NSG 322 Study guides, Class notes & Summaries

Adrenergic agonists Mimic actions of SNS, NOnslective stimulate alpha and beta receptors aka epinephrine Centrally acting alpha 2 agonists Stimulates alpha 2 receptors in medulla oblongata and inhibits SNS aka clonidine Alpha beta blockers Slow heart rate decrease cardiac output lower blood pressure aka labetalol Direct acting vasodilator Hydralazine, produces direct smooth muscle relaxation of arterioles Heart failure Inability of heart to pump sufficient blood to meet the tissues for oxyge...

Which action will thenurse include in the plan of care for a 42- yr. old pt. who is being admitted with clostridum difficile? a. educate the pt. about proper food storage b. order a diet with no diary products for the patient c. place the pt. in a private room on contact precautions d. teach the pt. about why antibiotics will not be used c. place the patient in a private room on contact isolation because C. difficile is highly contagious, the patient should be placed in a private toom and cont...

The client has psychotic thinking or behavior present at least 6 months areas of function include school/work, self care, and relationships schizophrenia The client has impairments of personality functioning. However, impairment is not as severe as someone with schizophrenia schizotypal personality disorder The client experiences delusional thinking for at least 1 month. Self or interpersonal functioning is not markedly impaired delusional disorder The client has psychotic manifestations simi...

When is a medical condition considered chronic? 3 months Time frame of acute PAIN seconds-6 months (localized, manageable biological nature, VS change) Time frame of chronic PAIN 6 months or longer (nonmalignant or noncancerous) (poorly localized, VS normal, no bio purpose) What drug is considered one of the safest & most tolerable analgesic agents, but can cause hepatotoxicity as a result of overdose? Acetominophen (Tylenol) Characteristics of pain (8) C-haracteristics (dull, sharp, shoot...

What is anxiety? Feeling of apprehension, uneasiness, uncertainty or dread that results from a real/perceived threat, it's a universal human emotion What emotions are associated with anxiety? - Vague sense of dread related to an unspecified/unknown danger - Affects us at a deeper level Physiological effect of anxiety Invades the central core of personality and erodes feelings of self-esteem and personal worth What can anxiety provide for us in a positive way? Energy needed to carry out tasks...

Prototype for antipsychotic (trade/generic), treatment for schizophrenia haldol/haloperidol How long does it take the typical antipsychotic drug to reach its therapeutic effect? several days What would you say if a patient calls and states that the antipsychotic drug isn't working within the 1st couple of days? keep taking it (they don't work right away) What should we inform the patient about antipsychotics concerning taking the prescription? take consistently (doses need to build up in th...

Nursing Research A scientific process that validates and refines existing knowledge and generates new knowledge that directly and indirectly influences nursing practice. Evidence Based Practice (EBP) Evolves from the integration of the best research evidence with clinical expertise and patient's needs and values. Best Research Evidence The empirical knowledge generated from the synthesis of quality study findings to address a practice problem. Clinical Expertise The knowledge and skills of t...

A severely anxious patient experiencing headaches, palpitations, and inability to concentrate is admitted to a medical floor. Which nursing intervention would take priority? A. Encourage the patient to express feelings. B. Discuss alternative coping strategies with the patient. C. Use a distraction, such as having the patient attend group. D. Sit with the patient, and use a calm but directive approach. D. Sit with the patient, and use a calm but directive approach. A patient is exhibiting tens...

When the community health nurse visits a patient at home, the patient states, "I haven't slept the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this patient? A. "I see." B. "Really?" C. "You haven't slept the last couple of nights?" D. "Sometimes, I have trouble sleeping too." C. "You haven't slept the last couple of nights?" The nurse observes a patient pacing in the hall. Which statement by the nurse may help the patie...

A mature, professional couple plans a large wedding in a city that is 100 miles from their home. Which response is most likely to be associated with this experience? a. Distress b. Eustress c. Acute stress d. Depersonalization b A college student has been experiencing significant stress associated with academic demands. Last month, the student began attending yoga sessions three times a week. Which outcome indicates this activity has been successful? a. The student reports improved feelings of ...