End of Life
Who discusses organ donation with the family?
What is a member of the organ procurement team or organ donation network
When a nurse assigns tasks to unlicensed assistive personnel while retaining accountability for the outcome
What is nurse as a delegator
This is the term for the belief that one's own culture is superior to all others, and represents one of the greatest barriers to culturally competent nursing care.
What is Ethnocentrism
What is stay int he restroom and try voiding more in a few minutes
This type of incontinence occurs when the bladder never fully empties, causing it leak small amounts of urine frequently. It is commonly associated with diabetic neuropathy, spinal cord injury, or bladder outlet obstruction
What is overflow incontinence
A 70 yr old spouse has been at your inpatient hospice patient's bedside for 6 straight days. What should the nurse do?
What is encourage the family to take a break
True or false:
Whenever possible, the nurse should document in real time AND the nurse should use the patients own words when documeting subjective data
What is True
An LPN is caring for a patient who insists on having a folk healer perform a ritual at the bedside before agreeing to take her prescribed medications. This is the most appropriate culturally competent nursing response (1) and the principle that supports it (2).
What is - (1)integrate the practices safely and (2) transcultural nursing care
This medication class is toxic to kidneys and highly available over the counter
What are NSAIDS
Concern after giving several enemas in a 48 hour period
What is electrolyte imbalances
NOT dependence
True or false - The following is part of the dying with dignity principle?
prioritizing clients' psychosocial and spiritual needs over their physical needs
What is false
Method used when teaching older adults, to ensure they are retaining information
What is ask them to recall the information some time later (10-15 mins)
Categories on the morse fall scale
What is history of falls, secondary diagnosis, use of ambulatory aids, IV access, gait and mental status
This medication can cause tinnitus and permanent hearing loss. Called Ototoxicity
What is furosemide (lasix)
Risks for GI bleed (1) and what the stool looks like with upper (2) lower (3)
1 - NSAIDS, anticoags, constipation, Extreme GERD, peptic ulcer disease, alcoholism, cancer
2 - black, dark, tarry (digested)
3 - Bright red, maroon, looks more like blood
This is a specialized approach to care that focuses on the relief of pain, symptoms, and the emotional and psychological stress associated with serious illness. The goal of care is to improve the quality of life for both the patient and their family, regardless of diagnosis or stage of disease.
What is palliative care
Phases of the nurse client relationship
What is Introductory, working, termination
Safety concerns for toddler age (1-3ish)
What are:
Functions of the kidneys
What is filtering and removal of metabolic wastes, synthesis of vitamin D, erythropoetin for RBC's, electrolyte and fluid balance, blood pressure
Four clinical assessment findings in dehydration
The 5 stages of grief
Denial, Anger, Bargaining, Depression, Acceptance
How to teach the following clients:
1.Hearing impaired ________________
2.Illiterate ____________________
3.Visually Impaired ___________________
What is
1. Assess how they want to learn (written, ASL, read lips)
2. Pictures, descriptions- Avoid medical jargon
3. braille, lighting, ask client, allow touch, teach back
Safety concern that all Southern Arizonan's are at risk for, but especially children and older adults (1) and why (2)
What is (1) sunburn, heat stroke, heat exhaustion.
Textbook reasons - (2) more susceptible to fluid losses, reduced drive to drink water, changes to sweat glands, fluid per body surface area
outside of that - who wears sunscreen religiously, reapplies, keeps sunscreen safe from heat deactivation, or is a natural person that avoids those chemicals?
A reason why older adults are more sensitive or react differently to medications that the average adult
When a patient strains during a bowel movement, intrathoracic pressure increases, causing a temporary drop in this (1), followed by a sudden rush of blood back to the heart when straining stops — which can trigger a dangerous cardiac event (2)
What is venous return — and what is a vagal response or vasovagal syncope?