FINAL EXAM

Question 1

nociception

Answer 1

observable activity in nervous system in response to stimulus

Question 2

physiological response to pain

Answer 2

blood pressure, pulse rate, respiratory rate, dilated pupils, perspiration

Question 3

nociceptive pain

Answer 3

arises from receptors

Question 4

neuropathic pain

Answer 4

injury to nerves, burning/shooting

Question 5

somatic pain

Answer 5

bones, joints, muscles

Question 6

visceral pain

Answer 6

internal organs, referred pain

Question 7

cutaneous

Answer 7

skin or subq tissues

Question 8

idiopathic pain

Answer 8

chronic pain with unknown cause

Question 9

what does acute pain activate

Answer 9

sympathetic nervous system
fight or flight, tachy, anxiety

Question 10

factors that influence pain

Answer 10

age, fatigue, genes, cognitive, previous experience, support systems, spirituality, anxiety

Question 11

PQRSTU

Answer 11

provocative, quality, region, severity, timing, understanding

Question 12

relaxation and guided imagery

Answer 12

alters cognitive pain perception, can help physiologic pain response

Question 13

distraction

Answer 13

inhibits painful stimuli
can cause douubt

Question 14

music for pain management

Answer 14

diverts attention from pain, positive mood change

Question 15

cutaneous stimulation

Answer 15

massage, temp, nerve stimulation
MOA unclear, could block transmission of painful stimuli

Question 16

non opioid pain management

Answer 16

tylenol 4 gr max
NSAID, aspirin, ibuprofen, naproxen, watch for GI

Question 17

opioids

Answer 17

morphine, codeine, hydromorphone, fentanyl, oxy, hydrocodone
lots of side effects, constipation/GI
start with lowest dose

RESP depression

Question 18

epidural anesthesia

Answer 18

SE: low BP, n/v, urinary retendtion, constipation, respiratory depression, itching

monitor site placement, infection, urinary retention, may not be able to walk, monitor coagulation

Question 19

physiological changes in older adults

Answer 19

nerve degeneration, slower reflexes, alterations in sleep, loss of sub q fat, vision decreases, decrease hearing, decreased saliva, less taste, loss of smell, decreased heart strength, high bp, respiration strength decreases, more susceptible to PNA, osteoporosis, slow peristalsis, delayed gastric emptying, decrease

Question 20

acute care nursing for elderly

Answer 20

pay attention to comfort, safety, nutrition, skin integrity

Question 21

common acute care complications in older adults

Answer 21

delirium, malnutrition and dehydration, HAI, urinary incontinence, falls

Question 22

older adult health concerns

Answer 22

heart disease, cancer, thoracic lung disease, stroke, smoking, alc abuse, nutrition, dental, exercise, falls, sensory impairment, pain, medication

Question 23

older adult nutrition recommendations

Answer 23

increase vitamins, increase fluid intake, limit sodium, fat, refined sugar, alcohol intake

Question 24

teaching older adults with hearing defecit

Answer 24

get attention, reduce background noise, speak clearly, loudl, repeat yourself, good lighting

Question 25

consequences of poor discharge planning

Answer 25

med mismanagement, health decline, safety issues, readmission

Question 26

appropriateness for discharge

Answer 26

is the patient ready for discharge, do they have a place to go, is it safe

Question 27

med reconcilliation

Answer 27

review home meds, hospital meds, describe new meds, how they should be taken, how will they pay?

Question 28

diagnosis discharge planning

Answer 28

brief description, how it was treated, when to call or seek immediate attention

Question 29

discharge planning procedure or surgery

Answer 29

describe it, home care, follow up care, when to seek care

Question 30

discharge diet

Answer 30

good/bad foods, consult dietician, plan grocery list, talk through favorite foods

Question 31

discharge planning activity

Answer 31

what can/cant they do, do they need adaptive devices

Question 32

discharge planning case management, social services

Answer 32

medical equipment, skilled nursing, wound care, aide, pt/ot/slp finances, home stability

Question 33

discharge planning-follow up appts

Answer 33

hcp-1 week, follow up with specialities, consider transportation

Question 34

five wishes

Answer 34

who i want to make decisions the kind of treatment i do or dont want how comfortable i want to be how i want others to treat me what i want my loved ones to know