Exam 2.pdf

NUR 355 Exam 2 (MedSurg 1) Study online at https://quizlet.com/_fl9yax 1. What would be present in fi- muscle pain and tender points all over bromyalgia? without joint edema 2. Which labs would be elevated with Serum uric...

NUR 355 Exam 2 (MedSurg 1) Study online at https://quizlet.com/_fl9yax 1. What would be present in fi- muscle pain and tender points all over bromyalgia? without joint edema 2. Which labs would be elevated with Serum uric acid gout? 3. What is a common side effect of Constipation opiates? 4. What indicates a deterioration in Temperature patient condition in someone with HIV? 5. Patients post-surgery who are re- reposition and ambulate porting pain but do not appear to be in acute distress, what alterna- tives can be used? 6. What is the most common type I Allergic rhinitis hypersensitivity? 7. Heat therapy is provided for? painful muscles 8. Cold therapy is for? inflammation 9. What elevated lab result would in- eosinophils dicate allergic rhinitis? 10. When would a referral to a pain Uncontrolled chronic pain specialist be used? 11. Clinical manifestations of an -Warmth in affected joint acute flare-up of gout? -Elevated serum uric acid level -Redness in affected joint -Pain of the affected area 12. What are four standard precau- -Sneezing into elbow tions? -Coughing into sleeve -Use PPE as needed for care of patient 1/7  NUR 355 Exam 2 (MedSurg 1) Study online at https://quizlet.com/_fl9yax -Wearing gloves when handling secre- tions 13. What are four CAM therapies? -Guided imagery -Massage therapy -Reiki -Pet therapy 14. What is the job of adaptive immu- Protect against invading organisms nity? 15. What are three treatments for fi- -NSAIDS bromyalgia? -Cognitive behavior therapy -Aerobic exercise 16. Patients who are on long-term an- C-Diff tibiotics are at risk for develop- ing? 17. What is a classic sign of Lupus? Butterfly rash over cheeks 18. What would be included in edu- Wash wound carefully & keep it clean cation for minor wound manage- and dry ment in elderly patients to prevent infection? 19. Kaposi's sarcoma is associated potential HIV with what? Other S&S: age, change in mental sta- tus, headache 20. B-cells develop and mature? Bone marrow 21. T-cells develop ________ and ma- bone marrow, thymus ture __________? 22. What adaptive immunity is the Natural active longest acting and most effec- tive? 23. Droplet 2/7  NUR 355 Exam 2 (MedSurg 1) Study online at https://quizlet.com/_fl9yax Which precautions should be im- plemented for someone positive with influenza? 24. How would you assess alleviating Ask what makes it better facotrs with pain? 25. What is an adverse effect of opi- respiratory depression oids? 26. Name five non-pharmacological -massage interventions for pain -aroma therapy -acupuncture -repositioning -ice/heat therapy 27. Reporting morning joint stiffness, Rheumatoid Arthritis warmth and redness, fatigue, bi- lateral pain is a sign of? 28. Which type of isolation precau- Contact tions would be used with MRSA? 29. The patient is complaining of pain Limited ability to work 10/10. Which finding is to be ex- pected? 30. What medical condition/injury bowel obstruction (organ pain) some would a patient experience viscer- symptoms may be diaphoretic and al pain? bradycardia 31. S&S of visceral pain are a re- The autonomic nervous system, de- sponse from? creased blood flow 32. If a nurse that is not immunized Hepatitis B immunoglobulin (HBIG) gets a needle stick injury from a Hep B patient, what is the Tx? 33. What does leukocytosis mean? WBC count is elevated 3/7  NUR 355 Exam 2 (MedSurg 1) Study online at https://quizlet.com/_fl9yax 34. What kind of pain could a type II Neuropathic - numbness & tingling diabetic experience? 35. Patients diagnosed with SLE (Lu- HTN and infections pus) are at risk for? 36. True of False: Serum uric acid lev- False el >9.2 is a normal result 37. What hypersensitivity reaction is Type II a blood transfusion reaction? -S&S: broncho-spasms, stridor, difficul- ty breathing (STOP transfusion) 38. True or False: Wheezing is a symp- False tom of a local hypersensitivity re- -Sneezing & watery eyes action I 39. True of False: Itchy, watery eyes, True sneezing are symptoms of a local Type I hypersensitivity reaction 40. Your patient has a pain score of Non-opioid 4 what is the best medication to administer? 41. What is pneumocystis jirovecii? caustative organism of PCP (pneumo- nia) S&S: cough, diff. breathing, thick secre- tions (KEEP AIRWAY PATENT) 42. What is DMARD? disease modifying anti rheumatic drug 43. What patient would you prioritize Sudden onset of acute pain (pain related) 44. Some behavioral changes of an el- Behavioral changes, increased confu- derly adult in pain? sion, agitation, refusing to eat 45. OPQRST! onset, provocation, quality, radiation, severity, time 4/7  NUR 355 Exam 2 (MedSurg 1) Study online at https://quizlet.com/_fl9yax 46. If using the wing baker scale, what Severity part of the pain assessment would this be? 47. If a patient's pain is only a 3/10 but To prevent break through pain they are about to go to PT, why would you give them pain medi- cine? 48. What is given based on pain rat- 1-4: non-opioid ing? 5-7: PO opioid 8-10: IV opioid 49. Who should press the PCA pump Only the patient, no one else (educate!) that a patient has? 50. If a patient comes back from Pain levels surgery with a PCA pump, what does the nurse assess? 51. If you administer IV opioids, when 15-30 minutes should you come back to re-as- (If given PO: 45-60min sess the patient? If given IM: 30-45min) 52. If you administer pain medication Contact the provider to re-evaluate pain and the patient is still in pain, ele- med order vated HR and BP, what should you do? 53. What is a role as nurses for pain Assist patient in setting goals management? 54. Patient going home with chronic Educate on non-pharmacological inter- pain, what should the nurse do? ventions with written instructions, also resources in the community, and fall risk 55. Clinical manifestations of os- Enlarged joints, pain with exercise, teoarthritis? growths 56. Women above 60 5/7  NUR 355 Exam 2 (MedSurg 1) Study online at https://quizlet.com/_fl9yax Who is most at risk for Rheuma- toid arthritis? 57. Treatment for Rheumatoid arthri- heat/cold therapy, warm bath, physical tis? and occupational therapy. Can also give DMARDs, immunosup- pressive drugs. 58. ROM limited for rheumatoid arthri- Aerobic exercises and rest tis, nurse can suggest 59. Differences between RA and OA? RA is an autoimmune disease, OA is from age and wear down 60. Potential triggers of SLE (Lupus) sun, sleep deprivation, f/u with providers, NSAIDS can cause toxicity 61. Gout is Crystalized uric acid deposits in tissues (Normal level is less then 8) 62. Chronic Gout results from the Tophi - joint nodules with uric acid product of? build-up 63. What must patients with gout Beer, high purine (red meat, liver, fish) avoid foods 64. Who is at risk of impaired immuni- Immunocompromised patients because ty? of certain medications ex. chemo, Type II DM also chronic disease and elderly 65. What is the most important pur- Fights against infection pose of our innate and acquired ex. HIV does not have immunity immunity? 66. Patient has low Neutrophil count, Protect them from infection, put them what must the. nurse do in Neutropenia precautions (no flow- ers, reptiles, fresh vegetables, no rectal temps) 6/7  NUR 355 Exam 2 (MedSurg 1) Study online at https://quizlet.com/_fl9yax 67. Therapy induced deficiencies can Chemo, prednisone, etc. be caused from? -Avoid crowds, fruit/vegetables, reptiles 68. S&S of severe systemic reaction Wheezing, broncho-spasms, dyspnea Type I and HTN 69. Patient has allergy and has an Follow up with the hospital, DO NOT epipen, after use, what must a pa- SHARE PEN WITH OTHERS tient do? 70. MDRO (Multidrug-Resistant Or- Giving too many antibiotics ganisms) caused by? 71. How is CA-MRSA (Communi- put patient in isolation precautions, wear ty-associated Methicillin-resistant gloves, do not share supplies ex. towels Staphylococcus aureus) prevent- and sheets ed? 72. Patinet HIV positive comes in with Any increase of fever is a bad sign, con- fever of 39C, tact provider! 73. Don't forget about HIPPA Privacy of all patients! 74. What should be included in pa- Family, drinking, smoking, drugs tient social history? 75. Where should an Epipen be giv- Vastus lateralis (Thigh) en? 7/7