CA1 Flashcards
All of the following is an example of non-invasive pain intervention. Which of following is not included?
Hypnosis
Acupuncture
Cutancous simulation
Rhizotomy
Rhizotomy
A client is scheduled for a surgery in the morning. Preoperative orders have been written. What is most important to do before surgery?
Secure consent
Remove all jewelry or tape wedding ring
Verify that all laboratory work is complete
Inform family next of kin
Secure consent
Your patient told you that his jaw pain is extending to his left arm. You are certain that this is what type of pain?
Referred pain
Intractable pain
Cutancous Pain
Radiating pain
Radiating pain
After the surgery, Mr Smith told you that his amputated left leg is in pain. You will determine this as:
Referred pain
Intractable pain
Phantom pain
Neuropathic pain
Phantom pain
Which of the commonly used pre-operative medications may lead to respiratory depression, hypotension, and decreased gastric mobility sometimes causing vomiting?
Mepcridine
Amlodipine
Atropine Sulfate
Epinephrine
Mepcridine
The physician has ordered a placebo for chronic pain client. You are a newly hired nurse, and you feel very uncomfortable administering the medication. What is the first actions that you should take?
A. Prepare the medication and hand it to the physician
B.Check the hospital policy regarding use of the placebo
C. Follow a personal code of ethics and refuse to give it
D. Contact the charge nurse for advise
D. Contact the charge nurse for advise
A nurse is caring for an obese patient who has had surgery. The nurse monitors this patient for what post operative complication?
Anesthetic agent interactions
Impaired wound healing
Hemorrhage
Gas pains
Impaired wound healing
In caring for a young child with pain, which assessment tool is the most useful?
Simple description pain intensity scale
0-10 numeric pain scale
Wong Baker pain-rating scale
All of the above
Wong Baker pain-rating scale
Which route of administration is preferred if immediate analgesia and rapid titration are necessary?
Intraosseous
Intraspinal
Intravenous
Sublingual
Intravenous
Upon using the PQRST pain assessment, your client told you that he has 7 score of severity. You are correct if you determine this as:
Mild
Moderate
Severe
None of the above
Severe
A responsibility of the nurse is the administration of preoperative medications to patients. Which statements describe the action of these medications? Select all that apply.
Diazepam is given to alleviate anxiety
Ranitidine is given to facilitate patient sedation
Atropine is given to decrease oral secretions
Morphine is given to depress respiratory function
Cimetidine is given to prevent laryngospasm
Fentanyl citrate is given to facilitate a sense of calm
Diazepam is given to alleviate anxiety
Atropine is given to decrease oral secretions
Fentanyl citrate is given to facilitate a sense of calm
A 72-year-old woman who is scheduled for a hip replacement is taking several medications on a regular basis. Which drug category might create a surgical risk for this patient?
Enoxaparin
Lactulose
Propofol
Milk of Magnesia
Enoxaparin
A client with chronic pain reports to you, the charge nurse, that the nurse has not been responding to requests for pain medication. What is your initial action?
A. Check the medication record and nurse’s noted for the past several days
B. Ask the nurse educator to give an in-service about pain management
C. Perform a complete pain assessment and history on the client
D. Have a conference with the nurse responsible for the care of the client
D. Have a conference with the nurse responsible for the care of the client
A level 4 student nurse asks you the difference of acute pain from chronic pain. Which of the following will you answer?
A. Less than 6 months o pain is chronic pain
B. Acute pain is characterized by a continual, persistent, and recurrent
C. Acute pain is irreversible and controllable
D. Chronic pain is more difficult to treat
D. Chronic pain is more difficult to treat
A nurse is teaching a man scheduled to have same-day surgery. Which teaching method would be most effective in preoperative teaching for ambulatory surgery?
Lecture
Discussion
Audio visuals
Written instructions
Written instructions
A nurse is teaching a man scheduled to have same-day surgery. Which teaching method would be most effective in preoperative teaching for ambulatory surgery?
Lecture
Discussion
Audio visuals
Written instructions
Written instructions
The client with a new trachcostomy has a soiled dressing, What is the best mursing intervention?
A. Cut stcrile 4 x 4 gauze to fit around the tracheostomy tube
B. Reinforce the dressing with sterile 4 x 4 gauze
C. Replace the dressing with clean, folded 4 x 4 gauze
D. Replace the dressing with sterile, folded 4 x 4 gauze
D. Replace the dressing with sterile, folded 4 x 4 gauze
Elective surgeries are an essential part of modern medicine, allowing individuals to address health issues proactively and improve their overall well-being. All of the following are examples of this surgery, except:
joint replacement
hysterectomy or tubal ligation
cataract removal
excision of angiosarcoma
excision of angiosarcoma
A female elient diagnosed with lung cancer is to have a leff lower lobectomy. What increases the client’s risk of developing postoperative pulmonary complications?
Height is 5 feet, 7 inches (170.2 cm), and weight is 110.1b (49.9 kg).
The client tends to keep her real feelings to herself.
She ambulates and can climb one flight of stairs with dyspnea
The client is 58 years of age
Height is 5 feet, 7 inches (170.2 cm), and weight is 110.1b (49.9 kg).
A patient is cheduled for lung decortication, sungery. As part of the post-operative care, what are the key nursing interventions to ensure the patient is adequately informed regarding the procedure and except?
A. Explain the procedure, ineluding what to expect before, during, and after surgery.
B. Administer supplemental akygon as noeded to maintain adequate oxygenation.
C. Perform chest physiotherapy, including postural drainoge, percussion, and vibration, to promote lung expansion and secretion clearance.
D. Perform dressing changes as per protocol, ensuring sterility and proper technique.
A. Explain the procedure, including what to expect before, during, and after surgery.
Which of the following is a primary indication for performing a tracheostomy?
Chronic sinusitis
Acute otitis media
Obstructive sleep apnea
Upper airway obstruction
Upper airway obstruction
Patients with a tracheostomy or endotracbeal tube need suctioning. Which nursing interventions apply to proper suctioning techniq ? Select all that apply
- preoxygenate the patient for at least 30 seconds before suctioning
- Instruct the patient that he or she is going to be suctioned
- quickly insert the suction catheter until resistance is met
- suction the patient for af least 30 seconds to remove seeretions
- repeat suctioning as needed for to five total suction passes
- preoxygenate the patient for at least 30 seconds before suctioning
- Instruct the patient that he or she is going to be suctioned
- quickly insert the suction catheter until resistance is met
This is a medically induced state of unconsciousness, used during surgical procedures to ensure the patient does not feel pain and remains completely unaware of the surgery.
Regional
General
Local
All of the above
General
CTT is a tube inserted in the pleural space to help re-expand the lungs. All of the following are correct statements: Select all that apply
- There should be intermittent bubbling in the suction chamber to assure intactness of the system
- Continuous bubbling indicates a good sign in the water seal chamber
- Intermittent bubbling in the drainage chamber shows that the worsening atelectasis
- Absence of bubbles means that the lung has totally re-expanded
- Absence of bubbles means that the lung has totally re-expanded
An adult is about to have a tracheostomy performed . Which action is of the highest priority for the nurse before the procedure is done?
A. Establishing means of post-operative communication
B. Drawing blood for serum electrolytes and blood gases
C. Inserting an indwelling catheter and attaching it to dependent drainage
D. Doing a surgical prep of the neck and the upper chest wass
A. Establishing means of post-operative communication
Is a phenomenon where pain is felt in a part of the body that is different from the actual source of the pain. This happens because the nerves in our body are interconnected, and sometimes, the brain misinterprets the origin of the pain signal. Example of this pain includes Rovsing sign.
Referred pain
Deep somatic pain
Phantom pain
Intractable pain
Referred pain
This involve preparations to ensure that both the patient and healtheare team are well-prepared and informed, minimizing risks and enhuncing outcomes. This is also critical period before surgery, focused on preparing the patient physically and mentally for the upcoming procedure
Peri-operative nursing
Pre-operative phase
Intra-operative phase
Post-operative nursing
Pre-operative phase
What is the most important nursing procedure to perform prior to tracheostomy care to minimize the risk of infection?
Use curtain
Handwashing
Use sterile gloves
Proper wastc disposal
Handwashing
A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should client be placed?
Prone
Semi Fowler
Sims
on the nonoperative side
on the nonoperative side
A nurse in a critical care unit is caring for a client who is postoperative following a right pneumonectomy. After extubation from the ventilator, in which of the following positions should client be placed?
Prone
Semi Fowler
Sims
on the nonoperative side
on the nonoperative side
Which factor is a priority to evalunte when completing discharge planning for a clicnt who has had a lobectomy for treatment of lung cancer? Select all that apply.
A. the support available to assist the client at home
B. the distance the client lives from the hospital
C. the client’s ability to do home blood pressure monitoring
D. the client’s knowledge of the causes of lung cancer
A. the support available to assist the client at home
What is the normal tracheostomy cuff pressure?
30-40 mmHg
20-25 mmHg
15-20 mmHlg
40-55 mmHg
20-25 mmHg