillful
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observations


What do you look for in skilled observation (general survey)? - CORRECT
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ANSWERS ✔✔-Signs of distress |\ |\ |\




-Stature/Build
-Dressing/Grooming
-Posture/Gait/Coordination
-Eye contact
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-Level of consciousness, mood
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- Speech patterns
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-Vision or hearing problems
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-Nutritional state |\




-Significant others accompanying patient |\ |\ |\




Healthy hair= |\




(general survey) - CORRECT ANSWERS ✔✔Healthy protein stores in body
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,Pain is a subjective or objective experience? - CORRECT ANSWERS
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✔✔Subjective
-highly individual |\




-ethnocultural considerations |\




Expression of pain does not = - CORRECT ANSWERS ✔✔degree of pain
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5th vital sign? - CORRECT ANSWERS ✔✔Pain
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How do you care for the patient in pain? - CORRECT ANSWERS ✔✔-Important to
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believe the pain is real
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-Your goal is to reduce/eliminate pain and manage pain so that patient can
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resume normal lifestyle |\ |\




Best indicator of pain? - CORRECT ANSWERS ✔✔Patient reporting their pain to
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you


Standards to treat/manage pain as put in place by the Joint Commission -
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CORRECT ANSWERS ✔✔These standards uphold the idea that the patient has
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the right to have their pain managed effectively.
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One important standard is to determine a pain rating goal with your patient.
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Their plan of care is set on mutually set goals
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Characteristics of Pain - CORRECT ANSWERS ✔✔COLD ERA |\ |\ |\ |\ |\ |\ |\

,COLD ERA - CORRECT ANSWERS ✔✔C:haracter of the compaint
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O:nset of the symptom
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L:ocation of the complaint
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D:uration of the problem |\ |\ |\




E:xacerbated by what? |\ |\




R:elieved by what? |\ |\




A:ssociated symptoms problem |\ |\




OLD CARTS - CORRECT ANSWERS ✔✔O:nset
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L:ocation
D:uration


C:haracter
A:ggravating factors/associated factors |\ |\




R:elieving factors |\




T:emporal factors |\




S:everity


Duration of pain (3) - CORRECT ANSWERS ✔✔Acute
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-rapid onset, varies with intensity, protective in nature
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Chronic

, -can be intermittent or persistent, long-standing pain and it interferes with ability
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to function
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Acute on chronic |\ |\




-someone who has chronic pain and then has acute exacerbation of pain on top
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of chronic pain
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Remission of pain - CORRECT ANSWERS ✔✔No symptoms of pain at the time
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Exacerbation - CORRECT ANSWERS ✔✔Symptoms may reappear and get worse
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Source of Pain (3) - CORRECT ANSWERS ✔✔Cutaneous/Superficial:
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-Pain at skin level, tend to be painful because of all nerve endings
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Somatic: |\




-Pain that comes from tendons, ligaments, bones, vessels, pain tends to be more
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diffuse, hard to pinpoint |\ |\ |\




Visceral:
-pain originates from organs, poorly localized
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Etiology of Pain - CORRECT ANSWERS ✔✔-Referred Pain: Pain perceived in an
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area distant from where pain is actually originating. (MI, pain in arm not in heart)
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-Neuropathic Pain: Injury or peripheral or central nerves (crushed vertebrae in
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neck may result in pain in hands or wherever those nerves innervate)
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-Intractable Pain: Pain that is resistant to interventions, regardless of what we do
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we cannot get to goal pain
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