Pain & Post Op
The nurse is caring for a patient with lung cancer who has been receiving morphine for 2 weeks and reports the medication is no longer effective. The patient is likely experiencing this.
What is tolerance?
The nurse is caring for a patient with a suspected bone tumor. This serum laboratory result indicates to the nurse that this health problem is present.
What is elevated alkaline phosphatase (ALP)?
This layer of the skin hass extensive collagen fibers that give the skin its strength and elasticity.
What is the dermis?
The nurse is providing care for a patient with an open pressure injury, which exhibits the manifestations of an infection. The HCP prescribes wound cleansing with normal saline at a pressure of 4 to 15 pounds per square inch. The nurse achieves that pressure by using the following supplies:
What is use A 30-mL syringe with an 18-gauge needle attached?
The nurse in a high school clinic is aware of an unusually high incidences of cold sores among the student population. This information from the nurse will be the most helpful in controlling the spread of the causative virus, HSV-1:
What is- all students need to sustain from sharing lip products, drinks, and foods?
The nurse is preparing to provide an opioid medication for a patient’s postoperative pain. This must be assessed prior to administering the opioid medication.
What is determine/ monitor the respiratory rate?
Alendronate (Fosamax) is an antiresorptive biphosphonate medication used to treat this disorder.
What is Osteoporosis?
The subcutaneous layer refers to this layer of skin.
What is the hypodermis?
While assessing a patient wound, the nurse notes the appearance of yellow, black, and red tissue present. The nurse understands that this color of the wound tissue must be treated first for proper healing of the wound.
What is black (necrotic) tissue?
The nurse is providing care for a patient with burns covering the entire surface of both arms and the anterior trunk. The approximate percentage of the patient’s body surface area that has been affected according to the rule of nines is:
What is 36%?
A patient receiving large doses of opioids is lethargic and difficult to arouse, with a respiratory rate of 6 per minute and constricted pupils. This medication should be administered.
What is Naloxone (Narcan)?
A patient has been instructed on the prescribed medication allopurinol (Zyloprim). The nurse understands this medication is used to treat this condition.
What is gout?
The nurse is assessing a skin lesion on a patient and notes that this particular lesion consists of a closed sac or pouch which consists of semisolid, solid, or liquid material. The nurse identifies this lesion as:
What is a cyst?
The following diagnostic study would be expected by the nurse for a patient with a large, extensive wound that is not healing.
What is a biopsy?
The nurse is providing care for a patient who is receiving fluid replacement after being burned on 37 percent of the body. Nursing assessment reveals a blood pressure of 80/60 mm Hg, pulse of 120 beats/min, and urine output of 10 mL over the past hour. After reporting these findings, the nurse expects to have the following prescribed for this patient.
What is an increase the amount of IV fluid administered per hour?
*hypovolemia*
A patient with pancreatitis is likely experiencing this type of pain.
What is acute pain?
The nurse is assisting with patients on an orthopedic unit. This is an important device used when caring for patients after a total hip replacement.
What is a triangular pillow? (used between the legs to avoid adduction)
The nurse is assessing a skin lesion on a patient and notes that the lesion is a solid raised lesion is less than 1 cm in diameter due to superficial thickening in the epidermis. This finding applies to the following skin lesion:
What is a papule?
This is the most important factor for wound healing.
What is remove all pressure from the affected area?
The nurse is assisting in the care of a patient with a circumferential burn to the leg. The health care provider determines that an escharotomy is necessary. This action is recognized by the nurse as the most important nursing intervention:
What is checking for the return of distal pulses.
A patient who fell off a ladder 6 months ago and injured his back. This patient is experiencing this type of pain.
What is chronic pain?
The nurse is caring for a patient with a fractured left leg. This finding during a neurovascular assessment of the lower extremities would be a priority to report to the health care provider.
What is pallor of the left leg?
(any of the 6 p's- pain, pallor, pulse, paresthesia, paralysis, poikilothermia)
This nail abnormality presents as transverse depression in the nails.
What are beau lines?
Scissors and forceps are being used to remove nonviable tissue from a wound. The nurse knows this describes this type of debridement:
What is mechanical debridement?
Primary exposure to Herpes Simplex Virus occurs through:
What are direct contact, respiratory droplet, and fluid exposure?