Advanced Med-Surg Principles Jersey
College Exam 1 Questions & Answers
With Complete Solutions Graded A+
QUESTIONS AND ANSWERS
What during labor increases the risk of neonate aquiring acute encephalitis?
ANSWER -active herpes simplex virus-2
How do you administer meds? ANSWER -starting with the lowest dose and titrating
up slowly
What is pain is associated with? ANSWER -actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in?
ANSWER -- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? ANSWER -adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from? ANSWER -
adrenal cortex
What does unrelieved pain lead to? ANSWER -- increases glucagon production
,- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What initiates inflammation, contributes to tissue sweeling, and pain? ANSWER -
Prostaglandins
What can nerve root injury lead to? ANSWER -allodynia (pain that is associated with
non-noxious stimuli)
What is needed for renal blood flow? ANSWER -Prostaglandin
Pain is? ANSWER -whatever the patient says it is
What is the single most reliable indicator of pain? ANSWER -the patient's self-report
How do NSAID's preimarily produce pain relief? ANSWER -by preventing
prostaglandin formation
What does acetaminphen not have? ANSWER -any inflammatory properties
What do you manage nociceptive pain with? ANSWER -- local anesthetics
- non-opioids
,- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? ANSWER -no pain
What does the Wong-Baker FACES pain scale consist of? ANSWER -cartoon faces
that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? ANSWER -no pain to the worst
pain, the patient marks a spot somewhere in between indicating their pain level
What pain scale helps indiviuals describe the intensity of pain? ANSWER -verbal
descriptor scale
What does a comprehensive pain assessment consist of? ANSWER -- duration (when
it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration? ANSWER -
thrombocytopenic
What type of effect do topical agents produce? ANSWER -local
What type of effect do transdermal agents produce? ANSWER -drug absorption into
the systemic circulation
, What would help reduce complications related to pain for patients? ANSWER -
provide a PCA
How do we administer around the clock pain relief for post-op and chronic pain?
ANSWER -provide analgesics, never wait for chronic pain to reoccur
What is provided for mild to moderate pain? ANSWER -aspirin or acetaminaphen
What is provided for moderate pain? ANSWER -NSAID's
What is provided for severe pain? ANSWER -morphine
Why would you wake patients who have chronic pain or who have moderate to severe
pain folowing surgery? ANSWER -to administer prescribed analgcsics
What can excessive use of acetaminophen cause? ANSWER -hepatoxicity
What does of acetaminophen could lead to hepatoxicity? ANSWER -4,000 mg/day
What can NSAID's meds result in? ANSWER -- gastric ulcers
- contribute to CV events (MI or stroke)
College Exam 1 Questions & Answers
With Complete Solutions Graded A+
QUESTIONS AND ANSWERS
What during labor increases the risk of neonate aquiring acute encephalitis?
ANSWER -active herpes simplex virus-2
How do you administer meds? ANSWER -starting with the lowest dose and titrating
up slowly
What is pain is associated with? ANSWER -actual or potential tissue damage
When pain stimulates the sympathetic nervous system, what does it result in?
ANSWER -- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from? ANSWER -adrenal medulla
Where are steroid hormones (cortisol & aldosterone) released from? ANSWER -
adrenal cortex
What does unrelieved pain lead to? ANSWER -- increases glucagon production
,- decreases insulin secretion
- depress immune function
- can lead to addictive behaviors
What initiates inflammation, contributes to tissue sweeling, and pain? ANSWER -
Prostaglandins
What can nerve root injury lead to? ANSWER -allodynia (pain that is associated with
non-noxious stimuli)
What is needed for renal blood flow? ANSWER -Prostaglandin
Pain is? ANSWER -whatever the patient says it is
What is the single most reliable indicator of pain? ANSWER -the patient's self-report
How do NSAID's preimarily produce pain relief? ANSWER -by preventing
prostaglandin formation
What does acetaminphen not have? ANSWER -any inflammatory properties
What do you manage nociceptive pain with? ANSWER -- local anesthetics
- non-opioids
,- opioids
What does 0 on the 0 - 10 numeric pain rating scale indicate? ANSWER -no pain
What does the Wong-Baker FACES pain scale consist of? ANSWER -cartoon faces
that the patient (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent? ANSWER -no pain to the worst
pain, the patient marks a spot somewhere in between indicating their pain level
What pain scale helps indiviuals describe the intensity of pain? ANSWER -verbal
descriptor scale
What does a comprehensive pain assessment consist of? ANSWER -- duration (when
it started/lasted)
- type (intensity/assoc factors/influencing fators)
- location
What patients do we avoid the rectal route for med administration? ANSWER -
thrombocytopenic
What type of effect do topical agents produce? ANSWER -local
What type of effect do transdermal agents produce? ANSWER -drug absorption into
the systemic circulation
, What would help reduce complications related to pain for patients? ANSWER -
provide a PCA
How do we administer around the clock pain relief for post-op and chronic pain?
ANSWER -provide analgesics, never wait for chronic pain to reoccur
What is provided for mild to moderate pain? ANSWER -aspirin or acetaminaphen
What is provided for moderate pain? ANSWER -NSAID's
What is provided for severe pain? ANSWER -morphine
Why would you wake patients who have chronic pain or who have moderate to severe
pain folowing surgery? ANSWER -to administer prescribed analgcsics
What can excessive use of acetaminophen cause? ANSWER -hepatoxicity
What does of acetaminophen could lead to hepatoxicity? ANSWER -4,000 mg/day
What can NSAID's meds result in? ANSWER -- gastric ulcers
- contribute to CV events (MI or stroke)
