Smartmindus

Therapeutic Communication Qs... - never confirm/deny anything "tell me more about it" What precautions are we using for tuberculosis? - *airborne* - N95 - negative pressure room Medications to treat tuberculosis - *antimicrobials* - isoniazid, - rifampin - pyrazinamide - ethambutol **they will have to take these "long-term" (6-9 mo.)** Patient Education: *Long-term antibiotics* - - no ETOH - medication compliance - stick with the doses, continue all the way through - f/u with do...

what are the assessment findings in pneumothorax? - ● Sudden dyspnea ● Chest pain ● Feeling of doom/anxiety ● JVD ● Tachy ● Chest petechiae ● ECG changes ● Abnormal heart sounds what are the s/s of flail chest - - paradoxical chest movement - dyspnea - cyanosis - tachycardia - hypotension how does the patient usually present with flail chest - - anxious - short of breath - in pain what are interventions for flail chest - - humidified oxygen - pain management - p...

Desire to understand and be sensitive to feelings, beliefs and situation. - Empathy This is the expression of value and flexibility to meet the patients' needs based on their unique situation. - Respect Ability to respond truthfully. - Genuineness Ability to respond using specific terms - Concreteness This is used to clarify the message received or decoding the actual meaning. - Confrontation Be aware of cultural preferences related to eye contact, space, and touch. - Therapeutic commun...

What is primary intention wound healing? - Wound edges are well-approximated. Place in order the wound healing process. - Hemostasis -> Inflammation -> Proliferate -> Maturation T/F: Serous-sanguinous drainage is blood mixed with pus. - False. What is sometimes common to see in evisceration? - Fistulas, total separation of the wound, caused by IAP (increased abdominal pressure) What is a partial-thickness wound with loss of epidermis and some dermis? - Stage 2 What is a full-thic...

Hospitalization causes many issues - Stress is the Big one. This can be positive and negative - Positive - Child begins to expand their world when parents are absent. Healthcare providers can see the child adapt. If parents are gone too long........abandonment can set in. **Stress helps them learn how to cope. Negative - Long term stress (not good), however display itself in physical manifestation. What are 3 things children are most afraid of? - -losing control or independence -fear of pa...

1. Fall Prevention a. In Homes: - i. Remove items that could cause the client to trip(throw rugs and loose carpets) ii. Place electrical cords and extension cords against a wall behind furniture iii. Monitor gait and balance, and provide aids as needed iv. Make sure that steps and sidewalks are in good repair Place grab bars near the toilet and in the tub or shower and install a stool riser Fall Prevention In Hospitals - i. Fall bracelets and yellow socks ii. Bed alarm iii. Remove clut...

What are the glands of the endocrine system? (SATA Q?) - *PT PAP HOT* ▪ Pituitary ▪ Thyroid ▪ Pancreas ▪ Adrenals ▪ Parathyroid ▪ Hypothalamus ▪ Ovaries ▪ Testes an autoimmune disorder that is caused by hyperthyroidism and is characterized by *goiter and/or exophthalmos* - Grave's disease *HYPERthyroidism aka Grave's disease* ▪ Treatments - *Treatments* ▪ Rx: methimazole, atenolol, and *iodine-131* ▪ radiation therapy *Nursing Interventions* ▪ provide a ...

hat does triaging do? - *acts as gatekeeper* helps prioritize patient care based on illness and severity level According to triage, what patients would be seen firtst - highest acuity patients will receive quickest intervention (Most ill/severe will get seen first) What is a good model for triaging patients? - ABCs Is hospital triaging the same as mass casualty triaging? - NO Which triage situation uses tags? - mass casualties what are the categories of triage? - - emergent - urgent - ...

5. A nurse is assessing a client in postoperative recovery. The client complains of the following symptoms. Which of the following is abnormal and should be reported immediately? a. Emesis that is red b. Complaint of feeling cold c. Nausea d. Complaint of pain - a. Emesis that is red 6. A client's neurological status deteriorates over hours, and a craniotomy is performed to evacuate a hematoma. Which nursing intervention is indicated to help decrease the threat of increased intracranial...

Seconding leading cause of death in women - breast cancer as long as cancer remain within the mammary duct, it is referred to as - noninvasive most common type of invasive breast cancer - infiltrating ductal carcinoma benign condition of breast enlargement in men - gynecomastia which is NOT a risk factor for breast cancer - breastfeeding nurses play a key role in early detect

Benign cells - Normal cells growing in the wrong place or at the wrong time Benign Cell Features - o Harmless o Do not usually require intervention o Slow growing o Tight Adherence o Specific morphology o Small nuclear-to-cytoplasmic ratio o Specific differentiated functions o Tight adherence o Orderly growth o No migration o Normal chromosomes Benign cell looks similar to a - healthy cell Examples of Benign cells - o Skin Tag o Mole o Nasal Polyp o Uterine Fibroids o Endometrio...

The patient is a 54-year-old male with history of COPD, who was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow- green sputum. Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, and PaO2 60 mmHg. How would you interpret this? - Respiratory acidosis, partially compensated Silver sulfadiazine (Silvadene, Thermazene) - Watch for allergic reaction causing a drop in white blood cell count. Do not us...

What lifestyle habits negatively affect skin integrity? select all that apply - a. Tanning c. Smoking e. Tattoos Which of the following statements made by a client diagnosed with human immunodeficiency virus (HIV) would require further teaching? - b. I will only need to take HIV medications for 6 months and I will be cured A has acquired immunodeficiency syndrome (AIDS). which of these assessment findings indicate possible infection? (select all that apply) - a. Temperature: 101.3-degree ...

Osteoarthritis - •Causing pain, stiffness, crepitus, aggravated weight-bearing, and joint use ■Chronic joint pain and stiffness is the common complaint ■Crepitus of the joint ■Atrophy of skeletal muscle from disuse ■Limp Rheumatoid arthritis (RA) - ■Acute and severe or slow and progressive ■Early signs and symptoms -Joint inflammation -Generalized weakness -Fatigue -Anorexia -Weight loss -Persistent low-grade temperature

Maslow's Hierarchy of Needs - (level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization Assessment of Comfort Level - ask patient if they are comfortable If they have physcial discomfort, assess level of pain and plan intervention if it's mental discomfort, have them describe the nature of the stress Interventions to prevent impaired comfort - anticipate which patient may experience them ...

types of shock - Hypovolemic Distributive Cardiogenic Obstructive hypovolemic shock cause - decrease in body fluid cardiogenic shock cause - direct pump failure (ex. MI or heart failure) distributive shock cause - fluid shift (ex. pain, anesthesia, spinal cord injury, head trauma, chemical-induced, anaphylaxis, sepsis, capillary leak, burns, extensive trauma, liver impairment, hypoproteinemia) obstructive shock cause - cardiac func

What are some nursing interventions for visual impairment? - - Always knock or announce your entrance into the patient's room or area and introduce yourself. - Orient the patient to the environment, counting steps with him or her to the bathroom - Help the patient place objects on the bedside table or in the bed and around the bed and room and do not move them without the patient's permission - Remove all objects and clutter between the patient's bed and the bathroom. - Use a normal ton...

If a surgical wound was closed with sutures, what is the healing process called? - primary What is the medical term to describe thick, yellow drainage? - purulent Which of the following is correct management of cellulitis? Use a tight bandage on the affected area Do not apply heat to the affected area Use a warm, moist towel on affected area Use a cold, dry towel on affected area - Use a warm, moist towel on affected area Which of the following is the best intervention for a patient that ...

Infection S/S - - Temp/warmth - Low/High CBC - Increased HR - Low BP - Increased respiratory rate - Redness Nursing interventions to decrease risk of pressure injuries - - Rotate patient every 2 hours - Reposition - Padding - PROM - Barrier cream - Keep dry - Move using a lifting device HIV labs - CD4 will be lower not less than 200 CD8 will be normal AIDS labs - C

neck cancer assessment - pain lump in throat color changes in mouth-tongue red, white, gray, brown oral lesions don't heal bleeding ear pain sore throat anorexia Neck cancer intervention - remove cancer-goal surgery radiation chemotherapy biotherapy