Perfusion I
The deoxygenated side of the heart
What is the right side of the heart?
The location of the PMI - point of maximum intensity
Left midclavicular line, fifth intercoastal space
What term do nurses use to describe clients who question why God has abandoned them in their illness?
Spiritual Distress
Factors that can affect the sleep cycle can include what?
Caffeine, alcohol and physical activity.
What is an example of an "open question"
Tell me more about what brought you to the hospital today...
After oxygenated blood leaves the left ventricle, where does it go?
Through the aortic valve into the aorta.
Symptoms that would be assessed with venous insufficiency
Varicose veins, swelling/aching in legs, discoloration in legs/ brown or red patches, open sores.
What are the core issues involved in spirituality?
Faith, hope & love
How can circadian rhythm affect the sleep pattern?
Changes in the sleep-wake cycle, irregular meal patterns, hormonal imbalances all impact circadian rhythm.
Explain paraphrasing and give an example.
Paraphrasing is when you summarize what the client has told you. Example:
The heart rate for the pacemaker of the heart
The sinoatrial node is the pacemaker of the heart and has a rate of 60 - 100 beats per minute.
Symptoms that could mean arterial insufficiency
Intermittent claudication, cold feet, numbness or tingling in feet, shiny skin on lower legs, hair loss
General Concepts for a nurse to know about spirituality might be?
Spiritual care demands nonjudgmental attitudes and open thinking.
Try to be aware of your biases, it will be easier to avoid abuses of spiritual care.
Typical suggestions to enhance sleep at night might be
Increase physical activity during the day, decrease caffeine intake in evening hours, take diuretics early in the day.
A client is worried about something and is told, "Everything will be alright". What is this an example of?
False reassurance
The purpose of the coronary arteries
To provide oxygen rich blood to the heart muscle, the myocardium.
The nurse assesses a client for a deep vein thrombosis (DVT). What symptoms would be a concern for a DVT?
Redness, Pain, Warm extremity, Swelling
What are some barriers to spirituality?
Lack of awareness of spirituality in general
Lack of awareness of your own spiritual belief system
Differences in spirituality between nurse and client
Fear that your knowledge base is insufficient
Fear of where spiritual discussions may lead
Patients in hospitals, especially ICU suffer sleep deprivation from sensory overload. How can the nurse intervene?
Keep lights as low as possible at night, keep noise to a minimum.
Therapeutic communication should avoid using the word "why"? WHY?
The client may feel he has to defend his feelings which can be a barrior to therapeutic communication.
To assess the adequacy of peripheral circulation, the nurse would do which of the following?
Assess the radial & pedal pulses, the color, temperature and capillary refill of the hands and feet.
What factors increase the risk for a deep vein thrombosis (DVT)?
Prolonged inactivity (especially hospitalization), obesity, smoking, dehydration, oral contraceptives
What are sources for information of the client's spirituality?
•Client environment
•Client questions
•Client’s behaviors, moods, and feelings
•Nonverbal communication
Can you name some categories of medications that affect sleep?
Diuretics, antiparkinsonian drugs, steroids, asthma medications, assorted psychiatric meds.
The nurse needs to provide discharge teaching to her client who does not understand English. What is a priority nursing action?
Provide an interpreter for the teaching.