Week 12
The three p's associated with diabetes clinical manifestations
- Polyuria: excessive urine
- Polydipsia: excessive thirst
- Polyphagia: excessive hunger
When planning care for the family as a patient, you need to (select all that apply)
1. Consider the developmental stage of the family
2. Include only the ill family member and the significant other
3. Understand that the family will always help to achieve the health goals of an ill member of the family
4. Understand that cultural background is an important variable to consider when developing nursing interventions
1. Consider the developmental stage of the family
4. Understand that cultural background is an important variable to consider when developing nursing interventions
The three (3) levels injury control occurs at
Individual, design level, regulatory level
Stress that activates physiologic stress pathways from a pleasurable stimuli (starting a new job or promotion, riding a roller coaster) is referred to as
Eustress
(Distress is negative)
Insulin needle gauge
28G - 31G
(SubQ is 25G to 31G)
- Transports/metabolizes glucose for energy
- Stimulates storing glucose in liver/muscles as glycogen
- Signals liver to stop releasing glucose
- Enhances storing dietary fat in adipose tissue
- Accelerates transporting amino acids into cells
- Inhibits the breakdown of stored glucose, protein, and fat
Four (4) factors that affect self-concept
Biologic makeup
Cultural, values, beliefs
Coping and stress tolerance - life events, inadequate coping
Self-efficacy
Previous experience
Developmental level
Role transition
Illness, trauma, surgery
The PACU is apart of ______ stage
A) Intraoperative
B) Postoperative
B) Postoperative
The patient is in this stage until discharge from the PACU/ resolution of surgical consequences (which may happen at home)
Fill in the blank for the stages of grief - Kubler-Ross's stages of dying
Denial
______
______
_______
Acceptance
Denial
Anger
Bargaining
Depression
Acceptance
Gauge needles for and locations for intramuscular injections
18G - 25G
Ventrogluteal (lack of major nerves), Deltoid (immunizations), Vastus Lateralis, Rectus femoris
didn't ask* but 5/8 in. - 1 1/2 in. needle for size
Caloric requirements for calorie distribution throughout the day includes ____ carbohydrates (emphasizing _____), fats _________, and _________ sources of protein with increased ________
Carbohydrates: 50-60% - Emphasize whole grains
Fat: 20-30%
Nonanimal sources of protein / Legumes, whole grains
Increased fiber (slows absorption for glycemic response)
Match the definitions
A) self knowledge / B) self expectations / C) social self / D) self evaluation
1) Defines the self that a person wants to be / 2) How individuals see themselves in relation to social situations / 3 ) cognitive perception of one's cognitive, affective, and physical abilities/traits / 4) conscious assessment of self
A - 3
B - 1
C - 2
D - 4
Cold temperatures from an operating room are not well tolerated for this life span stage
Infants, toddlers, and preschoolers
Ongoing process of stress, coping, and adaptation
Appraisal, stress, coping, adaptation
The family of a confused, ambulatory patient insists that all four side rails be up when the pt is alone. The best way to handle this situation is to:
A. Thank them for being conscientious
B. Restrict their visiting privileges
C. Report them to the charge nurse
D. Inform them of the risks associated with side rail use
D. Inform them of the risks associated with side rail use
List complications for Diabetes:
Macrovascular level
Microvascular level
Neuropathic
Macro - Atherosclerosis, CAD, cerebrovascular disease, peripheral vascular disease
Micro - Microangiopathy, diabetic retinopathy, nephropathy
Neuro - Ulcers, peripheral neuropathy, autonomic neuropathies, hypoglycemic, neuorpathy, sexual dysfunction
Match the definitions
A) Reality perception / B) Comprehension / C) Memory / D) Recall and recognition / E) Remembering / F) Learning
1) Chemically coding + integrating experiences, ideas, images for later retrieval / 2) Ability to recall a thought at Least once / 3 ) Awareness of time, place, situation, and self / 4) Grasping the meaning of stimuli / 5) Ability used to retrieve information from long and short term memory / 6) Acquiring knowledge that depends on abstract functions such as symbols, language, and concrete operations
A - 3 D - 5
B - 4 E - 1
C - 2 F - 6
Three (3) manifestations of altered safety include...
Motor vechicle incidents
Falls
Poisoning
Suffocation and drowning
Fires - Burns
Firearms injury
Electric shock
Radiation injury
Respiratory diseases (environmental influence)
Homeostasis is to the constant process of maintaining physiologic parameters, as allostasis is to _____
The process of maintaining or reestablishing homeostasis when responding to stress
(setting new set points to adapt to changing environments)
Homeostasis - fixed range
Allostasis - dynamic range
There is 5 mL in 1 teaspoon, how many mL in 1 tablespoon
15 mL in one tablespoon
Fill in the blank
Types EX Onset Peak Duration
Rapid _____ 15 min ______ 3 hours
Short Regular 30 min ______ ________
Interm. NPH _______ 8 hours _______
Long ______ ________ N/A 24 hours
Types EX Onset Peak Duration
Rapid LISPRO 15 min 1 HOUR 3 hours
Short Regular 30 min 2 HOURS 8 HOURS
Interm. NPH 2 HOURS 8 hours 16 HOURS
Long GLARGINE 2 HOURS N/A 24 hours
Broca's aphasia has trouble __________ thoughts
Wernicke's aphasia has trouble ________ thoughts
Anomic aphasia struggles mostly in _________ specific objects, people, or places
Global aphasia has a lost in _________ language ability
Dysarthria is not technically a language disorder, but more a _______ disorder
Broca (Expressive) - speaking or writing thoughts
Wernicke's (Receptive) - understanding spoken or written thoughts
Anomic - struggles naming specific objects, people, places
Global - loss in all language ability
Dysarthria - physical speech disorder, rather than language
Fire safety acronyms RACE and PASS stands for
R P
A A
C S
E S
Rescue, Alarm, Confine, Evacuate
Pull pin, Aim nozzle, Squeeze handle, Sweep back/forth at BASE of fire
When evaluating spirituality, FICA explores
F
I
C
A
F: Explores questions of faith
I: Explores importance of faith to individual
C: Explores community of faith activities
A: Explores any concerns of the individual about faith
Sign of atelectasis in a post operative patient
Low grade fever