NSG|430|Exam|with|detailed|answers.
Palliative Care - correct answersCare or treatment focusing on reducing the severity of
symptoms; curative treatment can be involved
Hospice Care - correct answerstreatment of the terminally ill with the goal of helping them to
die comfortably, without pain; curative care is forgone
Physical manifestations of EOL - respiratory - correct answersCheyne-Stokes respirations, death
rattle, terminal secretions, loss of gag reflex (risk for aspiration)
Physical manifestations of EOL - integumentary - correct answersMottling, cyanosis in nail beds,
cold/clammy skin, and "waxlike" skin very near death
Decisional capacity - correct answersability to consent to or refuse care
Tissue/Organ donation - correct answersSome used within hours, notify physician immediately
What guides our care? - correct answersCode of Ethics - relieve suffering
Principle of Beneficence - care is provided to benefit
Standard of Care - define nursing acts that are required for safe and competent care
Assessments - last hours of life - correct answerslimit to comfort measures, concerns about pain
and respiratory should be addressed, emotional/comfort support
, Postmortem Care - correct answersclose pt's eyes, replace dentures, wash/position body - allow
family privacy
Classic triad of DKA - correct answershyperglycemia (>250)
ketones
acidosis
Other manifestations of DKA include - correct answersprofound dehydration
tachycardia
fruity breath
(early signs) - weakness/lethargy
DKA treatment includes - correct answersIV fluids
regular insulin - 0.1 U/kg/hr
electrolytes (potassium esp.) - PRN
HHS occurs when - correct answersBlood glucose >600
HHS|vs|DKA|-|correct|answersno|ketones|(has|enough|insulin|to|prevent|this)
severe|hyperglycemia|(>600)
occurs|gradually
Other|HHS|manifestations|-|correct|answersincreased|serum|osmolality|(concentrated)
normal|blood|pH
fever/warm|dry|skin
Palliative Care - correct answersCare or treatment focusing on reducing the severity of
symptoms; curative treatment can be involved
Hospice Care - correct answerstreatment of the terminally ill with the goal of helping them to
die comfortably, without pain; curative care is forgone
Physical manifestations of EOL - respiratory - correct answersCheyne-Stokes respirations, death
rattle, terminal secretions, loss of gag reflex (risk for aspiration)
Physical manifestations of EOL - integumentary - correct answersMottling, cyanosis in nail beds,
cold/clammy skin, and "waxlike" skin very near death
Decisional capacity - correct answersability to consent to or refuse care
Tissue/Organ donation - correct answersSome used within hours, notify physician immediately
What guides our care? - correct answersCode of Ethics - relieve suffering
Principle of Beneficence - care is provided to benefit
Standard of Care - define nursing acts that are required for safe and competent care
Assessments - last hours of life - correct answerslimit to comfort measures, concerns about pain
and respiratory should be addressed, emotional/comfort support
, Postmortem Care - correct answersclose pt's eyes, replace dentures, wash/position body - allow
family privacy
Classic triad of DKA - correct answershyperglycemia (>250)
ketones
acidosis
Other manifestations of DKA include - correct answersprofound dehydration
tachycardia
fruity breath
(early signs) - weakness/lethargy
DKA treatment includes - correct answersIV fluids
regular insulin - 0.1 U/kg/hr
electrolytes (potassium esp.) - PRN
HHS occurs when - correct answersBlood glucose >600
HHS|vs|DKA|-|correct|answersno|ketones|(has|enough|insulin|to|prevent|this)
severe|hyperglycemia|(>600)
occurs|gradually
Other|HHS|manifestations|-|correct|answersincreased|serum|osmolality|(concentrated)
normal|blood|pH
fever/warm|dry|skin
