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Questions and Answers
Which medication should never be given due to its potential to cause seizures?
Which medication should never be given due to its potential to cause seizures?
What does the 'P' in the PQRST assessment for pain refer to?
What does the 'P' in the PQRST assessment for pain refer to?
At what age should a newborn receive the Hepatitis B vaccine?
At what age should a newborn receive the Hepatitis B vaccine?
What type of vaccine should not be given to pregnant women?
What type of vaccine should not be given to pregnant women?
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Which condition prohibits the administration of the MMR vaccine?
Which condition prohibits the administration of the MMR vaccine?
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What action should be taken if a child has a fever after receiving a vaccination?
What action should be taken if a child has a fever after receiving a vaccination?
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What is the role of B cells in response to an antigen?
What is the role of B cells in response to an antigen?
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Which of the following statements is true regarding the flu vaccine?
Which of the following statements is true regarding the flu vaccine?
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Which type of anesthetic allows a person to move but not feel pain?
Which type of anesthetic allows a person to move but not feel pain?
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What is the appropriate initial medication for mild pain?
What is the appropriate initial medication for mild pain?
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Which condition is morphine contraindicated in due to potential spasm?
Which condition is morphine contraindicated in due to potential spasm?
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What is a common side effect of opioids like morphine that requires attention?
What is a common side effect of opioids like morphine that requires attention?
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In the management of hepatitis A and E, which practice is essential?
In the management of hepatitis A and E, which practice is essential?
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What should be administered if a patient experiences respiratory failure after morphine administration?
What should be administered if a patient experiences respiratory failure after morphine administration?
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Which patient condition requires avoiding the use of acetaminophen?
Which patient condition requires avoiding the use of acetaminophen?
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What scale is used for pain assessment that includes aspects like quality and severity?
What scale is used for pain assessment that includes aspects like quality and severity?
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What is an example of passive immunity?
What is an example of passive immunity?
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Which statement regarding toxoids is correct?
Which statement regarding toxoids is correct?
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What indicates a positive PPD test for TB in general?
What indicates a positive PPD test for TB in general?
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Which immune system component is primarily involved in humoral immunity?
Which immune system component is primarily involved in humoral immunity?
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What type of precautions are necessary for air-borne diseases?
What type of precautions are necessary for air-borne diseases?
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Which of the following is classified as natural immunity?
Which of the following is classified as natural immunity?
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What is the purpose of an influenza vaccine?
What is the purpose of an influenza vaccine?
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Which condition necessitates droplet precautions?
Which condition necessitates droplet precautions?
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What should be done before surgery or a dental appointment for a patient on aspirin?
What should be done before surgery or a dental appointment for a patient on aspirin?
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What is the maximum recommended dose of acetaminophen for adults in 24 hours?
What is the maximum recommended dose of acetaminophen for adults in 24 hours?
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Which medication can cause damage to the liver if taken in excess?
Which medication can cause damage to the liver if taken in excess?
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For what condition is gabapentin commonly used as an adjuvant?
For what condition is gabapentin commonly used as an adjuvant?
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What is the primary action of corticosteroids in pain management?
What is the primary action of corticosteroids in pain management?
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In the event of opioid overdose, what physical symptom is commonly observed?
In the event of opioid overdose, what physical symptom is commonly observed?
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What benefit do live vaccines provide regarding immunity?
What benefit do live vaccines provide regarding immunity?
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What is the primary purpose of general anesthetic during a procedure?
What is the primary purpose of general anesthetic during a procedure?
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What type of vaccine is OPV?
What type of vaccine is OPV?
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Which vaccines are administered to a newborn?
Which vaccines are administered to a newborn?
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When is the MMR vaccine typically given?
When is the MMR vaccine typically given?
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Which of the following conditions prevents the administration of the MMR vaccine?
Which of the following conditions prevents the administration of the MMR vaccine?
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What is the primary purpose of vaccines?
What is the primary purpose of vaccines?
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What is a common mild adverse reaction to vaccinations?
What is a common mild adverse reaction to vaccinations?
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Which vaccine can cause birth defects if a woman becomes pregnant immediately after receiving it?
Which vaccine can cause birth defects if a woman becomes pregnant immediately after receiving it?
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For which vaccine should individuals with an allergy to gelatin not receive it?
For which vaccine should individuals with an allergy to gelatin not receive it?
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Study Notes
Pain Management
- Demerol (meperidine) should not be given for pain as it can accumulate and cause seizures.
- Morphine is the preferred opioid for most pain management.
- Monitor respiratory rate when administering opioids.
- Respiratory rate of 12 breaths per minute should be reported to the provider.
- Narcan/ Naloxone is the antidote for opioid overdose.
- Morphine may cause constipation, risk for falls, orthostatic hypotension and paralytic ileus.
- Demerol/meperidine is indicated for pain in patients with pancreatitis and cholecystitis.
- Morphine is the preferred opioid for pain in patients with sickle cell crises.
- PQRST is a pain assessment tool (Provoke, Quality/Quantity, Region, Severity, Time).
- Wong Baker Scale/FLACC is used for pain assessment in children.
- Breakthrough pain is pain that occurs between doses of medication.
- Increased vital signs can indicate pain.
- Acetaminophen (Tylenol) should not be given to children except for Kawasaki, RHF, and Juvenile RA.
- Aspirin can cause Reye syndrome in children.
- Acetaminophen dose for adults is 4 grams per day and 3 grams per day for children.
- Acetaminophen can damage the liver.
- Acetylcysteine/Mucomyst is the antidote for acetaminophen overdose.
- Jaundice is a sign of liver dysfunction.
- Gabapentin/Neurontin is used to treat phantom pain.
- Corticosteroids are anti-inflammatory medications that can indirectly relieve pain.
- Morphine is often used for comfort measures in hospice.
- Hydromorphone (Dilaudid) is a more potent opioid than morphine.
- Opioid overdose causes pupil constriction and withdrawal causes pupil dilation.
- Stimulant overdose causes pupil dilation and withdrawal causes pupil constriction.
- Opioids can interact with Dilantin, aspirin, antacids, MAOI, birth control, and herbal medications.
- Keep side rails up after giving sedating medications.
Anesthesia
- Anesthesia reduces pain.
- Lidocaine is a local anesthetic.
- Epidural anesthesia is given between L3 and L4 vertebrae.
- Epidural anesthesia allows patients to move but not feel pain.
- Spinal block anesthesia is administered deeper into the spinal cord than an epidural.
- Spinal block anesthesia causes paralysis and lack of pain sensation.
- General anesthesia puts the patient to sleep.
- General anesthesia can cause respiratory depression.
Immunization
- Antigen is a foreign body.
- Antibodies sense foreign bodies and are produced by B cells.
- Antibodies are located inside the plasma.
- Antigen-antibody response is the specific reaction of an antibody with an antigen.
- Vaccines are artificial means of developing immunity.
- Live vaccines include MMR and chickenpox.
- Weakened vaccines contain a weakened virus.
- Natural immunity is acquired from contracting the disease.
- Hepatitis B and RSV vaccines are given to newborns.
- RSV is contagious and is transmitted via droplet or contact.
- Hepatitis B, DTaP, and Hib vaccines are given at two months.
- MMR vaccine is given at 12 months or older.
- MMR booster is recommended at 4 to 6 years old.
- Influenza vaccine is recommended annually after 6 months of age.
- Pertussis vaccine is given at 2 months, 4 months, 6 months, 15 months, and 4 to 6 years old.
- MMR vaccine should not be given if pregnant or if allergic to gelatin, egg, sorbitol, or neomycin.
- Flu vaccine should not be given if allergic to egg.
- Varicella (chickenpox) vaccine should not be given if allergic to neomycin, sorbitol, or gelatin.
- Attenuated vaccines are weakened.
- Inactive vaccines contain killed viruses.
- Toxoids are weakened toxins.
- Tetanus vaccine is recommended every 10 years, every 5 years for nurses.
- Tetanus vaccine is recommended when exposed to rusty nails or burns.
- DTaP vaccine (diphtheria, tetanus, and pertussis) prevents tetanus.
- Clostridium tetani causes tetanus.
- Vaccines are used for immunity, treatment, and prevention.
- Adverse vaccine reactions include allergic reactions, arthralgia, and loss of consciousness.
- Mild adverse reactions to vaccines include injection site pain and swelling.
- Vaccines can interact with other medications.
- Vaccines are contraindicated for those with egg allergies, infections, immunosuppressants, or pregnancy.
- Women should not become pregnant for 3 months after receiving the MMR vaccine.
- The MMR vaccine can cause birth defects.
- Complications of mumps include orchitis (inflammation of the testes).
- Individuals who do not receive the MMR vaccine can develop mumps and orchitis.
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Description
Test your knowledge on pain management protocols, including the appropriate use of opioids like Morphine and Demerol. Learn about pain assessment tools, side effects, and the management of breakthrough pain. This quiz is essential for healthcare professionals involved in pain management.
