respiratory - COPD
What lifestyle change should the nurse encourage the patient to do that will most significantly slow the progression of their COPD?
Smoking cessation
Repeated administration of rapid-acting inhaled ß2-agonists through a MDI with spacer (2 to 4 puffs every 15-20 minutes for first hour)
What is treatment for an acute asthma attack?
This is the treatment of choice for a young child with dehydration
What is oral rehydration therapy
The strongest research design to answer questions about the effectiveness of a treatment or therapy
What is randomized control trial?
The goal of communicating with a depressed client's family members or significant others
What is acquire information, not to provide information
Assess for this to detect the most common cause, if your client with COPD has developed an exacerbation
purulent sputum
Nightime symptoms < 1 per week, participating in normal age-related activities and no work/school absences
What are indicators of acceptable asthma control?
Fewer than 4 wet diapers in 24 hours in infants
What is a sign of dehydration in infants?
Choosing study participants from a clinic that provides acupuncture to manage back pain is this type of sampling
What is convenience sampling?
A client who stops taking their medication to treat their depression because they now feel better requires this
What is health teaching regrading why they need to continue taking their medication; assessment of any side effects their experience
This type of breathing is encouraged to prolong exhalation and assist the COPD client when they experience dyspnea.
What is purse-lip breathing?
When self administering an inhalation medication, the client should do this before releasing the medication from the MDI
What is take a deep breathe in?
These 2 blood test results would indicate dehydration
What is high BUN and high hemotocrit?
This is why ideally study participants should be blinded to which group they were randomized to (allocation concealment)
What is the Hawthorne effect? (behaving the way they think the researchers want them to; they might be more motivated and respond to the intervention better. )
Taking time to listen to the thoughts and concerns of a client experiencing depression will facilitate this
Trusting nurse-client relationship, them feeling respected
To maintain balanced nutrition, the client with COPD is encouraged to eat small, frequent meals of these 2 food groups.
What is high calorie, high protein
Washing sheets in hot water, keeping pets out of the bedroom, avoid skating outside in the winter months
What are environmental controls to reduce exposure to asthma triggers?
High protein, high calorie and low residue diet
What diet is recommended for clients with inflammatory bowel disease that are experiencing a flare up?
This is when study participant outcomes are analyzed according to the group which they were originally randomized even if they did not complete the study treatment
Intention to treat analysis
The nurse works closely with the client at risk for suicide, to explore and minimize the (3) feelings/experiences that commonly are associated with mental illness and addiction
What are shame, guilt and stigma
This oxygen delivery is best to for your client with COPD who is experiencing respiratory distress and requires oxygen
What is venturi mask?
Restlessness, agitation,confusion and decreased level of consciousness
What are signs of hypoxia?
This intervention can be used to regulate bowel function for a client who has a colostomy.
What are colostomy irrigation using a soft catheter
The treatment effect is when the chance of an outcome occurring in the intervention group is compared with the chance of an outcome occurring in the comparison group/control group
What is an odds ratio?
OR > 1.0 is interpreted as the odds that the intervention increases the likeliness of the outcome
* need to consider if the outcome is a "good outcome" or "bad outcome"
These are examples (3) of protective factors that help reduce the risk of depression in adolescents
What are:Parental involvement, partaking in after school-activities, positive self-image, self-control, social competence, reliable peer support, school engagement, high self-esteem, structured reliable upbringing