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Funds Ch 32
Terms in this set (56)
What are complications of pain?
pneumonia & atelectasis
When do you assess for pain?
when doing vitals or as needed
When do you reevaluate if pain medication or interventions have worked?
30 to 60 minutes after administration
If a patient has chronic pain what classification of medication is given as adjunctive therapy
What is a sign that you should remove an ice pack
redness is a sign of irritation.
What is the reversal agent for opioids
How do you minimize gastric distress for pt taking NSAIDS
take with food
What vital sign is the most important with opioids
what side effects of opioids will improve with continued use
What do you caution about combining with this drug acetaminophen
What type of pain would you think a bone cancer patient would experience?
describe chronic pain
interferes with daily activates lasting for 6 months
is pain subjective objective?
What is acute pain
rapid onset, short duration, protective in nature.
Explain the difference between pain threshold and pain tolerance
Threshold-When the patient first feels pain
Tolerance-when the pain reaches the point to which the patient can no longer manage
What pain scale would you use for a three year old child
Nonpharmacological measures can release endogenous opioids. (True or False)
Explain how heat and cold therapy work
Cold- Aids by reducing inflammation
Heat- promotes circulation ad healing
What are the benefits of around the clock dosing?
Better pain control and optimal functioning
Do opioids offer more pain relief then acetaminophen or ibuprofen
Depends on what causes the pain
What does equianalgesia mean?
This is a comparison of opioids for dosing.
How do you perform a clean catch urine sample for male and female? When is the best time of day to perform this?
Clean genitalia, collect sample midstream. Male: if uncircumcised, retract foreskin. Female: clean from front to back. Collect in the MORNING.
Where do you auscultate the Pulmonic Valve?
Second intercostal space left sternal border.
Where do you auscultate the Aortic Valve?
Second intercostal space right sternal border.
Where do you auscultate Tricuspid Valve?
Fourth intercostal space left sternal border.
Where do you auscultate the Mitral Valve?
Fifth intercostal space midclavicular line.
What can cause UTI's?
tight clothing is a high risk for UTI. immunocompromised patients.
Who may have urination problems?
Getting up multiple times at night can cause urination problems.
How do you help a client regain continence?
No fluid restrictions for continence retraining.
When obtaining a client's history what should you ask about elimination status?
Ask about urination patterns and frequency.
If a client has diarrhea, what is the health goal?
Return them to a normal BM pattern.
If a client has a new stoma that does not produce a BM in the allotted time, what should the RN do?
Call the physician.
What is the order of an abdominal exam?
1. Right Lower Quadrant
2. Right Upper Quadrant
3. Left Upper Quadrant
4. Left Lower Quadrant
If a client complains of abdominal pain, but has normal bowel sounds what also should be considered?
assess the bladder
What nursing diagnosis would be appropriate for COPD?
Impaired gas exchange
What position do you put a client into if they are having difficulty breathing?
What are some physical signs of chronic asthma?
Barrell Chest and Clubbing
What causes wheezing?
Inflammation of airways.
How do you make nursing diagnosis more specific?
by putting "Related to" after the nursing diagnosis. Example: Impaired mobility related to right knee injury.
Can you give half a suppository?
NO. (pick 0)
What labs would be reviewed for a client complaining about chronic fatigue?
hemoglobin and hematocrit (H&H)
What are SSRI's and what type of pain are these used with?
Selective Serotonin Reuptake Inhibitors; Chronic pain, reducing the amount of opioid therapy needed.
What is the purpose of QSEN and NANDA?
Strive to increase overall safety of healthcare.
What are high alert meds and what should the RN do when giving them?
Digoxin, heparin, insulin. Second nurse verification needed.
What is the purpose of a bath?
What is psychogenic pain?
pain that's in your mind.
What organ needs glucose almost exclusively?
Where is glucose stored?
What are polysaccharides, where are they stored?
Complex carbs (glucogen), stored in the liver.
Alternative fuel source for diabetics in hyperglycemic state?
How do you evaluate a patient who is intubated for pain?
Increased systolic blood pressure.
If pain meds are ineffective what does the nurse do?
Turning on tv for juvenile patient?
sequential muscle relaxation
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