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NUR155 > Exam 4 > Flashcards

Exam 4 Flashcards

1
Q

Kubler-Ross’s Stages of Grieving: Acceptance

A

Comes to terms with loss

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2
Q

What are signs and symptoms of local anesthetic toxicity?

A

metal taste in mouth, tinnitus, dizziness

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3
Q

Can be identified by others and can arise either in response to or in anticipation of a situation is known as

A

Actual loss

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4
Q

What direction should a patient look in when administering eye drops?

A

up towards the ceiling

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5
Q

The loss experienced by a person that cannot be verified by others is known as

A

Perceived loss

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6
Q

True/False: You must remove a transdermal patch before applying a new one.

A

FALSE!

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7
Q

Coanalgesics are?

A

tricyclic antidepressants
anticonvulsants
topical local anethetic

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8
Q

When should SR meds be given to a patient?

A

At the same time everyday to keep the therapeutic response consistent

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9
Q

What size needles are used to administer medications subq?

A

24-26 gauge

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10
Q

How do you administer ear drops to a client who is younger than 3?

A

Pull down

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11
Q

Can inhalants be given to unconscious clients?

A

NO!

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12
Q

Opioid analgesics for severe pain are?

A

fentanyl, Dilaudid, oxycodone, morphine, oxymorphone, methadone

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13
Q

When do you use a filter needle?

A

When drawing meds from a glass container

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14
Q

Describe how and where you would make a pouch to administer eye drops.

A

Make a pouch in the lower lid by pulling skin downward over the bony orbit

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15
Q

What should you do if an IV site is infiltrated?

A

Switch to a different site, possible on a different extremity

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16
Q

How do you administer ear drops to a client older than 3 years old?

A

Pull up & back

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17
Q

Opioid analgesics for moderate pain are?

A

Hydrocodone, Codeine, Tramadol, Pentazocine

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18
Q

Kubler-Ross’s Stages of Grieving: Anger

A

Client or family may direct anger at nurse or staff about matters that normally would not bother them.

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19
Q

Kubler-Ross’s Stages of Grieving: Denial

A

Refuses to believe that loss is happening.

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20
Q

What medication should be given with an opioid?

A

Laxative

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21
Q

True/False: When pouring a liquid medication, the container you are pouring into must be on a flat surface.

A

TRUE!

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22
Q

What are inhalants used for?

A

rapid localized response

23
Q

True/False: Clean/dry from outer to inner canthus

A

FALSE!

24
Q

True/False: You must instill in outer third of conjunctival sac when administering eye drops

A

TRUE!

25
Q

What does stat mean in terms of frequency of administration?

A

Immediately and only once.

26
Q

What vital sign must be monitored for a patient on an opioid?

A

Respiratory rate

27
Q

What are the five stages of Kubler-Ross’s Stages of Grieving?

A

Denial, Anger, Bargaining, Depression, Acceptance

28
Q

Kubler-Ross’s Stages of Grieving: Bargaining

A

Seeks to bargain to avoid loss

29
Q

What is end of life care?

A

Care provided at the end of the dying process.

30
Q

What do you do if a patient refuses their medication?

A

Educate on the benefits to taking the medication and the risks by not taking it. Then document!

31
Q

What is hospice’s purpose?

A

Death and dying want to promote dignity & self esteem

32
Q

What is important to remember about applying topical medications?

A

Wear gloves and apply ointment to infected area

33
Q

What must be compared in terms of the MARS & Patient information?

A

Name, DOB and allergies

34
Q

Kubler-Ross’s Stages of Grieving: Depression

A

Grieves over what has happened and what cannot be

35
Q

What step must be done before administering nose drops/sprays

A

Blowing nose

36
Q

What should you do if a patient is vomiting but has a medication that needs to be taken PO?

A

Ask for a different route! Do NOT skip dose!

37
Q

What duct is gently pressed after administering eye drops?

A

nasolacrimal

38
Q

Can SR medications be crushed?

A

NO!

39
Q

What are some physiologic responses to pain?

A

Increases BP, HR, RR
Pallor
Diaphoresis
Pupil dilation

40
Q

What are some nonopioid analgesics and NSAIDS used for mild pain?

A

Tylenol, Aspirin, ibuprofen, Naprosyn, Toradol, Feldene, Aleve, Meloxican, Celebrex

41
Q

What steps are important to follow when taking a phone order?

A

Write the order down and read it back

42
Q

True/False: May be absent in people with chronic pain because of autonomic nervous system adaptation

A

TRUE!

43
Q

What is the first thing that you would do after administering the wrong medication?

A

Assess the patient and call the doctor.

44
Q

Who is always liable for for medication administration?

A

The person giving the medication

45
Q

What are the five medication rights?

A 
Right patient
Right medication
Right dose
Right time
Right route
46
Q

Anticipatory loss is defined as

A

The experience of loss before the loss actually occurs

47
Q

Where is the “buccal” route?

A

up in the cheek

48
Q

What is Palliative Care?

A

An approach that integrates spiritual and psychology care into the dying process

49
Q

Describe what happens during the third check for medication administration.

A

Recheck label on container before Returning to its storage place OR check label against MAR before opening at bedside.

50
Q

What is an example of an unintended side effect?

A

rash

51
Q

What is an example of a Non-pharmacologic Invasive Techniques

A

Pain assessment

52
Q

Describe prejudice

A

a preconceived notion or judgement that is not based on sufficient knowledge

53
Q

“The thoughts communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” can be described as what term?

A

Culture

NUR155 (2 decks)

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