Pain
Is pain subjective or objective? Who determines a patient's pain level?
Subjective.
The patient.
When a patient is experiencing anaphylactic shock what medication should be given first?
Epinephrine
Should patients that have received organ transplants take immune boosting medications? Why or Why not?
No. They counteract immunosuppressant medications.
Does having a seizure make a patient an epileptic?
No, there are several reasons a patient can have seizures.
Provide Raynaud's patient education.
Wear gloves when removing food from freezer, do not smoke, avoid stress, avoid cold environments, ensure home temperature is warm.
What is phantom pain?
Neuropathic pain that occurs in an area where a limb has been removed.
When a patient is receiving a CT scan which food allergy should the nurse screen for?
Shellfish due to iodine content
Describe S/S of SLE
Fatigue, joint pain, rashes, mouth sores, hair loss.
Do patients often have seizures after a CVA? Why or Why not?
Yes, the brain cells have been deprived of oxygen or blood has leaked into surrounding tissues causes irritants/ vasospasms.
Provide nursing care for a patient with a DVT
Limit mobility, elevate extremity, monitor platelet levels along with additional coagulation studies.
Provide ice pack application education.
Allow ice pack to remain in place for 15-20 minutes/ 4 times a day. Provide a barrier between the ice pack and skin.
What is the best initial indicator that the patient may be experiencing an anaphylactic reaction?
Angioedema.
Discuss wheezing.
Describe the environment recommended for a patient with bacterial meningitis.
Quiet, dark, minimal distractions- droplet isolation.
What is receptive aphagia?
What is expressive aphagia?
Receptive- lifts arms when asked to stick out tongue.
Expressive- unable to speak
What are common changes with vision and hearing in the aging adult?
Distorted depth perception, yellowing of lens, presbycusis, decreased lacrimal secretions, difficulty distinguishing dark colors, intensified glares at night.
Many pain medications cause constipation. What is the first intervention a nurse implements to prevent constipation?
Increase fluid intake.
Which immunoglobin is triggered during allergic reactions?
What are late-stage Parkinson's manifestation a nurse must provide nursing care for?
Dysphagia, immobility, incontinence, insomnia.
What is agnosia? What is an appropriate nursing intervention?
The inability to recall familiar items. Present an item and repeat the name/purpose of the item.
With GBS what are areas the care plan should address?
Nutrition, immobility complications, ventilation, advancing paralysis assessments.
What assessment findings indicate a patient is experiencing pain?
Muscle tension, diaphoresis, increased HR, increased RR, increased BP, nausea/vomiting.
A patient comes into the ER having stepped on a nail what is the nurse's most important thing to inquire about?
When was your last Tetanus vaccine.
Provide dietary instructions for a patient with MS?
High fiber, Fluid hydration (1500ml/day), Calcium and Vitamin D supplements.
Provide patient education on the medication Dilantin.
Dilantin causes gingival hyperplasia which means the patient should visit the dentist every 3-6 months.
Dilantin may turn urine pink and alcohol should be avoided due to its sedative effects.
Provide eye patch education.
Rest eyes, limit activity of uncovered eye. Audio books, music, sleep. No TV, No exercises of eyes, do not apply pressure to covered eye.