Page 1 of 27
PNR 208 STUDY GUIDE LATEST UPDATE THIS
YEAR ALL 2000 QUESTIONS AND CORRECT
ANSWERS
The amount of alcohol the liver can metabolize per hour is equal to ____________
- 0.25 oz of whiskey
- 4 oz of wine
- 12 oz of beer
Withdrawals from Alcohol
PRIORITY
- prevent client from harming self or others
EARLY SIGNS
- irritability
- anxiety
- agitation
Nursing care for withdrawing patients
- provide a low stimulation environment to maintain the client in as a calm state as possible
- monitor vital signs closely and report abnormal findings
- frequently reorient the client to reality and would address hallucinations therapeutically
- adequate nutrition and fluid intake must be maintained
Alcoholic Treatment: Therapy
- consist of confronting the patient's denial and encouraging self-diagnosis
Alcoholic Treatment: Group Therapy
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- helps break through denial and gives the patient a new sense of belonging and identity
Alcoholic Treatment: Behavioral Therapy
- helps with self-discipline and discourages impulsive behaviors
Tobacco Use
- cigarette smoking is associated with cancer, lung disease, heart disease
- secondhand smoke is more toxic, leading to the same conditions plus others
- children exposed have a higher rates of respiratory infections, ear infections, and asthma
attacks
- infants born to smoking mothers have higher risk for SIDS, low birth weight, premature birth,
stillbirth
E-cigarettes
* oil is poisonous to young children
- the vapor causes lung damage in young people
- secondhand vapor exposure also associated with health problems
Patient teaching about E-cigarettes
PRIORITY
- children are at risk for poisoning if they ingest any liquid from these devices
- the parts of the e-cigarette are also not safe to handle
- lung damage to the children can occur from the secondhand vapor
- risk for addition and lung damage pertain to the mother
- children may be at risk for using e-cigarette devices when they are older
Cocaine/Amphetamine/Methamphetamine
, Page 3 of 27
- stimulant
- associated with cardiovascular complications
- stimulant abusers exhibiting high body temp, heart rate, high blood pressure required
emergency attention
- frantic and excited speech are also symptoms of client's abusing amphetamines
What is palliative care
World Health Organization
- goal of palliative care is to improve the quality of life of patients and their families while
dealing with a life-threatening illness by reducing or relieving the symptoms of the disease
Hospice Nurse
- primary goal of hospice and palliative is to improve quality of life, alleviate suffering, and
improve end-of-life experience for the clients and their loved one
- facilitating effective communication between a client and the family is critical
- do not make decisions for the family; removes their autonomy and decision making from the
client and family
"Job" of Hospice Nurse
- focus on needs of the client
- keep the client comfortable, maintain dignity, and self-esteem
* client should NOT be kept sedated so that the client is totally unaware of what is happening
- ensure client is able to interact with family members and make care decisions
Palliative Interventions
- focusing on symptom management and comfort care
- pain control is priority
- controlling GI or respiratory distress
PNR 208 STUDY GUIDE LATEST UPDATE THIS
YEAR ALL 2000 QUESTIONS AND CORRECT
ANSWERS
The amount of alcohol the liver can metabolize per hour is equal to ____________
- 0.25 oz of whiskey
- 4 oz of wine
- 12 oz of beer
Withdrawals from Alcohol
PRIORITY
- prevent client from harming self or others
EARLY SIGNS
- irritability
- anxiety
- agitation
Nursing care for withdrawing patients
- provide a low stimulation environment to maintain the client in as a calm state as possible
- monitor vital signs closely and report abnormal findings
- frequently reorient the client to reality and would address hallucinations therapeutically
- adequate nutrition and fluid intake must be maintained
Alcoholic Treatment: Therapy
- consist of confronting the patient's denial and encouraging self-diagnosis
Alcoholic Treatment: Group Therapy
, Page 2 of 27
- helps break through denial and gives the patient a new sense of belonging and identity
Alcoholic Treatment: Behavioral Therapy
- helps with self-discipline and discourages impulsive behaviors
Tobacco Use
- cigarette smoking is associated with cancer, lung disease, heart disease
- secondhand smoke is more toxic, leading to the same conditions plus others
- children exposed have a higher rates of respiratory infections, ear infections, and asthma
attacks
- infants born to smoking mothers have higher risk for SIDS, low birth weight, premature birth,
stillbirth
E-cigarettes
* oil is poisonous to young children
- the vapor causes lung damage in young people
- secondhand vapor exposure also associated with health problems
Patient teaching about E-cigarettes
PRIORITY
- children are at risk for poisoning if they ingest any liquid from these devices
- the parts of the e-cigarette are also not safe to handle
- lung damage to the children can occur from the secondhand vapor
- risk for addition and lung damage pertain to the mother
- children may be at risk for using e-cigarette devices when they are older
Cocaine/Amphetamine/Methamphetamine
, Page 3 of 27
- stimulant
- associated with cardiovascular complications
- stimulant abusers exhibiting high body temp, heart rate, high blood pressure required
emergency attention
- frantic and excited speech are also symptoms of client's abusing amphetamines
What is palliative care
World Health Organization
- goal of palliative care is to improve the quality of life of patients and their families while
dealing with a life-threatening illness by reducing or relieving the symptoms of the disease
Hospice Nurse
- primary goal of hospice and palliative is to improve quality of life, alleviate suffering, and
improve end-of-life experience for the clients and their loved one
- facilitating effective communication between a client and the family is critical
- do not make decisions for the family; removes their autonomy and decision making from the
client and family
"Job" of Hospice Nurse
- focus on needs of the client
- keep the client comfortable, maintain dignity, and self-esteem
* client should NOT be kept sedated so that the client is totally unaware of what is happening
- ensure client is able to interact with family members and make care decisions
Palliative Interventions
- focusing on symptom management and comfort care
- pain control is priority
- controlling GI or respiratory distress
