Medical surgical chapter 8 & 10

Question 1

Placebos

Answer 1

Not justified in the treatment of pain

Question 2

Who is at the center of the healthcare team?

Answer 2

the patient

Question 3

Regulatory bodies that review pain management practices

Answer 3

The Joint Commission
Centers for Medicare and Medicaid Services
Agency for Healthcare Research and Quality

Question 4

key areas of cultural expression

Answer 4

Language
Family engagement
Spirituality
Treatment preferences

Question 5

risks of uncontrolled pain

Answer 5

Body produces a stress response that causes harmful substances to be released from injured tissue.
Reactions. (Breakdown of tissue
Increased metabolic rate
Impaired immune function)
Prevents patient from participating in self-care activities.

Question 6

Acute pain

Answer 6

Lasts less than 3 months
Prompts an inflammatory response
Signs and symptoms are short-term, objective, physical (for example, increased heart rate)

Question 7

chronic pain

Answer 7

Lasts more than 3 months

Signs and symptoms persistent

Question 8

Nociceptive pain

Answer 8

tissue pain

Question 9

neuropathic pain

Answer 9

nerve damage

Question 10

Opioid antagonists

Answer 10

narcan

Question 11

chain of infection

Answer 11

infectious agent
reservoir 
portal of exit
mode of transmission
portal of entry
susceptible host

Question 12

Microbiota

Answer 12

Microbes occurring naturally in a body part

Question 13

Pathogen

Answer 13

Disease-causing microbe

Question 14

Body’s Defense Mechanisms

Answer 14

Skin and mucous membranes
Cilia
Gastric acid
Immunoglobulins
Leukocytes and macrophages
Lysozymes
Interferon
Inflammatory response

Question 15

Sepsis

Answer 15

Can lead to septic shock:

decreased blood pressure

Question 16

Laboratory Assessment

labs for infection

Answer 16

Gram staining 
Culture and sensitivity (C&S) 
Antibody test 
Complete blood count (CBC) with differential
Erythrocyte sedimentation rate (ESR)

Question 17

who is at greatest risk for infection?

Answer 17

older adults

Question 18

early signs of localized infection

Answer 18

red
pain
heat
swelling at the sight

Question 19

early signs of systemic infection

Answer 19

Tachycardia, hypotension

Question 20

zika virus

Answer 20

mosquitos
pregnant women
will not isolate
spread through unprotected sex

Question 21

Ebola virus

Answer 21

west Africa
ELISA- is the test
unexplained bleeding and bruising
body fluids, fruit bat
isolate them

Question 22

mono

Answer 22

EBV- is the herpes simplex
no sex/contact sports
rest periods
enlarged spleen

Question 23

direct transmission

Answer 23

touching, kissing, or sexual intercourse

Question 24

indirect transmission

Answer 24

soiled bedding, food, surgical instruments, toys, water, and wound dressings.

Question 25

most common infection of from surgical wounds

Answer 25

staph

Question 26

most common organism of UTI

Answer 26

e.coli

Question 27

for possible infection

Answer 27

CBC with differential culture and sensitivity- 24 to 48 hours do not give an antibiotic before

Question 28

spores

Answer 28

can live 30 days on surfaces bleach soap and water not sanitizer kill with heat

Question 29

C diff pt.s are what kind of precaution

Answer 29

contact | spores

Question 30

c-diff

Answer 30

elevated wbc elevated fever liquid stool

Question 31

red man's syndrome

Answer 31

caused by vancomycin | burning red rash

Question 32

droplet precautions

Answer 32

add gown. 3 feet away (in life 6 feet).

Question 33

airborne precautions

Answer 33

N95

Question 34

sick patients can wear what? when being transported around the hospital

Answer 34

surgical mask | ex. TB

Question 35

pt.'s receives morphine and within 4 hours is still in pain. What do you do?

Answer 35

fast acting opiate

Question 36

assess respirations before administering a

Answer 36

opioids

Question 37

pupils are constricted when they overdose on

Answer 37

opioids

Question 38

antidepressant for nerve pain

Answer 38

amitriptyline

Question 39

PCA can a pt. overdose?

Answer 39

no

Question 40

assess for pain

Answer 40

vital signs | facial expressions

Question 41

normal systolic

Answer 41

100 to 120

Question 42

normal dystolic

Answer 42

60 to 80

Question 43

normal range of temperature

Answer 43

97.6 to 99.4

Question 44

normal respirations

Answer 44

12 to 20

Question 45

normal pulse ox

Answer 45

90 to 100

Question 46

nsaids cause

Answer 46

gastric bleeding | black tarry stools

Question 47

in a community setting how do you promote prevention of infectious diseases?

Answer 47

hand hygiene, vaccines, not sharing personal items, cough in your elbow, cook food, proper food handlings.

Question 48

biofeedback technique

Answer 48

monitor/headphones – helps you recognize stress, massage, heat, ice, reading, meditation, guided imagery, music, animal therapy, TV

Question 49

what are analgesics adjuvants?

Answer 49

corticosteroids-prednisone benzodiazepines-valium antidepressants-cymbalta anticonvulsants -gabapentin

Question 50

airborne disease processes

Answer 50

TB, chickenpox, measles

Question 51

droplet disease processes

Answer 51

flu, and diphtheria

Question 52

only drug that can kill you from withdrawal

Answer 52

alcohol

Question 53

Wearing pain patch

Answer 53

never cover, no windowpane cover, or use lotion on area. Alternate sites, initial date and time. End of shift make sure it is present before you leave.

Question 54

Contact disease processes

Answer 54

impetigo, c-diff, MRSA

Question 55

pt. does not respond to PRN. What do you do?

Answer 55

call pcp | get regular medication

Question 56

Tegretol

Answer 56

is a anti-convulsant