164 EXAM REVIEW Flashcards
(135 cards)
The nurse explains that the health-illness continuum is based on:
Variation in degree of health or illness
In performing a pain assessment, the LPN would follow which steps?
Assess location, quality, and intensity on an identified scale
The nurse has assessed that prolonged and unrelieved pain will:
Lower the pain threshold
Everytime the right arm is raised, the patient reports to the nurse that pain is triggered in the right shoulder. To chart this description as a:
Aggrevating factor
Because malignant hyperthermia is a potential postop complication, the nurse should ask:
Has anyone in your family ever had problems with general anesthesia
The nurse attempts to evaluate the presence of pain in a patient who is cognitively impaired by assessing for:
Increasing confusion
The patient scheduled for liver biopsy has given the nurse a list of medications taken at home, the nurse should be concerned about the:
Aspirin
A patient just returned to the surgical unit after varicose vein stripping and ligation. To evaluate pain relief, the best technique for the nurse is to:
Ask the patient to rate the severity of pain on a scale of 1-10
The nurse is alert for sympathetic responses to pain such as:
Increase bp, increased pulse, and increased respiratory rate
To prevent DVT in the postop patient, the nurse plans to ensure the patient:
Ambulates frequently
The sensation of pain defined by the International Association for the Study of Pain as:
Unpleasant sensory and emotional experience
A nurse is assisting in the transfer of a postop patient from the post anesthesia care unit to the surgical nursing unit. To ensure safety of the patient the nurse would:
Put the side rails up after moving the patient from the stretcher to the bed
When the patient with sciatica seats himself in a chair, he gasps and complains of burning and shooting pain in his hip, the nurse assesses that this is________pain:
Neuropathic
The nurse assesses the patient’s limbs and position frequently after regional anesthesia because:
Pain is not perceived although motion is possible
To perform a nursing assessment correctly, the nurse must remember that pain perception involves several CNS processes such as:
Efferent pathways stimulate the spinal cord to recognize the location of pain
The nurse is notified when the patient, newly admitted with liver and gallbladder disease, complains of pain in the right middle back and asks for pain meds. As the basis for the assessment, the nurse uses knowledge of pain to determine that the patient:
Has referred pain sensations. The nurse should follow orders for administering pain medications
Two patients are hospitilized with the same diagnosis. One is 23 years old, with acute recent pain from an injury, and the other is 64 years old with pain of long-standing duration of several years. The difference in anticipated assessment is what?
Older patients with chronic pain usually report lower levels of pain much less severe than they really are
A postop patient is complaining of incisional pain. An order has been given for morphine every 4-6hours PRN. The first assessment by the nurse should be:
Determine when the patient last received pain medication
The postop patient with no previous medical conditions is difficult to arouse when transferred from surgical unit to postanesthesia unit. The nurse monitors the pulse ox and gets a reading of 85%, the nurse’s next action should be:
Arouse the patient, have him cough and encourage deep breathing
Gate-control theory of pain claims that pain is perceived as a stimulation of receptors in the:
Small nerve fibers
During the gathering of data, a patient reveals that he has a weight loss of 17lbs since the death of his spouse 5 weeks earlier. He has no appetite and is not sleeping. According to Maslow, the nurse assesses that the unmet needs are in the category of:
Physiologic
The patient returning from surgery complains of incisional pain that is now rated 7 on 1-10 scale. As a nurse, you know that pain is an example of:
Local adaptation syndrome
The large, heavy older adult patient after a stroke develops a decubitus on the sacrum during the hospital stay. 2 weeks later the patient returns to the hospital with PNA. The distinction between the two are:
Decubitus = Health-care associated infection PNA=community acquired infection
When an individual becomes frightened and experinece increased heart rate and mental activity along with increased blood flow to the skeletal muscles and dilated pupils, the person is experiencing an alarm reaction that helps the body defend against stressors. This alarm reaction is the:
Fight or flight response
