NSG 250 Quiz #1
CNI College
questions and
answers(verified
for accuracy)
PCA; why is it used? - answer Get med when you need it, has ceiling
and is controlled doses of pain med, small frequent doses ensures
consistent plasma levels
Less lag time between identified need and med delivery which
increases sense of control and decreases amount of meds needed
Morphine and hydromorphone (dilaudid) typical for PCA
What to do if another person is pressing PCA - answer only pt
should be pressing PCA for meds to prevent overdose; if another
person is pressing the button ask them to stop, then provide
education about PCA pump and its purpose, that only pt should be
pressing if needed
, What is the ideal BMI and waist inch circumference? - answer BMI
18%-24%, waist 30in for women, 34in for men
What is most reliable indicator of existing pain of pt? - answer Pain
is whatever pt says it is; self report of pain, 0-10 scale; considered
subjective data
S/S of pain - answer increased heart rate, blood pressure and
respirations
physiologic s/s are more prominent in acute pain
Acute pain s/s - answer acute pain is protective, temporary, self-
limiting, and resolves w/ tissue healing
fight or flight responses; tachycardia, hypertension, anxiety,
diaphoresis, muscle tension
behavioral responses: grimacing, moaning, flinching, guarding
Interventions include TX OF UNDERLYING PROBLEM
Hep-A route of transmission - answer fecal-oral; third world
countries w/ contaminated food/water
Hep-A Risk Factors & best prevention - answer ingestion of
contaminated food/water (shellfish), and close personal contact w/
individual
best prevention is HANDWASHING
CNI College
questions and
answers(verified
for accuracy)
PCA; why is it used? - answer Get med when you need it, has ceiling
and is controlled doses of pain med, small frequent doses ensures
consistent plasma levels
Less lag time between identified need and med delivery which
increases sense of control and decreases amount of meds needed
Morphine and hydromorphone (dilaudid) typical for PCA
What to do if another person is pressing PCA - answer only pt
should be pressing PCA for meds to prevent overdose; if another
person is pressing the button ask them to stop, then provide
education about PCA pump and its purpose, that only pt should be
pressing if needed
, What is the ideal BMI and waist inch circumference? - answer BMI
18%-24%, waist 30in for women, 34in for men
What is most reliable indicator of existing pain of pt? - answer Pain
is whatever pt says it is; self report of pain, 0-10 scale; considered
subjective data
S/S of pain - answer increased heart rate, blood pressure and
respirations
physiologic s/s are more prominent in acute pain
Acute pain s/s - answer acute pain is protective, temporary, self-
limiting, and resolves w/ tissue healing
fight or flight responses; tachycardia, hypertension, anxiety,
diaphoresis, muscle tension
behavioral responses: grimacing, moaning, flinching, guarding
Interventions include TX OF UNDERLYING PROBLEM
Hep-A route of transmission - answer fecal-oral; third world
countries w/ contaminated food/water
Hep-A Risk Factors & best prevention - answer ingestion of
contaminated food/water (shellfish), and close personal contact w/
individual
best prevention is HANDWASHING
