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Post-Operative Nursing Care
Obesity - Nursing Care
Diabetes - Nursing Care
Learning & Motivation =Health Promotion
Theory, Concepts, Lab ...
100
The nurse explains to the patient that this medication will help prevent clot formation in the legs.
What is low-molecular weight heparin? DD: This concept refers to decisions & actions patients make to enhance their health.
100
An individual has the following problems: Transient ischemic attacks (small strokes), shortness of breath on exertion, pain in the knee joints, increase chance of a cancer diagnosis....
What are the health risks for obesity?
100
You assess that the young adult with type 1 diabetes has a blood glucose of 2.0.
What is hypoglyemia? DD: You further read in the chart that his potassium level is 2.9 mmol/L. Are you concerned as a nurse?
100
A nurse assesses a black woman who is 85 years old and has a family history of stroke.
What are the non-modifiable risk factors associated with cardiovascular disease?
100
A nurse irrigates a patient's abdominal wound
What is the removal of bacteria from a wound?
200
A patient seven hours post operation has not voided.
What is urinary retention? DD: What are your nursing interventions?
200
The nurses determines the following: greater nutritional requirements then needed, ineffective breathing pattern, chronic low self-esteem, disturbed body image.
What are some possible nursing diagnoses for patients who are obese?
200
The physician has diagnosed that a middle aged adult has decreased insulin secretion and cellular resistance to insulin.
What is type two diabetes? DD: This patient is insulin dependent and has the flu. She has called you at the diabetic clinic - what do you tell her to do?
200
A nurse encourages and partners with an older adult to take their anti-hypertensive medications.
What is health promotion and prevention for the older adult?
200
A nurse administers an IM injection to the ventrogluteal site.
What are the landmarks? DD: This concept includes social, political & historical meanings of individuals and their families.
300
A patient after surgery receives enough analgesic for the following desired outcomes.
What is ambulation, deep breathing and coughing, expressing their needs, pain intensity scores are doable for patient. DD: This concept is an experiential pathway an individual and their chronic illness progresses.
300
The nurse assesses the following in an adult male: waist circumference is greater then 102 cm, Low HDL levels, fasting blood glucose is 12 mmol/L.
What is metabolic syndrome? What are criteria may contribute to metabolic syndrome?
300
A client who is Type 1 diabetic reports he has increased his exercise and ketones are present in his urine.
What is the relationship between exercise and blood glucose control? DD: This client has been swimming daily at 1pm. What does the nurse need to teach the client?
300
By discharge, the patient can explain the risk factors of hypertension.
What is a learning objective?
300
The maintenance of positive adjustment under challenging life conditions.
What is resilience? DD: This concept looks at the unequal power relations of nurses and new immigrants accessing health care.
400
A patient has a history of smoking two packs of cigarettes per day and is his third post op day of GI srugery.
What are the signs and symptoms of pneumonia? DD: A patient demonstrates a high degree of control and commitment and anticipating challenges in managing their arthritis.
400
Problem solve with patient on how to change their food intake, the skills for grocery shopping, the barriers to enhancing a healthy diet.
What is the nurses response (or interventions) when a patient expresses a need to address their weight and eating habits?
400
What lab test will give the nurse the most accurate assessment of blood glucose control?
What is glycosylated hemoglobin level (A1C)? DD: How often can this test be done and why? What is the normal range?
400
The following are a number of tools the nurse uses: phamplets, problem-solving with patient, sharing good quality web sites, return demonstrations.
What are instructional strategies for implementation of a teaching plan?
400
A nurse fails to thoroughly complete a respiratory assessment on an older adult with COPD.
What is failure to rescue? DD: According to Gottlieb, what the meaning of a nurse's professional gaze? What determines a nurse's professional gaze? What are the forces behind these?
500
Fatty tissue has a poor blood supply for individuals who are obese and have surgery.
What is a risk for for poor wound healing? DD: A nurse anticipates the following: adhesions, contractures, dehiscence, excess granulation tissue, fistula formation ....
500
Post operatively the patient who is obese has an oxygen saturation of 88%.
What is oxygen desaturation of the patient who is obese? DD: Why does the patient who is obese tend to have a decreased desaturation after surgery?
500
A patient receives Novorapid insulin at 8 am.
When is the onset of rapid acting insulin? DD: When would the nurse expect a hypoglycemic reaction if patient does not eat?
500
As a nurse you implement the following strategies for a stage of readiness to learn to decrease the amount of calories per day: discuss and problem solve with client the risks versus benefits
What is pre-contemplation stage of readiness? DD: What scales are used in motivational interviewing?
500
A nurse determines problems related to independence, ADLs, and responses to life changes.
What are the characteristics of a nursing problem versus a medical problem? Daily Double: According to Gottlieb, what is the meaning of the concept critical inquiry?