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ADVANCED MED-SURG PRINCIPLES
JERSEY COLLEGE EXAM 1 QUESTIONS
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What during labor increases the risk of neonate aquiring acute encephalitis?
active herpes simplex virus-2
How do you administer meds?
starting with the lowest dose and titrating up slowly
What is pain is associated with?
actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in?
- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from?
adrenal medulla
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Where are steroid hormones (cortisol & aldosterone) released from?
adrenal cortex
What does unrelieved pain lead to?
- increases glucagon production
- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What initiates inflammation, contributes to tissue sweeling, and pain?
Prostaglandins
What can nerve root injury lead to?
allodynia (pain that is associated with non-noxious stimuli)
What is needed for renal blood flow?
Prostaglandin
Pain is?
whatever the patient says it is
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What is the single most reliable indicator of pain?
the patient's self-report
How do NSAID's preimarily produce pain relief?
by preventing prostaglandin formation
What does acetaminphen not have?
any inflammatory properties
What do you manage nociceptive pain with?
- local anesthetics
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate?
no pain
What does the Wong-Baker FACES pain scale consist of?
cartoon faces that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent?
no pain to the worst pain, the patient marks a spot somewhere in between indicating their pain level
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What pain scale helps indiviuals describe the intensity of pain?
verbal descriptor scale
What does a comprehensive pain assessment consist of?
- duration (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration?
thrombocytopenic
What type of effect do topical agents produce?
local
What type of effect do transdermal agents produce?
drug absorption into the systemic circulation
What would help reduce complications related to pain for patients?
provide a PCA
How do we administer around the clock pain relief for post-op and chronic pain?
provide analgesics, never wait for chronic pain to reoccur
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