4400 final exam

Question 1

Three Plagues of Nursing Home Existence

Answer 1

Boredom, loneliness, helplessness

Question 2

most important attribute of good death

Answer 2

autonomy

Question 3

what is Hydromorphone used for during EOL pall care?

Answer 3

pain & dyspnea

Question 4

what is lorazepam used for during EOL pall care?

Answer 4

restlessness

Question 5

what is glycopyrrolate used for during EOL pall care?

Answer 5

respiratory secretions

Question 6

what is scopolamine a.k.a. hyoscine hydrobromide used for during EOL pall care?

Answer 6

mucus production

Question 7

5 Domains of Quality End-of-Life Care RNAO Best Practice Guideline

Answer 7

adequate pain and symptom management
Avoiding inappropriate prolonging of dying
sense of control
Relieving burden (to others)
Strengthening of relationships

Question 8

5 most prevalent symptoms

Answer 8

Dyspnea
Constipation
Fatigue
Pain
Delirium

Question 9

The SCC Limitations to MAID

Answer 9

Competent adult
consents
No outside pressure
suffering terminal illness, advance state of decline, and cannot be reversed 
suffering unbearably

Question 10

What time of year do asthma exacerbations peak?

Answer 10

17 days after labour day – going back to school stress, exposure to other children; Right after christmas

Question 11

What are some common viruses that could cause asthma exacerbations?

Answer 11

coronavirus, RSV, rhinovurus, influenza, parainfluenza

Question 12

Main meds for paeds asthma

Answer 12

ventolin; beclamethosone

Question 13

Diabetic Ketoacidosis

Answer 13

• An acute metabolic complication of diabetes occurring when fats are metabolized in the absence of insulin

Question 14

EARLY symptoms DKA

Answer 14

increased thirst, increased urination

Question 15

what will you see on ECG re: hypokalemia?

Answer 15

shallow T wave

Question 16

what will you see on ECG re: hyperkalemia?

Answer 16

tall, peaked T wave