2020 final Flashcards
A patient diagnosed with peptic ulcer disease reports asudden onset of sharp abdominal pain and presents with a tense, rigid abdomen.
manifestations of a perforated ulcer? (Hint: What would the priority nursing action be?)
Patient teaching for a patient who is complaining of pain in the should blade status post laparoscopic cholecystectomy
drink a carbonated beverage and ambulate in the hall at least twice per day
Nursing interventions to reduce discomfort for a patient with acute pancreatitis.
administer IVfluids(maintainhydration)and remainNPO (bowelrest)
This is a similarity in the disease process of ulcerative colitis and Crohn’s disease.
an inflammatory process of the gastrointestinal tract?
Patient teaching for a patient with an infected knee replacement who states he does not need antibiotics for the pain
teach the patient that treating the infection(aka the antibiotic)will reduce the swelling and will subsequently relieve the pain
A patient who is being treated for sepsis could progress to multiple system(organ) failure. The nurse knows that this is how the patient’s vital signs will be affected.
low blood pressure (compensation) tachycardia, tachypnea, and low urinary output
This is a priority action when determining a treatment plan for a patient who might have sepsis.
obtain cultures
The nurse knows that this has occurred when a child with an earache and severe pain no longer has any pain.
rupture of the tympanic membrane
Patient teaching for a patient who has been newly diagnosed with hepatitis B should include this.
limit activity (provide rest periods)until symptoms of hepatitis have subsided, avoid medications(acetaminophen)that are metabolized by the liver, and consume a diet with moderate amounts of protein(metabolized in the liver)
Priority actions by the nurse who is admitting a patient suspected of having TB
place the patient in a negative pressure room and obtain an N95respirator
Reasons why a patient with a spinal cord injury would benefit from physical rehabilitation
preventing further disability, maintaining current functional ability, restoring function, and learning a new technique
A paraplegic patient who has reddened areas.
at risk for skin breakdown [Hint: what would the priority nursing action(s) be?]
The cornerstone of treatment for Parkinson’s disease
levodopa/carbidopa
Manifestations of Parkinson’s
disease.
oily skin orthostatic hypotension, bradykinesia(difficulty moving), and uncontrolled drooling
Manifestations of early osteoarthritis
pain with activity and pain relief with rest
Primary prevention related to visual impairments
education on preventing visual impairments such as a class on healthy lifestyles
How a patient may describe peripheral neuropathy
pain, numbness tingling, burning, or a loss of feeling in the extremities
A priority action when providing teaching to a patient with a hearing deficit.
assess if the patient uses an assistive device(hearing aides
Priority actions when assessing the home of a patient with decreased vision
remove rugs/cords in walkways, assess for the need to install safety devices, and do not rearrange the furniture
Teaching the nurse should provide to a patient who is taking an antibiotic and complains of an altered sense of taste.
explain that many medications cause a change in the sense of taste but that it is temporary and will resolve when no longer taking the antibiotic? (Note: Finish taking the antibiotic!
This occurs when a patient with dementia makes up stories when they can not remember the actual events
confabulates/confabulation
Teaching the nurse should provide to the family/caregiver of an older adult who has a new diagnosis of dementia.
characterized by gradual onset, progressive disorder, and not curable
Differences inmanifestations of delirium versus dementia.
sudden onset, caused by an outside etiology (e.g.medication, infection), and can be corrected if the cause is identified (reversible)
A hallmark sign of dementia.
short-term memory loss
Interventions appropriate for a patient in the mild stages of dementia.
providing emotional support, providing gentle reminders, and ensuring safety (injury prevention)
A patient states they are afraid to leave the house. The nurse uses this interpersonal therapeutic communication technique
clarification? The nurse may clarify the patient’s statement by asking about specific fears or examples of what scares the patient.
Interviewing a patient in a psychiatric unit is a patient-centered activity. This an appropriate way for the nurse to begin the interview
ask the patient what they would like to talk about today
The nurse is using the SBARcommunicationtool. The nurse-correctly identifies the S step as this.
What is the situation? (Note: You should be able to identify each step of SBARand be able to select examples of each
A nurse is caring for a patient who admits to being noncompliant with the prescribed medication regimen. This is an example of therapeutic communication by the nurse
using reflective comments to describe the patient’s feelings and repeats what the patient has said? (For example, “You seem worried about your medication regimen.”)
The nurse is using this technique when she focuses on the problems and gathers more information from the patient.
focusing
A patient who is overwhelmed with discharge instructions is rude when the nurse comes into the room. This is the best response by the nurse.
assess for more information
A patient with a degenerative condition talks to the nurse about wanting to live independently. The best action by the nurse is this.
discuss resources, provide appropriate referrals, and work with the interdisciplinary team to help the patient achieve her goals safely
These people should be involved when creating a treatment plan.
the patient, the provider, the nurse, the discharge planner/social worker, etc.
Benefits of coordinating care.
continuum of care (services/agencies working together), cost-effectiveness, and better patient outcome
These may occur when care coordination is not provided.
disconnected/fragmented care, wasted funds, and poor patient outcomes
This occurs when a nurse provides the patient with the information necessary for making healthcare decisions.
being an advocate
According to the Institute of Medicine, professional nurses do these things
teach, advocate, assess, and nurture
