Pain
My client has a respiratory rate of 10 breaths per minute and his opioid pain medication is due to be administered. What is my next nursing action?
Hold the medication and call the physician.
What are the two types of defenses in the body against infection?
Mechanical and Chemical
In the final stages of Alzheimer Disease, dysphagia is present. What is an alternative means to aid in nutrition?
Gastrostomy Tube (feeding tube) (PEG tube)
Temp >100.4
Heart Rate > 90 BPM
Respiratory Rate 20 Breaths/min
WBC count > 12,000
Signs of Sepsis
Client comfort is the primary concern of this type of nursing care.
What is Hospice Care?
Medications that include anticonvulsant medications, antidepressant medications, glucocorticosteroids*, CNS stimulants, and bisphosphonates
Adjuvants medications
______ is described as requiring an increased dose in pain medication because it is not "strong" enough to relieve the pain.
Tolerance
Antibody production in response to an infection is what type of defense?
Chemical
What is an appropriate pain scale to be used on a client with aphasia related to Alzheimer disease?
PAINAD
(Pain assessment in advanced dementia)
What type of infection is Appendicitis?
Acute infection
A major complication of oral intake in a client with decreased level of consciousness.
Aspiration
(Inhalation of food particles into the lungs)
R.I.C.E. is an example of what
Rest Ice Compress Elevate
Nondrug interventions
What pain scale is appropriate for use for a preschool aged child?
The faces scale
White Blood Cell count of 13,000 indicates infection?
True or False
True
donepezil (Aricept), rivastigmine (Exelon), galantamine hydrobromide (Razadyne), memantine (Namenda) and a combination of memantine and donepezil are all used to cure Alzheimer Disease.
True or False
False,
These medications lessen the symptoms, but AD remains incurable.
An example of an Opportunistic or super infections: (common in immunocompromised patients)
Yeast infections or Clostridium difficile (C. diff) are examples
The accumulation of fluid in the pulmonary circulation and secretions throughout the respiratory tract.
Death rattle
Diarrhea is common with routine use of opioid medications?
True or False
False
Constipation and the need for a bowel regimen is a common complication.
A client presents with left shoulder pain, left arm pain, and nausea and is found to be having a myocardial infarction. What type of pain did he describe?
Referred pain
What is the body's FIRST line of defense?
The skin
A spouse caring for her husband with Alzheimer Disease is at risk for ___________?
Caregiver Fatigue
Flu, chickenpox, Tuberculosis are what type of infection?
Communicable Infection
Administering pain medication routinely to a dying client causes addiction?
True or False
False.
Routine pain medications provide uniform relief of pain.
My client has black, tarry stools, abdominal pain and reports that he has been taking ibuprofen several times a day for the past week. What is the likely cause of his symptoms?
Gastrointestinal bleed
Appendicitis pain is an example of what type of pain?
Acute
Coughing is what type of immune defense?
Mechanical
Stage 2 of Alzheimer Disease is
Mild Cognitive Impairment: a time when memory problems are noticed but not serious enough to interfere with independent living.
True or False
True
Methicillin-resistant Staphylococcus aureus (MRSA) is an example of _______ __________ infection.
Health Care acquired
The wishes of a dying client can be found on what legal document?
A living will
Glucocorticosteroids must be tapered down – they are NOT stopped abruptly
True or False
True