MDC 1 Exam 1 Questions with Correctly Solved Solutions.

MDC 1 Exam 1 Questions with Correctly Solved Solutions. Maslow's Hierarchy of Needs physiological, safety, love/belonging, esteem, self-actualization Air interventions Elevate head of bed 35-45 degrees oxygen therapy nebulizer Food-nutrition intevention tubal feedings carbs, fats and proteins Water intevention consistent water intake IV fluids temperature regulation thermostat blankets clothing Elimination using restroom provide privacy removes waste of body fluid & food intake Rest & Sleep: Interventions to promote sleep: -establish routine -limit waking during the night -help w/personal hygiene needs or a back rub prior to sleep to increase comfort -exercise regularly at least 2 hr before bedtime -limit fluids 2-4 hr before bed -engage in muscle relaxation techniques -pharm agents Sleep necessary for body's normal function Sex basic physiological need oral intake drinking water or eating food Enteral Intake nutrition intake through MG Tube, G tube, Peg tube, Jejunotomy tube Parenteral centrally inserted IV line such as PICC or central venous access device safety and security Protection from physical harm adequate shelter freedom from fear and anixety Normal temperature 96.4-99.5 True or false: regulation or thermoregulation is determined using the clients temperature true Hypothermia low body temperature Hyperthermia high body temperature Perfusion The supply of oxygen to and removal of wastes from the cells and tissues of the body as a result of the flow of blood through the capillaries. Pulse normal range 60-100 bpm Blood Pressure normal range 120/80 ORTHOSTAIC HYPOTENSION related to dehydration, diarrhea, elevated temps Respiration Inhalation and exhalation of air. Respiration normal range 12-20 rate, rhythm, depth Characteristics of respiration rate number of beats per minute Rhythmn regular, irregular, strong DEPTH OF RESPIRATIONS normal shallow labored respiratory effort nasal flaring use of accessory muscle body position Pulse Oximetry (SpO2) 90-100% interventions to treat hypoxia oxygen therapy elevate bed nebulizer signs and symptoms of hypoxia dyspnea, elevated BP, increased respiratory & pulse rates, pallor, cyanosis, anxiety, restlessness, confusion, drowsiness, any change in LOC best source of pain patient Nonpharmacologic Pain Management hot/cold therapy, massages Pharmocological Pain Management Pain management methods include analgesics, adjunctive drugs to improve the effectiveness of analgesics or to counteract their side effects and anesthetics. assessment before and after treatment of pain rest and comfort needs and area of anxiety related to illness recovery Pain Assessment Provocative or Palliative (what makes it worse/better) Quality or Quantity (For example, is the pain sharp or dull, throbbing?) Region or Radiation(Location) Severity Scale (Numeric pain intensity scale) Timing (Onset) Understand Patient's Perception (Activities of Daily Living assessment) Types of pain acute chronic visceral neuropathic visceral pain deep internal pain such as menstrual cramps, labor pains or GI infections neuropathic pain injury of one or more nerves where messages regarding pain are transmitted without a pain stimulus occuring acute pain pain that is felt suddenly from injury, disease, trauma, or surgery chronic pain episode of pain that lasts for 6 months or longer; may be intermittent or continuous communication techniques empathy respect genuineness concreteness confrontation Barriers to communication factors that distort, disrupt, or even halt successful communication examples of barrier to communication Asking too many questions Offering advice Changing the subject Expressing approval or disapproval Providing false reassurance Stereotyping Using patronizing language Forms of Communication verbal and non-verbal Therapeutic conversation