Jersey College Medsurg 1 RN FINAL EXAM With Correct Solutions

Jersey College Medsurg 1 RN FINAL
EXAM With Correct Solutions.




weight, smoking, sex practices, diet - CORRECT ANSWER✔✔List four modifiable risk factors. (general
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health promotion)
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age, genetics, sex - CORRECT ANSWER✔✔List three non-modifiable risk factors. (general health
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promotion)
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cultural assessment - CORRECT ANSWER✔✔What type of assessment should the nurse preform prior to
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initiating health teaching?
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physiological integrity j




safety and security
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belongingness and affection j j




esteem and self-respect
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self-actualization j




-- physiologic needs and life threatening issues are a priority
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,-- confirm that these needs are met in the order listed above - CORRECT ANSWER✔✔Maslow's Hierarchy of
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Needs
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--priorities?

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Healthy People 2020 - CORRECT ANSWER✔✔Organization that identifies health promotion and disease
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prevention goals and lists strategies along with resources in an attempt to improve the nation's health
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The Institute of Medicine's report on the Future of Nursing - CORRECT ANSWER✔✔Organization that
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recommends ways to strengthen the practice of nursing in order to improve health care.
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The National Patient Safety Goals - CORRECT ANSWER✔✔The Joint Commission lists the top patient safety
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concerns and includes medication safety, infection prevention, surgery-related mistakes, patient
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identification and improving staff communication. What is this list called?
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Nurse Practice Acts - CORRECT ANSWER✔✔This governs nursing practice and is a law that is put into place
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to protect the public - nurses must follow and comply with their state's regulations
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QSEN - Quality and Safety Education for Nurses Institute - CORRECT ANSWER✔✔Institute that seeks to
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strengthen the knowledge, skills, and attitudes of nurses in providing continuous quality improvement in
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health care
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whatever the patient says it is - CORRECT ANSWER✔✔What is pain?
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actual or potential tissue damage - CORRECT ANSWER✔✔Pain is associated with
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__________________________________.
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the patient's self report - CORRECT ANSWER✔✔The single most reliable indicator of pain is _______.
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,blood pressure, heart rate, and respirations - CORRECT ANSWER✔✔Pain stimulates the sympathetic
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nervous system and could result in an increase in ___________, ___________, and ____________.
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increases glucagon production j j




decreases insulin secretion j j




depresses immune function j j




can lead to addictive behaviors - CORRECT ANSWER✔✔physiologic effects of unrelieved pain (4)
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prostaglandins - CORRECT ANSWER✔✔initiate inflammation and contribute to tissue swelling and pain
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NSAIDS - CORRECT ANSWER✔✔______ primarily produce pain relief by preventing prostaglandin
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formation.
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Acetaminophen - CORRECT ANSWER✔✔_____________ does not have anti-inflammatory properties.
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tissue damage - CORRECT ANSWER✔✔______________ stimulates the inflammatory response and puts
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the patient at risk for pain.
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local anesthetics, non-opioids or opioids - CORRECT ANSWER✔✔manage nociceptive pain with?
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allodynia - CORRECT ANSWER✔✔pain that is associated with a noxious stimulus
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nerve route injury - CORRECT ANSWER✔✔________________ could lead to allodynia.
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timing:

onset - when it started
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, duration - where it started j j j j




frequency - how often/for how long j j j j j




type - includes intensity, associated factors
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influencing factors - what makes it better/worse j j j j j j




intensity - how bad does it hurt j j j j j j




quality - what does it feel like
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location - where does it hurt j j j j j




effects on function/daily activities - CORRECT ANSWER✔✔What does a comprehensive pain assessment
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include?
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visual analog scale - CORRECT ANSWER✔✔10cm line that represents no pain to worst pain on each end of
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the line and the patient places a mark somewhere between the two ends depending on the severity of pain
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numeric rating scale - CORRECT ANSWER✔✔ranges from 0 to 10 with 0 representing no pain
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Wong-Baker FACES Scale (ages 3+) - CORRECT ANSWER✔✔consists of cartoon faces that the patient
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selects to report their pain
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verbal descriptor scale - CORRECT ANSWER✔✔uses words to help individuals describe the intensity of
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their pain
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