Define It All
Define Palliative Care-list 2
Pain Control
Integrate spirituality
Enhance quality of life
Team approach for care
Assess needs
Control Pain
Facilitating Breathing
Regulate Temp
Maintain skin and tissue
Assist with self care
Promote sleep
Family support
Facilitate grieving
When assessing needs for a terminally ill client, what is a priority to discuss with the family?
Pain control
Promoting rest
Facilitate grieving
Caregiver support
Caregiver strain
Lists 2 nursing considerations specifically for Corticosteroids
*Check Blood glucose levels for diabetic patients
*Taper Doses when d/c
*Take as directed
*May cause immune suppression if used long term
What is an abnormal result for a tuberculin skin test
10 mm or greater
Define mechanical defenses
The first line against invading microorganisms such as unbroken skin, mucous membranes separate underlying body tissues from environmental microorganisms.
Ex: Dirt enters throat, cilia moves dirt up, cough expels dirt
For a patient with a dx pulmonary edema, what are some key interventions to remember for this client?
-Anxiety Relief
-Positioning
-Oxygen Use
-Suctioning
What is the most important teaching to perform with a client and family who has a new prescription for Fentanyl (Duragesic)?
*Monitor respirations
Which medication class would be utilized for pain control in a dying client
Opioids/Narcotic
What is the most effective way to prevent community-acquired infections
immunizations
What are the most common multidrug resistant bacteria-name 1
-Staphylococcus aureus
-Streptococcus pneumoniae
-Escherichia coli
What diagnostic examination (s) or laboratory findings confirm Alzheimer's disease
None!
AD is confirmed by validating mental decline and ruling out other diseases.
Autopsy confirms if neurofibrillary tangles are noted
What is the most important nursing consideration would you include in discussing antibiotic therapy with a client and family
-Complete therapy
Which medication do you anticipate administering for a newly post-op patient c/o pain 10/10?
lists 3 examples
*Morphine
*Codeine
*Fentanyl
*Hydrocodone
*Hydromorphone
*Meperidine
*Oxycodone
*Tapentadol
*Tramadol
A client has been hospitalized and treated with wide spread antibiotic therapy. Pt suddenly is complaining of severe abdominal cramps, pain and fever. What do you anticipate is occuring
Pseudomembranous colitis due to the overgrowth of c-diff in the bowel
What is the difference in a culture vs sensitivity exams?
Culture: collection of body fluids, wastes etc from a wound
Sensitivity: study to determine which antibiotic inhibits the growth of the microorganism
When discussing final stages of Alzheimer's disease, what best nursing considerations should you include with family
-gastrostomy tube feedings
-behavior disturbance
-all A's
You are instructing a family on the new prescription Memantine, what is important information to discuss with the family?
*This does not cure AD, it lessons symptoms
What therapy would you recommend for relief of chronic pain to reduce muscle tension, increase vasodilation, promote relaxation?
~Heat Therapy
*Cold therapy-decreases vasodilation, reduces swelling
*RICE
The nurse is teaching on community acquired infections. What is examples to include in teaching
Flu
chickenpox
Tuberculosis
Give an example of secondary infection
Complication of some other disease process that occurred first
ex: A 3rd degree burn victim develops infection
You are working night shift, a CNA reports a change in your clients behavior, what do you do first?
*Reassess changes
*Perform head to toe
You reviewing your client's recent lab results. What are the normal range for WBC
10,000 (ATI-12,000)
When discussing end of life with family, the family informs you the client has been sleeping more and won't eat. What is some important teaching to include with the family?
*Decreased level of consciousness risk for aspiration
*Weight loss or inadequate intake may discuss alternative nutritional intake
A patient is complaining of pain in a limb that was amputated 3 years ago. You understand this pain is defined as
Neuropathic Pain