Death
Provides the client the opportunity to identify their wishes concerning healthcare and treatment if too mentally/physically incapacitated to do so independently.
What is Advanced Directives
What type of pain is pain that is felt in another generalized area of the body rather than in the exact site where the injury occurs?
What is referred pain
What is the normal WBC count?
What is 5,000-10,000 cells/microliter
What is the term used to describe sudden, transient, acute state of confusion?
What is delirium?
What s/e should the nurse closely monitor for in a patient with long term use of NSAIDS?
What is
GI bleeding
This type of care manages and treats symptoms to reduce physical discomfort, but does not alter the disease progress. Heavily involves pain control.
What is palliative care
What is the only reliable source for quantifying pain of a patient?
What is..
the patient
What is the number one way to prevent spread of contagious illnesses and decrease multi-drug resistant infections in the hospital setting?
What is hand hygiene
Most commonly affects older adults, refers to condition in which decline in memory, thinking/learning and reasoning is severe enough to affect the daily life of an alert person?
What is dementia?
Name 2 important patient education points with corticosteroid admin?
What is..
Taper medication when DCing..do not stop abruptly.
Monitor CBGs
Report any bruising
Monitor weight
What two nutritional assessments should be reported to the MD in a hospice patient, for possible alternative nutritional/fluid admin routes?
What is
Weight loss
Inadequate food intake
What is pain that is processed abnormally by the nervous system?
What is Neuropathic pain
What assessment indicates a positive TB test?
What is induration of 10 mm or great at the site of injection
How is an Alzheimer's dx confirmed?
What is..
validating mental decline and ruling out other diseases
Name 2 possible analgesics used immediately post-op.
What is opiod analgesics..
Fentanyl
Morphine
hydrocodone
hydromorphone
meperidine
oxycodone
tramadol
What is an appropriate intervention for the end-of-life care client with pulmonary edema, to ease breathing and clear secretions?
What is
admin a prescribed sedative to decrease anxiety
Name two examples of Neuropathic pain.
What is
phantom limb pain
spinal cord injury
stroke
diabetes neuropathy
shingles
Name a form of direct contact route of transmission?
Give an example disease
What is sexual intercourse
AIDS, Gonorrhea, Hep B
Give two examples in which the geri population is most commonly infected in the hospital setting?
What is ..
02 equipment, bp cuffs, foley catheters, nebulizers, hospital equipment
What medication is prescribed to boost the immune system by increasing wbc production?
What is Filgrastim (Neupogen)
What 3 nursing care interventions are primary concern when providing end-of-care for a client/family?
What is..
Maintaining client comfort(pain control, n/v..)
Providing personal care
Supporting family members
What are medications that are ordinarily admin for other reasons other than treating pain, that are prescribed in addition to analgesics to treat pain?
Give 2 examples.
What is Adjuvant drugs/therapy
corticosteroids, antidepressants, antipsychotics
Name 3 s/s indicative of Sepsis.
What is ..
heart rate > 90 bpm
RR> 20 bpm
Temp >100.4
WBC count> 10,000
What disease is most common in adults > 60 years of age, that is a reactivation of childhood chicken pox?
What is shingles?
What Alzheimers medication can be used in the later stages of the disease to lessen symptoms?
What is memantine?