Prioritizing Pt Care
This term describes how sick a patient is and how much nursing care they require based on the severity of their condition.
What is patient acuity?
Normothermia is the core body temperature range between these two values, expressed in °C.
What is 36.5°C to 37.2°C?
Sleep is described as a natural, necessary, restorative state that involves a shift in these two types of activity.
What are physiological and neurological activity?
Local application of heat and cold is used to provide comfort, reduce muscle spasm, improve mobility, and promote this process.
What is healing?
This concept includes all the functions cells perform to maintain homeostasis and respond to signals such as hormones and neurotransmitters.
What is cellular regulation?
In the CURE framework for prioritization, the letters stand for these four words.
What are Critical, Urgent, Routine, and Extras?
A body temperature below 36.2°C is called this, while a temperature above 37.6°C is called this.
What are hypothermia and hyperthermia?
A patient is difficult to arouse and briefly disoriented on waking. They were most likely in this stage of sleep.
What is NREM stage N4 (deep sleep/slow-wave sleep)?
Cold therapy causes this change in blood vessels; what effect does it have on edema and bleeding?
It causes vasoconstriction, reducing edema and slowing bleeding.
A tumor made of normal-looking cells that do not metastasize is called this, while abnormal cells capable of metastasis form this.
What are benign and malignant neoplasms?
This type of condition has a sudden, severe onset, while the other type develops slowly over time.
What is acute versus chronic?
These age groups are at the highest risk for thermoregulation problems because their ability to compensate is limited.
Who are the very young and the very old?
Hypertension, heart disease, obesity, and increased mortality are potential long-term consequences of this.
What are chronic impaired sleep or sleep disorders?
Moist heat penetrates tissue deeply but has this major disadvantage compared with dry heat.
Moisture conducts heat and increases the risk of burns.
Age, smoking, radiation exposure, and some infectious agents all increase the risk for this cellular problem.
What is impaired cellular regulation/cancer?
Two patients ring at the same time: one with chronic osteoarthritis pain and one with new-onset, severe abdominal pain. Using data cues, this patient should be assessed first.
Who is the patient with acute, severe abdominal pain (acute condition)?
For a client with hyperthermia, removing excess clothing, applying cool packs, and providing cool fluids are examples of this type of intervention.
What are interventions to lower body temperature (management of hyperthermia)?
Going to bed and waking at the same time daily, limiting caffeine before bed, and keeping the bedroom dark and quiet are examples of this.
What is good sleep hygiene?
Before applying heat or cold, nurses must always have this and must not leave patients unattended if they cannot sense temperature changes.
What is a healthcare provider’s prescription/order and close monitoring for safety?
Mammograms, colonoscopies, and PSA tests are examples of this type of prevention related to cancer.
What is secondary prevention (screening)?
A patient with osteoarthritis suddenly develops a fever and nausea—symptoms not usually seen with their chronic condition. Using expected vs unexpected findings, this is how you would prioritize them.
See them as a higher priority because the symptoms are unexpected for their condition and may indicate a change in status.
When rewarming a patient with severe hypothermia, this is the most important safety consideration.
Rewarm the core slowly and monitor the heart because rapid rewarming can cause dysrhythmias.
Insomnia without an underlying condition is one type of sleep disorder; insomnia due to COPD or chronic pain is another. Name both types.
What are primary sleep disorders and secondary sleep disorders?
When delegating heat or cold applications to a UCP, the nurse must still perform these two key nursing responsibilities.
Assess the patient and skin/tissues before treatment and evaluate the patient’s response after treatment.
A tumor staged as T1 N1 M0 is interpreted this way.
It is a small primary tumour with spread to one regional lymph node and no distant metastasis.