NUR 405 Final Exam Review – Questions With
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Terms in this set (242)
True or false: True
Pain is a medical emergency.
What is the formula for tPA Formula = 0.9mg/kg or 90mg is MAX dose
administration?
10% will be given as a bolus over 1min, remaining will
be given over 60 mins
How is Cerebral perfusion pressure CPP = MAP - ICP
calculated?
MAP = (systolic + (2)diastolic) / 3
- Normal MAP 60-100
- If CPP is dropping, ICP could be increasing or MAP
could be decreasing
How is MAP calculated? (systolic + (2)diastolic) / 3
What are the stages of grief? 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
What stage of grief involves refusing Denial
to accept the fact that the loss has
occurred?
,What are examples of the denial stage not accepting a loss
of grief?
- a nurse telling someone that their family member
died and they respond "but I just talked to them on
the phone yesterday"
- feeling numb or pretending a loss did not happen
- a newly diagnosed diabetic patient refusing to
check their glucose because they think it should be
fine.
What stage of grieving occurs when anger stage
the person expresses strong and
sometimes hostile emotions?
What are examples of the anger stage - feeling anger towards the person who died
of grief? - getting angry at the nursing staff or other family
members
- lashing out
- yelling
What stage of grief the grieving bargaining
process is an attempt by the grieving
person to gain more time by
promising something in return?
What are examples of the bargaining - bargaining with god to heal or prolong life
stage of grief? - try to make a deal with self or others
- bargaining with a doctor to prolong starting
treatment
What stage of grief occurs when a depression stage of grief
person realizes full impact of the loss;
overwhelming sadness, hopelessness,
and loneliness?
What are examples of what you may - not taking care of self'
see in a person in the depression - not sleeping/eating
stage of grief? - drinking alcohol
- not going to work
,How long should the depression The length of time this stage lasts depends on the
stage of grief last? How do you know person and how it affects them.
if someone in the depression stage of
grief needs intervention? The person needs intervention if there is an issue with
functionality
What stage of grief occurs when a Acceptance Stage of grief
person incorporates the loss into life;
develops the capacity to have a
breadth of emotions, even positive
ones; finds ways to move forward?
What nursing interventions can you - allow them to vent/express emotions
implement to help someone through - let them talk through it
the 5 stages of grief? - do NOT tell them that a person who has died is in a
better place
- assess individual needs
- allow expression without judgement
- support
- encourage storytelling
- ask open ended questions
- inquire about support system
- assess ability to care for self
- assess for complicated grief (may need other
intervention)
What type of grief occurs when a complicated grief
person has a prolonged or
significantly difficult time moving
forward after a loss?
What resources can be offered to a - therapy/counseling
patient experiencing complicated - support group
grief? - grief camp for kids
- church/religious groups
- social worker
, What is the focus of nursing care in - look for risk factors
patients with a chronic illness? - minimize complications
- prevention of acute exacerbations
- education
What is the continuum of care from palliative care
diagnosis until death?
palliative care should begin at the moment of
diagnosis with a chronic illness and continue through
to the end of life
What is the goal of palliative care? - improve quality of life for both the patient and the
family
- treat the complications of the illness
- reduce pain and discomfort
What type of palliative care is focused Hospice care
on the last 6 months of life?
What treatments are done for patients treatment only for symptoms, not treatment of
on hospice? disease
- pain management/comfort
- surgery to remove tumors restrictive to breathing or
causing pain
What should guide the care that the the patient's wishes should guide care
patient receives while on hospice
care?
What are indications that a hospice - withdraw, sleep for longer intervals, become
patient is near death? somnolent
- Diminished body functions
- Increased intervals between respirations (cheyne
stokes)
- A weakened and irregular pulse
- Diminished blood pressure
- Skin color changes or mottling
Reliable Solutions
Save
Terms in this set (242)
True or false: True
Pain is a medical emergency.
What is the formula for tPA Formula = 0.9mg/kg or 90mg is MAX dose
administration?
10% will be given as a bolus over 1min, remaining will
be given over 60 mins
How is Cerebral perfusion pressure CPP = MAP - ICP
calculated?
MAP = (systolic + (2)diastolic) / 3
- Normal MAP 60-100
- If CPP is dropping, ICP could be increasing or MAP
could be decreasing
How is MAP calculated? (systolic + (2)diastolic) / 3
What are the stages of grief? 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
What stage of grief involves refusing Denial
to accept the fact that the loss has
occurred?
,What are examples of the denial stage not accepting a loss
of grief?
- a nurse telling someone that their family member
died and they respond "but I just talked to them on
the phone yesterday"
- feeling numb or pretending a loss did not happen
- a newly diagnosed diabetic patient refusing to
check their glucose because they think it should be
fine.
What stage of grieving occurs when anger stage
the person expresses strong and
sometimes hostile emotions?
What are examples of the anger stage - feeling anger towards the person who died
of grief? - getting angry at the nursing staff or other family
members
- lashing out
- yelling
What stage of grief the grieving bargaining
process is an attempt by the grieving
person to gain more time by
promising something in return?
What are examples of the bargaining - bargaining with god to heal or prolong life
stage of grief? - try to make a deal with self or others
- bargaining with a doctor to prolong starting
treatment
What stage of grief occurs when a depression stage of grief
person realizes full impact of the loss;
overwhelming sadness, hopelessness,
and loneliness?
What are examples of what you may - not taking care of self'
see in a person in the depression - not sleeping/eating
stage of grief? - drinking alcohol
- not going to work
,How long should the depression The length of time this stage lasts depends on the
stage of grief last? How do you know person and how it affects them.
if someone in the depression stage of
grief needs intervention? The person needs intervention if there is an issue with
functionality
What stage of grief occurs when a Acceptance Stage of grief
person incorporates the loss into life;
develops the capacity to have a
breadth of emotions, even positive
ones; finds ways to move forward?
What nursing interventions can you - allow them to vent/express emotions
implement to help someone through - let them talk through it
the 5 stages of grief? - do NOT tell them that a person who has died is in a
better place
- assess individual needs
- allow expression without judgement
- support
- encourage storytelling
- ask open ended questions
- inquire about support system
- assess ability to care for self
- assess for complicated grief (may need other
intervention)
What type of grief occurs when a complicated grief
person has a prolonged or
significantly difficult time moving
forward after a loss?
What resources can be offered to a - therapy/counseling
patient experiencing complicated - support group
grief? - grief camp for kids
- church/religious groups
- social worker
, What is the focus of nursing care in - look for risk factors
patients with a chronic illness? - minimize complications
- prevention of acute exacerbations
- education
What is the continuum of care from palliative care
diagnosis until death?
palliative care should begin at the moment of
diagnosis with a chronic illness and continue through
to the end of life
What is the goal of palliative care? - improve quality of life for both the patient and the
family
- treat the complications of the illness
- reduce pain and discomfort
What type of palliative care is focused Hospice care
on the last 6 months of life?
What treatments are done for patients treatment only for symptoms, not treatment of
on hospice? disease
- pain management/comfort
- surgery to remove tumors restrictive to breathing or
causing pain
What should guide the care that the the patient's wishes should guide care
patient receives while on hospice
care?
What are indications that a hospice - withdraw, sleep for longer intervals, become
patient is near death? somnolent
- Diminished body functions
- Increased intervals between respirations (cheyne
stokes)
- A weakened and irregular pulse
- Diminished blood pressure
- Skin color changes or mottling
