ATI Final 7

  1. Would Pentazocine (Talwin) be prescribed for a patient who has a long term history of opiod use?
    No. because Pentazocine i an opiod agonist/antagonist agent. This could cause the pt to have opiod withdrawls
  2. True of false. Morphine sulfate is an opiod
  3. True of false. Meperidine (Demerol) is an opiod.
  4. True of false. Pentazocine (Talwin) is an opiod?
    False! it is an opiod agonist
  5. True of false. Hydromorphone (Dilaudid) is an opiod.
  6. True of false. The wong baker Faces pain scale is useful for adult patients who have cognitive impairments
  7. What does PACU stand for
    Post anesthesia care unit
  8. What does PCA stand for
    Patient controlled anesthesia
  9. "my pain is at a 9 on a scale of 0 to 10" is an example of pain _?
  10. "The pain in my abdomen began last night" is an example of pain _?
    onset and duration
  11. " My pain feels like i'm being stabbed by a knife." is an example of pain _?
  12. When administering an opiod via injection to a pt, what should the nurse have on hand?
    an opiod antagonist. An antagonist such as naloxone (narcan) should be on hand as well as equipment for respiratory support.
  13. If a pt has a respiratory rate of less than 12/min, should the nurse withold opiods?
    yes. the provider should be notified .
  14. How fast should an intravenous injection of an opiod be given?
    Very slowly, over 4 to 5 min
  15. True of false. Opiods should not be given on a fix scehdule.
    False. They are best administered on a fixed schedue with supplemental PRN doses
  16. Measuring skin tension and using learned techniques to relieve pain is called what
  17. Stimulating the skin with a mild electric current when pain occurs is called what?
    Transcutaneous electrical nerve stimulation (TENS)
  18. What type of enemas are used to expel flatus, stimulate peristalsis, and relieve abdominal distention?
  19. These types of enemas are used to remove feces when a pt is constipated, has fecal impaction, or is unergoing preparation for surgery or diagnostic procedures.
    Cleansing enema
  20. This type of enama is given to reduce bacteria in the colon prior to surgery or to exert a systemic effect.
    Medicated Enema
  21. This type of enema is used to lubricate the colon and the rectum, making feces softer and easier to pass.
    Oil retention enemas
  22. A nurse is going to give a cleansing enema to a patient who had fecal incontinence and will most likely no retain the enema. What should the nurse do?
    Place the patient in the dorsal recumbant position on a bedpan.
  23. What position should the pt be in who recieving an enema?
    left lateral with the right leg flexed.
  24. A nurse is administering a cleansing enema, the pt reports abdominal cramping. what should the nurse do?
    Lower the enema fluid container
  25. while giving an enema, the nurse notices that the pt's abdomen becomes rigid and distended and has rectal bleeding. What should the nurse do?
    Stop the enema instillation
  26. How long should a pt retain an oil-retention enema?
    30 min, but preferable as long as he can. it takes between 30 min to 3 hours for the oil to exert its theraputic effect
  27. How far should you insert an enema for a an infant?
    1 to 1.5 in
  28. How far should you insert an enema for a child?
    2 to 3 in (5cm- 7.5 cm)
  29. How far should you insert an enema for an adult?
    3 to 4 inches (7.5 to 10cm)
  30. A nurse is giving a return flow enema to a pt. After giving 100ml of fluid what should the nurse do next?
    Lower the container to allow the solution to flow back out. This is repeated 5 or 6 times
  31. What is the maximum height the nurse should hold/hang the bag when giving a cleansing enema?
    18 inches. hanging the bag higher can cause rapid instillation.
  32. True of False. Tab water enemas can be given more than once
    False. Tap water is a hypotonic solution that moves from the colon into the interstitial spaces and can cause circ overload and electrolyte imbalances
  33. For a large volume enema, what is the recommended amt to instill for an adult pt?
    750 to 1,000 ml
  34. A wet to dry dressing is used for which type of debridement?
  35. Applying larvae to the wound bed is what type of debridement?
  36. Using a topical enzyme solution for debridement is what type of debridement?
    Chemical debridement
  37. True of false. The nurse would apply Zinc oxide to a stage 1 pressure ulcer.
    True. Barrier creams and ointments are used for pts prone to skin breakdown.
  38. True of false. the nurse would apply nystatin to a pt with a stage 1 pressure ulcer
    false. this is a antifungal agent
  39. A nurse is caring for a person suffering from wounds acquired in a car crash. Would the nurse include oygen at 2L/min via nasal cannula?
    Yes. Following an acute injury, the body responds by increasing perfusion to the location of the injury during the inflammatory phase of wound healing. Oxygen is essential for healing
  40. what is Hemostasis?
    Stopping the bleeding.
  41. Why is Asprin not advised for pain releif during the first part of the healing process (inflammatory phase)?
    Hemostasis (stopping the bleeding) is an essential process of the inflam phase of healing. Asprin inhibits platelet action which could cause anticlotting prolonging healing
  42. True or false. Corticosteroids delay wound healing.
    True. Corticosteroids suppress the immune system and therefore can delay wound healing
  43. True of false. Beta blockers delay wound healing.
  44. The action of this certain medication that inhibit the transmission of parasympathetic nerve impulses and thereby reduce spasms of smooth muscle (such as that, for example, in the bladder)
  45. True of False. Tricyclic antidepressants delay wound healing.
  46. Which of the following types of dressings should the nurse select to help minimize pain during dressing changes?
    3) Gauze
    4) Hydrogel
    4) hydrogel
  47. These types of dressing help establish hemostasis while providing a moist environment for healing and good absorption of exudate. They do not adhere to the wound.
    Alginate dressings
  48. True or false. Biologic dressings promote hemostasis
    False. they have no effect on hemostasis
  49. True or False. Hydrofiber dressings promote Hemostasis
    False. they no have effect on hemostasis
  50. True or false. Transparent dressings promote hemostasis.
    False. They have no effect on hemostasis
  51. this type of wound exudate is watery in consistency and light red in color
  52. This type of wound exudate is thin in consistency but is bright red in color.
  53. This type wound exudate is clear or light yellowish in color
  54. This type of exudate can be thick in consistency and is tan, yellow, or brown.
Card Set
ATI Final 7
ATI Final 7