Skin/Integumentary
Grief and Loss
Non-Inflammatory Bowel
Ethics
Miscellaneous
100

Name two teaching points for decreasing the risk of sunburns

•Wear protective clothing

•Wear sunscreen

•Avoid sun exposure between 10 am and 2 pm

100

Define DNR

Do not resuscitate – withholding life-saving measures (CPR) if a patient’s heart stops or patient is apneic

100

Most common cause of large bowel obstruction

Colorectal cancer

100

Define ageism

Ageism = negative perceptions toward older adults based on age


(Emphasis on youth in modern culture – many older adults feel invisible)

100

This is usually the last of the 5 senses to disappear as death is approaching

Hearing

200

3 risk factors for developing skin cancer

having fair skin, blonde or red hair with blue eye color

history of outdoor sunbathing

living near the equator or at high altitudes

family or personal history of skin cancer

having an outdoor occupation

spending a lot of time in outdoor recreation activities

indoor tanning

200

This was a common fear relating to death in the 18th and 19th centuries

Being buried alive

200

Classic patient symptom/complaint with a hernia (not assessment finding)

Pain

200

Define paternalism

Paternalism = healthcare professional makes choices for a patient based on the healthcare professional’s beliefs about what is in the best interest of the patient or what is best for the patient’s own good

200

When/why a hernia might require surgery

A hernia that cannot be moved back into place with gentle palpation is considered irreducible and requires immediate surgical evaluation.

In a hernia that is strangulated, blood supply is cut off to a portion of the bowel, increasing the risk for obstruction, necrosis, and perforation

300

Type of skin cancer with highest mortality rate

Melanoma

300

A common cardiovascular manifestation at EOL

•Increased heart rate (Later slowing and weakening of pulse)

•Irregular rhythm

•Decreased BP

300

Cause of mechanical bowel obstructions

blockage in the bowel (ex. adhesions, fecal impactions)

300

Define medical futility

Medical futility = The unacceptably low chance of achieving a therapeutic benefit for the patient

300

Describe the ABCDE rule for examining skin lesions

­Asymmetry

­Border irregularity

­Color change

­Diameter greater than 6 mm

­Evolving in appearance

400

Most common type of skin cancer

Basal cell carcinoma

400

Difference between hospice and palliative care

Hospice is a subcategory of palliative care. All hospice is palliative care, but not all palliative care is hospice.

Palliative care:

Allows for curative and palliative treatment simultaneously

Management of symptoms

Hospice Care:

Six months or less to live

No further curative treatments


400

Cause of nonmechanical bowel obstructions

diminished peristalsis in the bowel (paralytic ileus)

400

This is a living will.

Written directions stating what medical care is to be provided if an individual can longer communicate or no longer has the mental capacity to make decisions

400

Name 3 nursing actions for a patient with an NG tube

Maintain intermittent suction as prescribed
Assess NG tube patency and placement.  Irrigate every 4 hours, or as prescribed
Monitor and assess gastric output
Monitor nasal area for skin breakdown
Provide oral hygiene every 2 hours
Monitor vital signs, skin integrity, weight, and I & O

500

Intervention to reduce bruising/swelling after minor skin surgery/procedure

Apply cold packs

500

Name 4 of the stages in the Kubler-Ross Grief Model

Denial = The client has difficulty believing in an expected or actual loss.

Anger = The client directs anger toward self, others, a deity(God), objects, or the current circumstances.

Bargaining = The client negotiates for more time or a cure.

Depression = The client is overwhelmingly saddened by the inability to change the situation.

Acceptance = The client acknowledges what is happening and plans for the future by moving forward

500

Name 3 common clinical manifestations with a small bowel obstruction

Severe fluid and electrolyte imbalance
Metabolic alkalosis
Visible peristaltic waves
Epigastric or upper abdominal distension
Abdominal pain, discomfort
Profuse, sudden projectile vomiting with fecal odor

500

According to May, this is why elders need virtue.


To enhance the quality of their lives

500

Term for twisting of the bowel

Volvulus

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