Skin, Hair, and Nail Disorders
The patient is a 86 year old female with a pressure injury located on the sacrum that is covered in slough. As the LPN you are asked to stage the injury
What is an unstageable pressure injury?
A 33 year old male patient who is a firefighter is brought to the hospital for a bun located on the forearm. You as the LPN notice soot located on his face, arms, and hands. What complication do you suspect?
What is smoke inhalation? Box 66-1 S/S of smoke inhalation
What is restlessness, pacing, increased heart rate, BP, respirations, perspiration, sleep is disturbed, and irritability.
Natural endogenous chemical messengers that communicate information that affect thinking, behavior, and bodily functions.
What are neurotransmitters?
Nursing interventions to assist patients with better sleeping habits.
What is increased activities during the day, decreasing naps, and create a schedule?
Your patient has been prescribed Antabuse what should you educate your patient regarding this medication?
What is do not drink for at least 12 hours before taking this drug, and do not take if intoxicated. What happens if they do?
Your patient has been prescribed Aricept what education would you give the patient and family?
What is prolonging symptoms or disease progression. There is no treatment. The disease will progress and the pt will get worse but administering the medication may assist in prolonging or slow the progression.
A 43 year old male has been diagnosed with Atopic dermatitis and has called into the triage line where you work. The patient is asking for interventions to help with pruritus and skin hydration.
What is short cool showers, increase water intake, use emollients, avoid hot baths, light cotton clothing, mild detergents and soap, avoid scratching, and antihistamines?
The patient is scheduled for a treatment procedure that will decrease his risk of mortality and infection. What is the patient scheduled for?
What is debridement?
Initial step taken by a patient diagnosed with PTSD is what?
What is psychic numbing?
Examples of effective coping mechanisms
What is support from family and friends, exercise, avoiding procrastination, communicate feelings, journaling, and say not when necessary.
Serotonin in cerebrospinal fluid is higher in patients with depression, low levels of NE develop psychomotor retardation or agitation, and patients with excess dopamine results in distortion of thoughts.
Your patient is diagnosed with alcohol withdrawal syndrome and is exhibiting tremors, sweating, agitation, anxiety, insomnia, and hallucinations. What medication do you expect to administer during detox and why?
What is a sedative (Benzos:Lorazepam, Valium)? How is it administered?
Nursing intervention or management for dementia patients
What is nutrition-swallowing, chewing ability, minimize distractions, simple one step commands, remove locks from bathroom doors, safety regarding wandering, stove, lighters, knives, and chemicals safety. page 1316
Herpes Zoster is a
What is a reactivated virus? Can you get Herpes Zoster more than once? What is the treatment? Signs and symptoms?
The patient is 24 hours since obtaining 33% TBSA burn and has significant peripheral edema with a urine output of 20mL/hour. Her IV fluids are running at 220mL/hour. What should the nurse assess?
What is low urine output? Fluid increase is there a standing order or do you need to call the MD. Why does urine take precedence over peripheral edema? What happens in burns?
Patient is experiencing disabled learning, fragmented thoughts, speech is incoherent, and symptoms include dyspnea, fainting, tremors, and diaphoresis. What level of anxiety is the patient experiencing?
What is the panic level of anxiety?
Alarm, Resistance, and Exhaustion
What are the three stages of adaptation?
Anticonvulsants increase GABA. What is an example of an anticonvulsant?
Valproic acid. What is the boxed warning for valproic acid?
You are checking in with your alcohol withdrawal patient and when assessing his vital signs you find his heart rate and blood pressure is elevated. What medication would you give concurrently with a sedative?
What is a beta blocker?
Nursing management includes assessing and protecting cognitive function, physical safety, and promoting independence in self care.
Alzheimer's (examples of each)
A 32 year old patient presents to the clinic with a rash that started one week ago. The pt states she was at a girls camp and the rash began while she was there it is itchy and predominantly located in-between her fingers and toes.
What is scabies? How do you treat scabies?
You are assessing your patient for the first time and you notice the dressing has a green discharge, foul odor, and the patient reports increased pain.
What is an infection?
Nursing management for anxiety
What is building trust (communication), restoring comfort, modifying communication, adjusting teaching, help problem solve, and ensure safety.
Impaired balance and tremors of Parkinsons is related to what neurotransmitter
What is Dopamine?
MAOI with Tyramine containing foods results in
What is hypertensive crisis?
Alcohol withdrawal occurs within what timeframe?
What is 6-48 hours?
Gerontological skin changes
Decreased topical medication absorption, wrinkles, sagging, thinning skin, and decreased cognitive function results in decrease in report of skin breakdown and itching.
The acute/intermediate phase follows the emergent/resusciative phase and includes maintaining fluid replacement. What are the goals of fluid resuscitation?
What is restoration of intravascular volume, prevent tissue death, and maintain vital organs?
Many patients will discontinue these medications related to lag time and adverse reactions.
What is an antidepressant?
What is an adjunctive medication prescribed with Lithium? What is the purpose of the adjunctive medication?
Anticonvulsant medication (Valproic acid) to briefly sedate and relieve bizarre thought processes.
Synthetic medication used to treat opioid dependence that forestalls withdrawal, decreases toxic overdoses, decreases bloodborne infections, and reduces crime related to legally providing the drug.
What is methadone?