Chronic Care Compass
This level of prevention detects and treats disease early to halt progression, example include screening mammograms and blood pressure checks
What is secondary prevention?
The movement of a patient between healthcare locations, levels or providers.
What is transition of care?
Progressive decline in glomerular filtration rate over months to years.
What is chronic kidney disease?
A brief episode of neurologic dysfunction cause by focal brain ischemia without infarction
What is a transient ischemic attack?
Low hormone causing fatigue, weight gain, bradycardia and cold intolerance
What is hypothyroidism?
Rapid, systemic hypersensitivity reaction wit bronchospasm, hypotension, and urticaria requiring epinephrine
What is anaphylaxis?
Autoimmune demyelination of the CNS with lesions disseminated in time and space
What is multiple sclerosis?
The family process of changing roles, routines and expectations after a member acquires a long-term disability
What is family adaptation?
A core nursing activity that reduces medications errors by comparing home and hospital medications lists.
What is medication reconciliation?
What is peritoneal dialysis?
The acute ischemic stroke treatment that requires rapid eligibility assessment and time window evaluation.
What is thrombolytic therapy with tPA?
Life-threatening hyperthyroid emergency with fever, tachycardia, and altered mental status.
What is a thyroid storm?
Chronic autoimmune disease causing joint inflammation, morning stiffness and symmetric joint involvement.
What is rheumatoid arthritis?
Paroxysmal, shock-like facial pain along cranial nerve V, often triggered by light touch or chewing
What is trigeminal neuralgia?
A nurse assessment that identifies learning needs, cultural beliefs, and supports to create a self-manamgnet plan.
What is a needs assessment for patient education?
A negative outcome of poor discharge teaching that often leads to missed follow-up appointments and worsening symptoms
What is treatment nonadherence?
Preferred long-term vascular access for hemodialysis created by connecting an artery to a vein.
What is an arteriovenous fistula?
Progressive neurodegenerative disease with resting tremor rigidity and bradykinesia.
What is Parkinson disease?
Acute metabolic emergency in type 1 diabetes with hyperglycemia, ketones, metabolic acidosis, and dehydration.
What is diabetic ketoacidosis?
HIV stage characterized by opportunistic infections and CD4 count below 200 cells per microliter.
What is AIDS?
Applying an icepack to the forehead
What is a way to minimize clients pain during a migraine?
A measurable outcome often worsened by ineffective care transitions and associated with increased mortality and cost.
What is a hospital readmission?
A nurse role that includes coordinating community resources, arranging follow-up, and teaching caregivers before discharge?
What is discharge planning or care coordination?
Cloudy peritoneal effluents, abdominal pain, and fever in a patient on peritoneal dialysis indicate this emergency.
What is peritonitis?
Autoimmune demyelinating polyneuropathy that often presents with ascending weakness and requires respiratory monitoring.
What is Guillain-Barre Syndrome?
Adrenal insufficiency with hyperpigmentation, hypotension, and hyponatremia; an additional dose of hyrocortisone is given during crisis; chronic form is called this.
What is Addison's disease?
Male reproductive cancer often screened with PAS and may present with urinary hesitancy or bone pain if metastatic.
What is prostate cancer?
Order: Phenobarbital 3 mg/kg/day PO in two divided doses.
Patient Weight: 44 lbs.
Available: Phenobarbital 20 mg/5 mL elixir.
How many mL should the nurse administer per dose? (Round to the nearest whole number)
3 ml
Three common complications of long-term disability that rehab nursing monitor: pressure injuries, contractures and this cardiovascular risk.
What is a deep vein thrombosis?
A systems approach using standardized checklists, electronic handoffs and post-discharge calls to reduce readmissions.
What is a structured transitional care program?
Oliguria and edema experienced after kidney transplant.
What is signs of transplant rejection?
A sudden focal neurologic deficit from a ruptures cerebral vessel causing headache, decrease consciousness and focal signs.
What is a hemorrhagic stroke?
Syndrome of inappropriate antidiuretic hormone secretion causing water retention, hyponatremia, and concentrated urine.
What is SIADH?
Sudden scrotal pain with absent cremasteric reflex requiring immediate surgical evaluation to preserve fertility.
What is testicular torsion.
Order: Vancomycin 1 gram in 250 mL NS over 90 minutes.
Question: At what rate (mL/hr) should the nurse set the infusion pump?
167 mL/hr