Nursingismylife

Eustress - ANSWERPositive stress Distress - ANSWERNegative stress Parasympathetic - ANSWERRest and digest Problem-focused coping - ANSWEREvaluating a situation and taking action to manage or change the situation associated with the stressor. Goal is to eliminate or reduce underlying cause. Emotion-focused coping - ANSWEREmphasizes the regulation of emotional response that occurs in a given situation. No attempt is made to address the stressor but instead to control the emotional resp...

Eye exams, Dental exams ,physical exams - ANSWERPreventive visits that should be done annually in the older population. Pneumococcal vaccination - ANSWERShould be done on older patients between the ages of 65 to 70 every 10 years. Risk factors for deficient fluid volume - ANSWERAltered swallow reflex, nausea, acute emotional distress, inability to obtain adequate fluids without assistance, Altered cognition, draining wounds, diuretic medications, kidney disease, tube feedings of low sodium...

What should a woman who already been through menopause report to their PCP - ANSWERVaginal Bleeding What is common for a women who has given multiple vaginal births to experience? - ANSWERVaginal Prolapse How do you verify identity before administering medications? - ANSWERCheck wrist band Why do you educate a patient on medication? - ANSWERSo they know what it is for What would avoid giving a patient with sleep apnea? - ANSWERSedatives; question doctor if they are ordered What is i...

what are the stages of the grieving process - ANSWERdenial anger bargaining depression acceptance Why do older people reminisce? - ANSWERThey need to feel that their existence has made a difference. That their lives have had purpose and meaning. how often do you need a vision screening? - ANSWERonce a year who put together National Patient Safety Goal - ANSWERJoint Commission Teaching of oral hygiene - ANSWERevery 2 hours on a comatose patient What causes insomnia - ANSWERStress,...

If a female is in menopause has sudden onset vaginal bleeding what do you do? - ANSWERreport it when would a uterine prolapse be most likely to occur? - ANSWERafter multiple vaginal births or when anything weakens the muscular tissues of the uterus TX: hysterectomy or can sling it back up Why do elderly people complain about the room temperature? - ANSWERSlower Metabolism If someone with cancer wants to attend a trip at the zoo, what should you tell them to do? - ANSWERConserve ene...

What do you do if you suspect caregiver strain? - ANSWERassess(interview) caregiver and the patient Give the caregiver ample encouragement What is the normal range for potassium? - ANSWER3.5-4.5 Where does the biggest loss of insensible fluid occur? - ANSWERthrough the skin How does physical illness increase stress? - ANSWERtakes away energy needed for coping What do we encourage an older adult with hyponatremia to drink? - ANSWERsports drinks What will mild stress cause? - ANSWERm...

The nurse is caring for four patents today. Which finding should the nurse immediately report to the RN? - ANSWER- Patient with positive Chvostek's signs Which patient finding should cause the nurse to encourage oral (PO) fluid intake? - - ANSWERDiarrhea Which statement about stress is true? - ANSWERStress occurs if the threat is change is positive or negative Symptoms of bone density changes, falls, altered sleep patterns, unsteadiness, hypertension, and stomach complaints should l...

Health - ANSWERA complex phenomenon that involves physical, mental, and spiritual aspects Wellness - ANSWERA way of life oriented toward optimal health and well-being. Host-agent environment - ANSWERA causative model seeking a source or cause of illness Holistic - ANSWERThe unique interaction of an individual's mind, body, and spirit within the universe Acute Illness - ANSWERDevelops quickly and lasts a limited amount of time. Chronic Illness - ANSWEROften develop gradually and...

Fatigue - ANSWERSubjective Measurement If someone is having trouble sleeping, what intervention could we use? - ANSWEREncourage pt to go outside, because sunlight helps with melatonin levels Individuals wth nutritional deficiencies, particulary protien-calorie malnutrition are at increased risk for.... - ANSWERFatigue What should the assessment for fatigue focus on? - ANSWERThe patient's report about his or her fatigue experience, use OPEN-ENDED questions Brief Fatifue Inventory (...

Primary Prevention - ANSWERprevention (flu vaccine) Secondary Prevention - ANSWERCatch the disease/diagnose (yearly physical exam) Tertiary Prevention - ANSWERTreating/stopping progression (Cardiac rehab) Moderate fall risk gets - ANSWERBasic nursing care and fall risk band, yellow sign High Fall Risk gets - ANSWERbasic nursing care, red sign, fall risk band, bed alarm, move closer to nurse station for mobility weakness - ANSWERassist and approach from weaker side dizziness - ANS...

Jugular Vein Distended (JVD) - ANSWERHappens in result of EXCESS FLUID Daily Weight ( 1 Kg = 1 Liter ) - ANSWERAn important nursing intervention for fluid and electrolyte balance Clinical Dehydration - ANSWERExtracellular volume deficit and hypernatremia Which stress & coping assessment question is most important to address when caring for an elderly patient? - ANSWER"How are you feeling right now?" Priority of Cognitive impairment - ANSWERABC's Airway, Breathing, Circulatio...

Communication - ANSWERprocess of exchanging information between people or a group Effective Communication - ANSWER-respect, listen and understand -identify yourself, address using preferred name, speak clearly and slowly, low tone of voice, get to know the person, listen empathetically, pay attention to body language (yours and theirs), use touch appropriately and frequently What happens when you send a message to another person? - ANSWERthey have to process it Perception - ANSWERrefers ...

Patient/ Community Centered - ANSWERPersonal motivation is needed to incorporate the stratet Adherence Behavior - ANSWERself initiated action taken to promote wellness recovery and rehabilitation Acute abdomen presentation - ANSWERmild abdominal discomfort constipation vague respiratory symptoms Cardiac Problems presentation - ANSWERno complaint of chest pains vague symptoms of fatigue or nausea decreased functional statue Health screening for elderly - ANSWERto identify individuals ...

A 50-year-old woman weighs 95 kg and has a history of tobacco use, high blood pressure, high sodium intake, and sedentary lifestyle. When developing an individualized care plan for her, the nurse determines that the most important risk factors for peripheral artery disease (PAD) that must be modified are a. weight and diet. b. activity level and salt intake. c. tobacco use and high blood pressure. d. sedentary lifestyle and exercise training. - ANSWERc. tobacco use and high blood pressur...

What is one of the signs of hypocalcemia? - ANSWERChvoseks and trousseaus What would you do for a patient with diarrhea? - ANSWERencourage fluid intake What should you do for an unpaid caregiver? - ANSWERgive them praise and encouragement, reinforce if something is done incorrectly A patient with rheumatoid arthritis and the doctor is wanting the patient to do exercises what kind would they do? - ANSWERlow impact exercises, water aerobics If someone has osteoarthritis what kind of mo...

Protein - ANSWERComposed of amino acids, essential for tissue repair and healing Red meats, poultry, fish, eggs, and dairy products contain all the amino acids necessary for making and repairing tissues Use of incentive spirometer to prevent adventitious breath sounds / pneumonia Dyspnea Prevention of DVT - ANSWERWhat are some things to assess during post-op? Hypokalemia causes cardiac arrhythmias - ANSWERT/F - Hypocalcemia causes cardiac arrhythmias Increase fluids - ANSWERYou...

WHAT DO YOU DO WHEN AN ELDERLY PATIENT HAS VAGINAL BLEEDING AFTER MENOPAUSE? - ANSWERREPORT TO PHYSICIAN- COULD INDICATE UNDERLYING CONDITION LIKE CANCER WHO IS AT AN INCREASED RISK FOR UTERINE PROLAPSE? - ANSWERWOMEN WHO HAVE GIVEN MULTIPLE BIRTHS WHAT ARE SOME SIGNS OF INEFFECTIVE COPING STRATEGIES? - ANSWERSELF MEDICATING WITH ALCOHOL & DRUGS S/S OD DEPRESSION IN OLDER ADULTS? - ANSWERSUDDEN REVISION OF WILL GIVING AWAY TREASURED ITEMS

Primary Prevention - ANSWERPreventing before happening. Ex. Vaccines Secondary Prevention - ANSWERScreening for early detection Tertiary Prevention - ANSWERTreat; Rehab, support groups What does 30 mins of exercise do? - ANSWERPrevents calcium from going out of control moderation - ANSWERNot too much or too little of something; not going to an

goal setting - ANSWERteach the patient the value of setting specific, measurable targets for change so the process is more smooth and less time consuming. -should be reviewed and revised at regular intervals (every 4 sessions) -directed at the entire course of therapy - short term and long term - client directed (pages 64-66) Psychoeducation - ANSWER-CBT skills are learned -success rests on how well one teaches these skills -arms patients with knowledge that will help them reduce the ...

A fully developed outcome for a client goal would include: (SATA) - ANSWERTime sensitive Measurable term Attainable for client The nurse understands a client could be at risk for serotonin syndrome when taking which of the following medications in addition to over the counter medications or herbal supplements? - ANSWERSertraline What is the rationale for an RN to perform a psychosocial assessment on a pt with a family hx of cardiovascular disease - ANSWERUnresolved anxiety can contribute...