Certified Hospice palliative nurse CHPN TOP Predicted Questions and Correct Answers 2024

AIDS infection - Bacterial, Viral, Fungal, Parasitic AIDS dementia - causes Encephalopathy, 15% effected ALS (amyotrophic lateral sclerosis) 1st symptom - swallowing difficulty followed by distal weakness Cerebral Metastases - Brain mets account for 40% of all Cancer patients. Cerebral Metastases symptoms - HA initial complaint, N/V, confusion, lethargy Leukemia 2 types - chronic and acute Leukemia Clinical Manifestations - Infection, fever, enlarged liver, spleen, kidneys, bleeding/bruising not explained, & hemorrhage pale, petechia, purpura liver failure symptoms - fatigue, jaundice, ascites Dark urine, gray stool, bruising symptoms of bleeding internally - sudden fever 101°, dyspnea, abdominal paik, dehydration Lymphoma types - Hodgkins and Non-Hodgkins Hodgkin's disease - painless lymph node swelling, generally in upper body, general fatigue, weight loss, fever, nifht sweats, back pain Non-Hodgkin's Lymphoma - same symptoms except itching & night sweats Parkinson's disease - Slow progression of motor skills, resting tremors, slowness, rigidity. typically in people 65 Parkinson Signs/Symptoms - pill rolling movements in bands, loss of facial expression, difficulty initiating movement, gait changes Renal Cancer/symptoms - asymptomatic early. Gross hematuria, dull, aching pain, palpable abdomen mass. polycythemia- HA, dizzy, vein inflammation, itchy. hypercalcemia- tired, poor appetite, freq. urine, thirst, n/v, confusion, constipation, poor concentration sickle cell disease - pallor, jaundice, weakness, fatigue common symptoms sickle cell crisis - multiple pain events, pale lips, tongje, palms, nail beds, lethargy, difficulty arousing, high fever 2 days sickle cell risk - high r/o bacterial infections palliative sedation - midazolam, propofol terminal weaning - gradual withdrawal of mechanical ventilation terminal Extubation - abrupt Removal of endotracheal tube Death Rattle Meds - anticholinergic should be given @ 1st site of moisture. they cannot dry up secretions already present