Patient Care Settings
What would you do as a LPN working in Home Care and you note a significant change in your patient's condition?
What is: Report change to the RN
List at least 4 members of the hospice interdisciplinary team
Who are: Physician, APRN, Medical Director, Nurses, CNAs, Chaplain, Social Worker, Volunteers
Patients with anemia have ________ HGB and HCT
What is: Decreased
Dark tarry stools would indicate:
What is: GI Bleed
How many liters of blood does the human body contain?
What is: 4-6 liters
List an important way the Home Care team communicates with one another and with the patient's family
What is: Leaving information in the patient's home care folder.
How does MCR define who is appropriate for Hospice
What is: Terminal illness and Prognosis of 6 months or less to live if the disease runs its normal course
Patients with ______ ________ anemia should include citrus fruits while taking their medications.
What is: Iron Deficiency
A manifestation of DIC would be
What is: The absence of peripheral pulses
What type of IV fluids are hung with blood transfusions?
What is: Normal Saline
Individuals needing assistance with personal care and homemaker needs would benefit from what type of home care services?
What is: Private Duty Nursing
Name at least 2 reasons a patient may experience terminal restlessness
What are: Hypoxia, Medications, Liver failure, and Metabolic abnormalities
What is the most common 1st line treatment for polycythemia?
What is: Phlebotomy (350-500cc removed 1-2 times a week)
If a patient with CLL suddenly develops petechiae, nausea, and severe back pain, suspect _______, which is life threatening
What is: DIC
Patients with Type O Blood should receive what type of blood?
What is: Type O
List at least 4 home safety hazards
What are: Frayed electrical cords, Inadequate lighting, Non working smoke detectors, Overcrowded spaces, Smoking with Oxygen, Pets, Throw rugs, No grab bars in bathroom, No access to food, supplies, and/or medication
List 3 indicators that a patient may be appropriate for hospice care
What are: 10% unintentional wt loss in 6 months, Increased fatigue with functional decline, Freq hospitalizations, Recurrent Infections
An important nursing intervention for sickle cell crisis would include providing _______ ________ and _______ to increase circulation by preventing vasoconstriction.
What is: Warm Compresses and Blankets
List at least 4 things to include for bleeding precautions
What are: Use electric razor, soft toothbrush, hold pressure with blood draws, wear shoes and/or slippers, Avoid bumps and bruises, Avoid ASA and NSAIDs, Use stool softeners, Handle patient gently, gentle nose blowing
What color might the patient's skin, urine or feces turn post lymphangiography?
What is: Blue
Name at least 3 roles of the LPN in the LTC setting
What are: Collecting resident history and assessment, monitoring vital signs, monitor I&O, Giving medications, Rounding on residents, Assisting with ADLs, Providing treatments, Delegating tasks to CNA, Emotional support
Name 3 therapeutic interventions at the end of life for dyspnea
What are Low dose morphine, Fan at bedside, Possible diuretics, Positioning fowlers or high fowlers, Oxygen
When RBCs are affected what happens?
When WBCs are affected what happens?
When Platelets are affected what happens?
What is: O2 transport is affected and causes symptoms of poor oxygenation
Patient unable to effectively fight infections
Bleeding disorders occur
A major nursing diagnosis used for patient's with multiple myeloma would be
What is: Risk for injury (Fractures, complications from immobility and Hypercalcemia)
Might also use Risk for Infection
What are 2 appropriate interventions post bone marrow biopsy?
What are: Assess vital signs, Observe puncture site for bleeding and infection, Ask about lightheadedness and/or dizziness, and be aware of any premeds patient may have been given