"New Content"
a nurse ask a pt to demonstrate giving themselves their insulin injection, this is an example of what learning domain?
psychomotor
immediately confront, be direct and specific.
what should the nurse teach the pt to do before a UA?
wash their hands and clean with a castile wipe.
A nurse should use beta-blockers with caution in patients with what chronic condition?
COPD
describe a stage two pressure injury
partial tissue thickness loss, loss of the dermal layer, shallow ulcer, pink or red wound bed
what religions are usually vegetarian?
Buddhism & Hindusim
describe the differences between hospice and palliative care
Hospice- for pts with a prognosis of 6 months or less, two Drs. must confirm illness and prognosis. The pt has to agree to be on hospice. They are no longer seeking curative treatments.
Palliative- helps to manage chronic disease, can happen at any time during curative treatment, symptom management.
obtain a culture and sensitivity
Name the 3 side effects commonly associated with ace inhibitors
Angio edema, Cough, Elevated K+
a pt complains of loosing vision in the middle of his visual field and has a hx of smoking, what eye condition is he likely experiencing ?
AMD (age related macular degeneration)
Name at least 3 signs that someone is dying
cheyene stokes, agitation, mottling, cyanosis, noisy and irregular breath sounds, abdominal distention
explain the tasks for those in the generativity vs. stagnation age
may experience changes in employment, go back to school. These come from an increased job satisfaction and feeling like they need to achieve life goals or financial stability. Retirement becomes important. They are often referred to as "the sandwich" group because they are taking care of aging parents and children. Empty nest syndrome can occur.
For which anticoagulant will you monitor PT & INR? and what are the normal ranges.
Warfarin(coumadin)
PT:10-15 seconds
INR: 1.3-2
A nurse is teaching a pt about nitroglycerine, what should she include in the teaching?
make sure to be sitting or laying down when taking, avoid alcohol, wear sunscreen because it is photosensitive, and be sure to store in an airtight container
what treatment can a nurse expect for a pt who has been diagnosed with glaucoma?
Argon laser, and management of medications
A child is loosing the title of being the only child, this is an example of what kind of loss?
Maturational
An older patient is feeling down about his loss of his independence, what kind of loss is he experiencing ?
perceived loss
The nurse should be monitoring the platelets because they are at an increased risk for bleeding. If they are below the low normal range it is called thrombocytopenia
A pt who is taking digoxin tells the nurse they feel nauseous, and are seeing halos. The nurse does an assessment and finds the pts HR to be elevated and checks their cardiac monitor and finds arrythmias, the nurse suspects this pt is likely experiencing what?
digoxin toxicity
Glucocorticoids, (steroids)
explain the tasks one might have when they are in the integrity vs. despair age
they may be reflecting on their life and challenges that they have, if they feel like they haven't met what they wanted to do with their lives, they may go into despair.
Affective
what should a nurse check BEFORE administering heparin to a patient who has been diagnosed with a DVT?
PTT
a urine output of <30mL/hr
What side effects should the nurse teach to a pt who is taking Albuterol?
runny nose, headaches, tremors, fast heart rate. The side effects of this medication mimic the flight or flight response