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medsurg1

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Question
Answer
All are duration categories of pain   Occasional, Slight, Constant  
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All are intensity categories   Mild, Severe, moderate  
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Which is considered to be “pharmacologic therapy”   Prescribed analgesics  
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The type of pain, ie. Tearing, dull, aching, tingling etc, is the   quality  
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The three classes of analgesics are   NSAID’s, Opiods and Adjuvant  
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Adjuvant drugs are   Anticonvulsants, antidepressants and muscle relaxants  
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The pain that lasts longer than six months is generally classified as   Chronic Pain  
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The stage of nociception that is the impulse traveling from the original site to the brain is the   Transmission  
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When a pt can no longer endure pain this is the   Pain Tolerance  
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When chronic pain resists therapeutic interventions and is severe unrelenting pain it is   Intractable Pain  
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The lowest intensity of a stimulant that causes the pt to recognize pain is the   Pain Threshold  
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The impact of chronic pain can lead to   destructive lifestyle, anger, depression and frustration  
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The stage of nociception where the brain recognizes, defines and responds to the pain   Perception  
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The pain that results from some sort of malignancy is referred to as   Cancer pain  
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When describing pain we need to verify   Onset and duration, Location and frequency, Quality and what makes it start  
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The pain that lasts less than six months and usually has a sudden onset is referred to as   Acute Pain  
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What is the kind of nursing most often associated with management of cancer pain   Hospice  
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The stage of nociception when the nervous system changes painful stimuli in the nerve endings into impulses,   Transduction  
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Which are the stages of nociception   Transduction, Transmission, Perception, Modulation  
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What is pain that originates in one body part but is percieved in another   Referred Pain  
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Pain medications for more major pain   Opiods (Lortab, morphine and dilaudid)  
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What are considered alternative pharmacological treatments for pain   ointments and ligaments, chiropractic care, accupuncture, hypnosis, biofeedback, surgery  
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Besides medication, what is a good combination for pain relief   Support from family, Stress management, Alternative therapies, Shivering  
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Whan the bdy activates needed inhibitory responses to the effects of pain it is   Modulation  
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The type of pain that is constant burning, tingling, sensations and/or shooting pain   Neuropathic Pain  
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What are naturally occuring substances that relieve pain temporarily   endorphins  
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Pain medications for minor pain   NSAID’S (Aspirin, acetaminophen and ibuprofen)  
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What is considered to be the new 5th vital sign   Pain  
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When taken for a long time opiods’s can cause   dependance  
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What are the types of surgery   elective, required/non-elective, emergency, urgent/nonelective  
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What are the three r’s of surgery   Repair, replace, remove  
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Which are the kinds of surgery   inpatient, day surgery  
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Which are the a perioperative phases   Pre-operative, Intra-operative, Post-operative  
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What are the three parts of the preoperative phase   Assessment, Preperation and Patient Education  
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When are all pt orders null and void   Right after surgery  
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What are the parts to the intraoperative phase   Sedation, Anesthesia, Recovery  
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What are the types of Anesthesia   General, Local, Regional, Conduction/spinal block  
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Which are the steps in the post-op phase   patient transferred for PACU, Support for family, Equipment, Notify MD of arrival on floor, Notify Respiratory  
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What are the discomforts post-op   Nausea/constipation, Flatulus/pain, Thirst/abd distention, Restlessness/sleeplessness  
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Who has to do the initial dressing change after surgery   surgeon  
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During a hemorrage, which is an immediate surgery complication, what happens to the BP and HR   BP down, HR up  
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During shock, another surgery complication, what happens to your BP and HR   BP down, HR up  
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Which scale is used for adults and children older than 7 to rate pain   compactMcGill-Melzack Pain Questionaire  
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What are the early post op complications   Hemorrhage/hypothermia, Hypoxia/hypoxemia  
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Which scale is used for children under three to rate pain   FLACC Scale  
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What are later post op complications   Pneumonia/thrombophlebitis, Atelectasis/embolis  
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What is it called when an incision opens up and a part of your insides come out   evisceration  
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What is it called when an incision splits opens   dehiscence  
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What are the meds called that are to be given right before the pt is rolled in   Pre meds  
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What is it called when the surgeon answers last minute questions before surgery   Time out  
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The most common sedation is   versed/fentenel  
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Which scale is used for children between 3 and 7 to rate pain   Wong-Baker Faces Scale  
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