Exam 3 Slide Deck Clicker Qs & PP

Question 1

Pt. With bone cancer tells the nurse that he is in pain. The nurse knows that bone cancer is classified as which type of pain?

Answer 1

What disease causes somatic pain?

Question 2

Where does somatic pain originate?

Answer 2

Skeletal muscles, ligaments, joints are affected in what type of pain?

Question 3

How does referred pain occur?

Answer 3

What is caused when visceral nerve fibers synapse at a level in the spinal cord close to fibers supplying specific subcutaneous tissues in the body?

Question 4

Where does visceral pain originated?

Answer 4

What time of pain is from the organs and smooth muscle?

Question 5

What results from neuropathic pain?

Answer 5

What type of pain is a result of damage to peripheral or CNA nerve fibers, injury, or can be idiopathic?

Question 6

Pt. Recovering from surgery is prescribed a PCA. Which vital sign is of greatest concern?

Answer 6

Respirations are of concern when what type of medication is prescribed?

Question 7

Pt. With metastasized bone cancer has been on transdermal fentanyl patches for pain. He is being hospitalized for tests and told the nurse that his pain is “unbearable”. The nurse is reluctant to give him the ordered pain meds because the nurse does not want the pt. To become addicted. What do the nurses actions reflect?

Answer 7

What would be an example of a nurse who’s actions reflect failure to manage pain?

Question 8

Cancer pt., dull ache in abd for past 4 mths, increased pain, no relief with more analgesia is what type of pain?

Answer 8

Give an example of chronic pain

Question 9

18 yo basketball player fell and twisted his ankle during a game. Nurse will expect to administer which type of pain med?

Answer 9

Nonopiod analgesic, such as an NSAID, can be used for what?

Question 10

What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to a patient?

Answer 10

Respiratory rate is important to assess before and ministering what?

Question 11

For a surgical pt. With decreased respirations and lethargic after receiving morphine sulfate. You prepare for what priority action?

Answer 11

Administering naloxone

Question 12

Pt. Discharged with 7 day supply of opioid pain management, what is important to include on education for the client?

Answer 12

How to prevent constipation should be in educational factor when teaching a client who is receiving what type of medication?

Question 13

Pt. Tx for lung cancer for 3 y, over the past few months pt. Has noticed that the opioid analgesic is not helping as much for pain relief. The nurse is aware that this pt. Is experiencing what?

Answer 13

Give an example of opioid tolerance

Question 14

Nurse is aware that most serious toxic effect of acute acetaminophen OD is what condition?

Answer 14

Hepatic necrosis is a toxic effect of what OD?

Question 15

Pt. Is recovering from a lengthy surgery. Signs of malignant hypothermia include what?

Answer 15

Rising body temperature, tachypnea, tachycardia, and muscle rigidity are all signs of what?

Question 16

Breakthrough main is managed how?

Answer 16

Giving immediate release opioid is used to treat what?

Question 17

What is a common use for Feverfew?

Answer 17

What’s an herb that’s treats migraine headaches?

Question 18

If a client is on anticonvulsants but has no history of seizures what you expect them to have?

Answer 18

Peripheral neuropathy pain may be treated with what type of medication?

Question 19

What is a common contraindication to providing acetaminophen (Tylenol)

Answer 19

Liver disease is a common contraindication for receiving what type of NSAID?

Question 20

Name three common side effects of Vicodin

Answer 20

Constipation, lightheadedness, urinary retention

Question 21

What kind of procedures are local and aesthetics used for?

Answer 21

Dental procedures, suturing a skin lesion, diagnostic procedures

Question 22

What is an advantage to balanced Anastasia?

Answer 22

Reduction of drugs to maintain desired state of Anastasia

Question 23

What are three possible complications of spinal anesthesia?

Answer 23

Headache, hypertension, and respiratory distress or all complications of what type of anesthesia?

Question 24

When teaching a parent on risk factors of otitis media what should you discuss?

Answer 24

Contact with siblings, daycare attendance, season of the year

Question 25

Prevention measures should you include when instructing a client on how to avoid of Titus media?

Answer 25

The use of ear canal drying agents after swimming or bathing (astringent drops) Are used to prevent what?

Question 26

Why are cholinergics also known as parasympathetics useful in glaucoma?

Answer 26

Increase miosis is useful for treating what?

Question 27

What’s a sign of dislocation of a joint?

Answer 27

Deformity of a joint can signify what?

Question 28

Define crepitus

Answer 28

What is grating sound or sensation produced by friction between bone and Cartlidge?

Question 29

What are predisposes it’s to osteoporosis?

Answer 29

Sedentary lifestyle, long-term glucocorticoids, calcium deficit are predispositions to what disease

Question 30

Osteoporosis is what kind of disorder?

Answer 30

Give an example of a secondary disorder?

Question 31

Osteoporosis

Answer 31

Bone resorption is greater than bone reformation, causes compression fractures of the vertebrae, often leads to kyphosis and loss of height

Question 32

What is likely immediate result of fatty emboli from a broken femur?

Answer 32

Pulmonary inflammation and obstruction maybe an immediate result of what?

Question 33

Main characteristic of osteoarthritis?

Answer 33

Degeneration of articulating Cartlidge occurs in the large joints Is a characteristic of what disease?

Question 34

What is a typical characteristic of the pain caused by osteoarthritis?

Answer 34

Increased with weight-bearing activity is a characteristic of pain in what condition?

Question 35

What limits joint movement in osteoarthritis?

Answer 35

the osteophytes and irregular cartilage surface cause what in osteoarthritis?

Question 36

Joints affected by osteoarthritis can sometimes affect healthy joints by what?

Answer 36

They affected individual’s exerting stress on the normal joint to protect the damage one

Question 37

What is the typical joint involvement with rheumatoid arthritis?

Answer 37

Bilateral small joints, symmetrical progression to other joints is found in what disease condition?

Question 38

What is the basic pathology of rheumatoid arthritis?

Answer 38

Systemic inflammatory disorder due to an an increase autoimmune reaction is the pathology of what condition?

Question 39

How does the joint appear during an exacerbation of RA?

Answer 39

Joints that are red, warm, swollen, tender to the touch are all signs of what?

Question 40

Systemic effects of RA are manifested as what?

Answer 40

Nodules in nervous tissue, severe fatigue, and anorexia or systemic affects of what disease?

Question 41

Common affect of long-term use of glucocorticoids to tx RA would be…?

Answer 41

Osteoporosis can be caused by a long term use of what drug?

Question 42

Juvenile rheumatoid arthritis (JRA) differs from adult RA how?

Answer 42

Rheumatoid factor is not present in JRA, but systemic effects or more severe

Question 43

What distinguishes septic arthritis?

Answer 43

Purulent synovial fluid present in a single, swollen joint is a distinguished sign of what?

Question 44

Methods for tx for routine infectious conjunctivitis include?

Answer 44

Broad-spectrum anabiotic‘s, cold compresses, temporary situation to contact use, topical anabiotic’s are all treatment measures for what eye condition?