Extra

Question 1

The older adult client states, “I really hate to take pain medication.” Which response by the nurse is best?

Answer 1

Early treatment of pain helps now and can reduce the incidence of chronic pain.”

Question 2

Regarding opioid analgesics, is it normal to increase dosage overtime because of tolerance

Answer 2

Yes

Question 3

A home care nurse notes in the assessment that an older adult expresses anxiety and fatigue. The client sleeps 3 hours at a time at maximum and has had a 4.5-kg weight loss. Which intervention is the priority?

Answer 3

Assess the client’s level and intensity of pain.

Question 4

A nurse explores resources available to assist a client. Who meets the eligibility requirements for hospice care?

Answer 4

Someone with a foresseable time of passing

Question 5

Appropriate response to a palliative patient expressing concerns abt pain?

Answer 5

“A lot of clients do have pain at the end, and we will do all we can to control it for you.”

Question 6

Febrile Neutropenia

Answer 6

life-threatening condition that occurs when a patient has a fever and a low white blood cell count, specifically a low number of neutrophils

Question 7

Acute angle glaucoma

Answer 7

The flow of aqueous humor is blocked suddenly (medical emergency)

Question 8

Changes to older adults digestive system

Answer 8

a. Less efficient chewing
b. Reduced senses of smell and taste
c. Slower gastric motility
d. Degenerative changes affecting digestion
e. Less daily intake; fewer but higher quality calories

Question 9

20. What is the single most common cause of preventable nosocomial infections in hospitals?

Answer 9

CAUTI: Catheter-Acquired Urinary Tract Infections

Question 10

33. NSAIDs should be used cautiously in patients with a known history of what?

Answer 10

GI bleed

Question 11

36. What assessments are critical to perform when evaluating the effect of a narcotic analgesic?

Answer 11

V/S and Passero Sedation Scale

Question 12

38. When providing end-of-life care, what are two of the four items we talked about in class that you NEED to know?

Answer 12

a. Advance directives?
b. Diagnosis/ prognosis?
c. Managing physical symptoms given diagnosis/ prognosis
d. End of life plan?

Question 13

17. If someone is in hospital with dysphagia, who is the professional (after the nurse screens) who does the in-depth swallowing assessment to determine diet?

Answer 13

Speech Language Pathologist

Question 14

Two possible goals in cancer care

Answer 14

Curative, or palliative

Question 15

48. What is a significant medical emergency when receiving chemotherapy?

Answer 15

Febrile Neutropenia

Question 16

Febrile Neutropenia

Answer 16

a life-threatening condition that occurs when a patient has a fever and a low white blood cell count, specifically a low number of neutrophils

Question 17

49. In Febrile Neutropenia, what is the hallmark presenting complaint?

Answer 17

Fever

Question 18

S/S at end of life

Answer 18

Altered breathing patterns:
Changing circulation:
Decreased muscle tone:
Decreased senses (except hearing)

Question 19

PACSLAC

Answer 19

Pain Assessment Checklist for Seniors with a Limited Ability to Communicate

Question 20

POSS is?

Answer 20

Pasero Opiod induced Sedation Scale

Question 21

Adjuvant analgesics

Answer 21

Medication that have a primary indication
other than treatment of pain but relieve pain in
some conditions.

Caffiene helps relieve pain IN the presence of acetiminaphin

Question 22

Non-Opioid Analgesics typically better for what type of pain

Answer 22

Bone and inflammation

Question 23

32. When using the PAIN-AD for assessing pain in patients with Advanced Dementia, what are two of the five items being assessed?

Answer 23

a. Breathing (labored breathing, long period of hyperventilation)
b. Negative vocalization (moans, crying, negative low voice speech, repeatedly calling out)
c. Facial expressions (flat affect, grimacing, confused look, change of demeanor, etc.)
d. Body language: (tense, fidgeting, pacing, fist clenched, pulling away) *
e. Consolability (Can you console or not?)

0, 1 or 2 (0 being normal/baseline, two be Always)