Nur 256 Exam #1.docx

Benign - correct answer slow growing differentiated cells stasis Malignant - correct answer rapid growing undifferentiated cells metastasizes Differentiated Cells - correct answer Specific Still work Undifferentiated Cells - correct answer Unknown Cells that have not specialized in any particular function Primary Prevention - correct answer Eg: Cancer education Secondary Prevention - correct answer Eg: Going in for a cancer screening Tertiary - correct answer Eg: Having been diagnosed with cancer and slowing the progression Initiation (apoptosis) - correct answer cell self-destructs Promotion (preneoplastic) - correct answer Benign Progression (angiogenesis) - correct answer New blood vessels How does cancer spread? - correct answer Travel through blood stream, lymphatic system (lymph nodes) TNM (Tumor, Node, Metastasis) - correct answer Staging 1-4; 1 being differentiated and 4 being non-differentiated Developmental Disability - correct answer -Genetic -Born with it Acquired Disability - correct answer conditions caused after birth by illness or accident Disability due to Age - correct answer Body is unable to function properly due to the aging processes Hypovolemic Shock - correct answer shock resulting from blood or fluid loss s/sx of hypovolemic shock - correct answer •Pallor •Cool, moist skin •Rapid respirations •Cyanosis •Rapid, weak, thready pulse (tachycardia) •Decreasing pulse pressure •Low blood pressure (hypotension) •Concentrated urine *Place pt in Trendelenburg postion Autologous - correct answer cells from self Allogenic - correct answer cells or tissue from a genetically different individual Dehiscence - correct answer wound separation Proximate - correct answer wound aligned Incision - correct answer Too large to remove Take a small bit out Excision - correct answer Getting it all out and surrounding tissue Malignant Hyperthermia Treatment - correct answer Dantrolene S/Sx of Malignant Hyperthermia - correct answer - Tachycardia - HTN - High fever (104 F) Anesthesia - correct answer Used to reduce or eliminate pain Pain is - correct answer What the patient says it is Fifth vital sign General Anesthesia - correct answer Affects your whole body. You go to sleep and feel nothing. You have no memory of the procedure afterwards. Local Anesthesia - correct answer Specific are *Can cause a systemic reaction* *Commonly used with epinephrine* Monitored Anesthesia Care (MAC) - correct answer Conscious sedation, the pt is able to follow instruction Safer than general anesthesia Used with pt's who have had or are susceptible to malignant hyperthermia Adjunct - correct answer Medications are given simultaneously Use less dose for the meds fat soluble drugs - correct answer Increased potency Crosses the blood brain barrier -Caine - correct answer Medications ending with this usually involve local anesthesia Elimination of General Anesthetics - correct answer Through the lungs Propofol - correct answer -Most states RN's can not administer -Moderate amount needed for sedation -Professionalism Action= Conduct yourself as if the patient was fully conscious **Fun fact this is the drug that Micheal Jackson's doctor used to give him to fall asleep at night, eventually causing his untimely death** Ketamine - correct answer -Penetrates the blood brain barrier rapidly -Bronchodilation properties -Hallucinations, Drug Allergies, Malignant Hyperthermia -*Dark calm room, contraindicated for patients with a hx of mental health disorders* Dexmedetomidine (Precedex) - correct answer -Short half-life -*Must be on a ventilator* Lidocaine - correct answer Most commonly used local anesthetic