Exam 4

Question 1

What is delegation?

Answer 1

transferring responsibility for the performance of an activity or task while
retaining accountability for the outcome

Question 2

What is A of ABCDE of pain management?

Answer 2

A = Ask about pain regularly; assess systematically

Question 3

What is B of ABCDE of pain management?

Answer 3

B= believe the client and family about reports of pain and what relieves it

Question 4

What is C of ABCDE of pain management?

Answer 4

C= Choose pain control options appropriate for client, family, and setting

Question 5

What is D of ABCDE of pain management?

Answer 5

D= Deliver interventions in a timely, logical, and coordinated fashion

Question 6

What is E of ABCDE of pain management?

Answer 6

E= Empower clients and families; enable them to control their course to the greatest extent possible

Question 7

Who can a nurse delegate vitals, bathing, ambulation, feeding and repositioning to?

Answer 7

CNAs

Question 8

Can the nurse delegate administration of medications to a CNA if they have seen the meds given before?

Answer 8

No, CNAs are not able to assist in the administration of medications

Question 9

T or F: LPNs can perform central line care (dressing changes, meds, etc)?

Answer 9

false

Question 10

Who can administer chemotherapy?

Answer 10

RNs, this task can not be delegated to LPNs

Question 11

What may be an effective tool to measure the current severity of pain in children older than 3yrs?

Answer 11

Wong-Baker (Faces Scale)

Question 12

When may the FLACC pain scale be used?

Answer 12

for patients that are: unconscious, coma, unable to speak

Question 13

Is pain objective or subjective?

Answer 13

subjective

Question 14

In relation to pain, what do “mild, severe, excruciating, 4/10, 8/10” represent?

Answer 14

severity

Question 15

What are examples of quality of pain?

Answer 15

sharp, stabbing, aching, shooting, dull, deep, burning

Question 16

What is pain that erupts despite ongoing/current treatment of pain?

Answer 16

breakthrough pain

Question 17

What may be required if a patient develops a tolerance to opioid medications?

Answer 17

increased/more frequent doses to experience therapeutic effect

Question 18

What signifies addiction?

Answer 18

seeking, regardless of health, well-being or safety concerns

Question 19

What is the reversal agent for opioid-induced respiratory depression?

Answer 19

naloxone (Narcan)

Question 20

what interventions can be utilized in the prevention of surgery-related DVTs?

Answer 20

Lovenox, TEDs, SCDs

Question 21

How can post op pneumonia be prevented?

Answer 21

incentive spirometer, deep breathing, coughing

Question 22

Can the nurse obtain informed consent?

Answer 22

no, the nurse is a witness, only the person performing procedure/operation can get the informed consent

Question 23

What is the identifying factor of conscious sedation?

Answer 23

the patient independently maintains airway

Question 24

What are examples of elective surgeries?

Answer 24

bunionectomy, hernia repair, breast reconstruction, facial plastic surgery

Question 25

What surgical class are removal of gallbladder due to stones, coronary artery bypass, excision of cancerous tumor?

Answer 25

urgent

Question 26

What type of surgeries are considered emergency?

Answer 26

control of internal hemorrhaging, repair of perforated appendix

Question 27

What surgery classification are cataract extraction, facial plastic surgery, and tooth extraction?

Answer 27

minor surgeries

Question 28

What are examples of major surgeries?

Answer 28

coronary artery bypass, colon resection, removal of larynx, and resection of a lung lobe

Question 29

What is known as acute, reversible confusion?

Answer 29

delirium

Question 30

What is used in malignant hyperthermia?

Answer 30

dantrolene

Question 31

what may indicate malignant hyperthermia?

Answer 31

patient becomes very hot and has severe shaking during surgery

Question 32

what is romazicon/flumazenil used in the reversal of?

Answer 32

benzodiazepines (midazolam, lorazepam, etc)

Question 33

What is considered stage 1 hypertension?

Answer 33

130-139/ 80-89 mmHg

Question 34

What category is a blod pressure that falls within this range: >140/>90?

Answer 34

Stage 2 hypertension

Question 35

What is considered hypertensive crisis?

Answer 35

> 180/ >120 mmHg

Question 36

which modifiable risk factor is most significant in the prevention of hypertension?

Answer 36

smoking

Question 37

what are examples of non-modifiable/irreversible hypertension risk factors?

Answer 37

genetics, age, family history, race, sex

Question 38

what aldrete score is considered appropriate for a patient to be discharged from PACU?

Answer 38

8-10

Question 39

What terms are used to describe the seriousness of a surgery?

Answer 39

major and minor

Question 40

what terms are used to describe the urgency of a surgery?

Answer 40

elective, urgent, emergency

Question 41

What type of surgical seriousness involves extensive reconstruction or alteration in body parts; poses great risks to well-bring?

Answer 41

major

Question 42

what type of surgical seriousness involves minimal alteration in body parts; designed to correct deformities; minimal risk to well-being?

Answer 42

minor

Question 43

what type of surgical urgency is performed on the basis of patient’s choice; is not essential and is not always necessary for help?

Answer 43

elective

Question 44

what surgical urgency is necessary patients health; prevents additional problems (tissue destruction or impaired organ function)?

Answer 44

urgent

Question 45

What surgical urgency must be done immediately to save life or persevere function?

Answer 45

emergency

Question 46

what is the purpose of a constructive surgery?

Answer 46

congenital anomalies

Question 47

your mom