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Exam 5 > Exam 5 > Flashcards

Exam 5 Flashcards

1
Q

Insomnia

A

3x a week/ night for 3 months or longer

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2
Q

NREM I

A

Transition between wakefulness and sleep
Slow eye movements
Can be awakened easily
Relax but aware of surroundings

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3
Q

NREM II

A

Light sleep
Easily roused
Temperature, heart rate , and blood pressure decrease slightly

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4
Q

NREM III

A

deep sleep
If awakened may be confused
Vitals slow even more
Skeletal muscles relaxed
Snoring may occur
Important for healing growth and muscle tissue repair

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5
Q

Carbohydrates before bed..

A

Boost glucose levels , could wake you

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6
Q

REM

A

Highly active sleep
Lest restful than NREM sleep
Eye moved rapidly and small muscles twitch
Mental and emotional restoration
Metabolism pulse and blood pressure increase
Dreaming occurs
If awakened personal will react normally

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7
Q

Situational stress

A

Random unpredictable. Ex: hurricane

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8
Q

Anticipatory

A

The future EX, upcoming exam

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9
Q

Developmental stress

A

life STAGES

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10
Q

Physiological

A

Affects body structure of function

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11
Q

Psychosocial

A

External stresses like
Work
Family
Finances

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12
Q

General adaptation syndrome

A

Alarm stage , adaptation or resistance , recovery or exhaustion

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13
Q

Alarm stage

A

Increased BP & HR
increase depth of respiration
Increased energy

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14
Q

Resistance or recovery

A

Bodies attempt to maintain homeostasis
Parasympathetic nervous system on
Use of coping methods involved
Vital signs normal

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15
Q

Exhaustion stage

A

Decreased BP
increased HR and RR
depleted

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16
Q

Anxiety and fear release

A

Epinephrine

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17
Q

Nocturia

A

Individual wakes up at night to urinate

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18
Q

Straight catheter

A

Used for immediate drainage ex( sterile urine specimen ) take out after patient will void independently

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19
Q

Indwelling catheter

A

An indwelling catheter is a medical device that is inserted into the bladder and left in place to continuously drain urine. ( foley or retention catheter)

20
Q

How many ml of fluid per day is recommended

A

1,500-2,000

21
Q

Hypovolemia

A

Low blood volume could be
Dehydration
Symptoms : decreased urine output
Hypotension
Fast heart rate
Rise in temp

22
Q

Hypervolemia

A

Excessive blood volume
Absorption of water / sodium
Elevated BP and RR
edema
Weight gain
Moist crackles in lung

23
Q

Sodium

A

135-145
Regulates fluid volume
Kidneys transports

24
Q

Potassium

A

3.5-5
Muscle contraction, cardiac conduction
Kidneys eliminate

25
Q

Hyponatremia

A

Low sodium levels in the blood
Nausea
Vomiting
Muscle cramps twitching
Seizures

26
Q

Hypernatremia

A

High sodium levels low water
Dehydration, increased water loss
Elevated temp
Dry mouth and sticky mucous membranes

27
Q

Hypokalemia

A

Muscle weakness
Dysrhythmias
Nausea vomiting

28
Q

Hypokalemia

A

Caused by renal failure
Muscle weakness

29
Q

Indicator of imminent death

A

Fixed, dilated pupils

30
Q

Nasal cannula

A

1-6 L/min

Skin breakdown mucous membranes
Patient can eat and talk w this

31
Q

Simple face mask

A

6-12 L/min

Covers nose and mouth
Skin breakdown, greater risk for aspiration

32
Q

Partial rebreather mask

A

6-11 L/min
Co2 buildup
Use with caution for patients who have airway obstruction

33
Q

Non rebreather mask

A

10-15 L/min

34
Q

Effective communicators are

A

Assertive

35
Q

OARS communication pneumonic

A
  1. Open-Ended Questions:
    • Encourage clients to provide more detailed and meaningful responses, fostering a deeper understanding of their thoughts and feelings.
    1. Affirmations:
      • Positive affirmations acknowledge and reinforce the client’s strengths, efforts, or positive behaviors, promoting a supportive and empowering environment.
    2. Reflections:
      • Reflective statements involve paraphrasing or summarizing what the client has said, demonstrating active listening and validating their experiences.
    3. Summaries:
      • Summaries bring together key points from the conversation, highlighting important information and facilitating a more comprehensive understanding.
36
Q

Actual loss

A

Loss can be identified by others ex : theft , death of a loved one

37
Q

Perceived loss

A

Loss is internal identified by the person experiencing it

38
Q

Physical loss

A

Includes loss of mobility , organs , limbs

39
Q

External losses

A

Objects that are important due to sentimental value

40
Q

Mourning

A

Actions associated with grief
Crying etc

41
Q

Kublers Ross

A

Denial
Anger
Bargaining
Depression
Acceptance

42
Q

Palliative care

A

Palliative care is specialized medical care focused on providing relief from the symptoms and stress of a serious illness. The goal of palliative care is to improve the quality of life for both the patient and their family. It is not limited to end-of-life care but can be initiated at any stage of a serious illness.

43
Q

Hospice care

A

A provider must certify that a patient is likely to die within 6 months

Face death with dignity surrounded by families in the homes

44
Q

Dorsal recumbent

A

Lying on the back with knees bent and and feet flat on bed

45
Q

Prone

A

Lying on stomach

Exam 5 (1 decks)

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