Pain
A patient has no response to verbal or physical stimulation after receiving their dose of oxycodone. They are a 4 on the POSS scale. What medication should be administered?
Narcan
What is self esteem?
A persons opinion of self
What does spiritual distress mean?
Challenged to find meaning in life, peace, comfort, strength, connection to a high power or with family and friends
What is eustress?
Good stress- it is motivating and can improve performance
What is the maximum daily dose of Tylenol?
4000mg or 4g
When should you reassess a patients pain after giving a pain medication via IV? What about PO?
IV- 15 to 20 minutes
PO- 30 to 60 minutes
A male RN is having difficulties in the workplace and feels incapable of fulfilling their role because of sexual stereotype. This is an example of what?
Role strain
A patient is admitted following a tragic car accident. They are in need of blood but have declined. What religion do they most likely practice?
Johavahs witness
What are some manifestations of stress?
fear, anxiety, anger or depression
Name some medical diagnoses that could be a reason for fatigue.
Anemia, hypo/hyperthyroidism, depression, chronic pain
What are some side effects from opioids?
Respiratory depression, constipation, N/V, Sedation, pruritus, tolerance, addiction
A patient is found consuming nonfood substances (dirt, chalk, paper). What condition do they most likely have?
Pica
A patient who is Jewish receives their meal tray containing steak, mashed potatoes, greens beans and milk to drink. They ask for something else to drink. Why?
Jewish will not mix dairy and meat
A patient is prescribed an antidepressant. What teaching should you provide?
The medication can take a couple weeks to start working.
Can increase suicidal thoughts/ideation
A patient is diagnosed with anemia. They are told to increase their uptake in _____ and take it with _____ to help increase absorption.
A patient is diagnosed with anemia. They are told to increase their uptake in iron and take it with Vitamin C to help increase absorption.
According to the WHO Three-Step approach, what kind of medication would be considered step 1?
Non-opioid analgesic. Ex. Tylenol, Aspirin, Ibuprofen
A patient has a low BMI and is constantly obsessing over their weight and size. They consume small amounts of food and exercise excessively. What condition do they most likely have?
Anorexia nervosa
A male patient of islamic faith will not answer the female nurses questions or allow her to take his blood pressure. What should be done?
The patient may prefer a nurse that is the same gender- try to find a male nurse on the unit to help treat this patient
How much exercise should we aim for to relieve stress?
Aim for 30 minutes of activity 5 days a week
What is chronic fatigue syndrome? What are some symptoms? How many symptoms must they have to be diagnosed?
Chronic fatigue syndrome is severe tiredness lasting longer than 6 months that it not caused by a primary health condition.
Symptoms include- malaise, forgetfulness, confusion, mild headache, mild fever, muscle aches
***Must have 4 or more symptoms
What is phantom pain?
Pain felt in an amputated limb or body part
Repeated regurgitation of food unrelated to medical conditions is what disorder?
Rumination disorder
As nurses we need to be mindful and resilient in regards to our patients and their religious practices. What does this mean?
We need to be aware of our thoughts, emotions and actions while responding positively and adapting to change.
What foods can we consume to help control our stress?
Fruits, vegetables, whole grains, beans, legumes, fish, skinless poultry
limit: red meat, sodium and saturated fats
What are some lifestyle changes that could help improve sleep?
Balanced diet, good hydration, daily exercise, stress reduction, avoid caffeine/alcohol/tobacco (stimulants)