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NUR 240 > Final > Flashcards

Final Flashcards

1
Q

what can alc addiction cause

A

liver failure
cirrhosis
visual issues
issues walking
more prone to infection d/t low wbc count

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2
Q

what labs to look at for alcoholics

A

wbc
liver enzymes
cbc
electrolytes
clotting factors

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3
Q

what can end stage liver failure cause

A

esophageal varices

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4
Q

what are alcohlic pt at risk for within 24-48 hrs of admission

A

delirium tremens

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5
Q

what kills alcoholics

A

seizures

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6
Q

safety for alcohloicsq

A

icu monitoring- CIWA
prophylactic seizure medds
side rails up and padded
lorazepam

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7
Q

what do you ask alcoholics

A

when was your last drink

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8
Q

what are drug overdoses at risk for

A

resp acidosis- dt decreased respirations

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9
Q

drug of choice drug overdose

A

naloxone
give iv or intranasally

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10
Q

a pt with drug or alc issues get what involved automatically

A

case management

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11
Q

how to hndle drug diversion in nursing

A

narc counts
go to manager if you suspect someone is taking narcs

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12
Q

dont assume what about obese pts

A

that they dont have anorexia or bulemia

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13
Q

safety with eating disorders

A

1 to 1 obs
walk to abthroom
wathc what they eat
watch cals they take in

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14
Q

what to do for all addictions

A

intense therapy
work on them seeing the good in themselves
work on positive coping skills

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15
Q

what are examples of stims

A

cocaine
adhd meds-methylpehnidate
adderal

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16
Q

s/s of being on a stim

A

high strung
hyper
pinpoint pupils

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17
Q

what are 2 depressants

A

alc and opioids

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18
Q

characteristic of child victm of abuse

A

dont want to reveal who their abuser is
might’ve been told “something bad will happen”

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19
Q

characteristics of vitimizer of child sexual abuse

A

someone in close contact
puts guilt on kids
target children in unstable homes
target children with self esteem issues

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20
Q

who and what to involve for these children

A

child life specialists
play therapy

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21
Q

how to determien there is possible abuse happening

A

listen to stories
listen to suspicions
look for fractures and buises multiple stages of healing
cig burn marks
be non judgemental with parents and do not decide who the abuser is

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22
Q

how to determine if there could be interpersonal violence

A

who is standing by them (maybe not a family member)
tattoos that make no sense
ask at admissions if they are afraif of who they live with
ask men too

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23
Q

characteristics of elder abuse

A

financial exploitation
neglect
chronic illness at reat risk

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24
Q

characteristics of victimizers of elder abuse

A

lack coping skills
poor self esteem
narcisistic

25
Q

who to report elder abuse to

A

area office of aging

26
Q

s/s of elder abuse

A

not making follow-up appts
suddenly not going to church

27
Q

characteristics of transgender

A

struggling to find place on society
high risk of depression and suicide
might not seek care
fearful of stigma and biases
socioeconpmocs
parents banning them
poor prior experiences with healthcare workers

28
Q

sci upper injury

A

more loss of fxn

29
Q

sci lower injury

A

less loss of fxn, area of injury and down

30
Q

cervical to thoracic (7-8) probs

A

resp issues- might need trached

31
Q

characteristics of sci

A

permanant loss of fxn
can be devastating
paralysis and loss of sensation

32
Q

risks associated with sci

A

ulcers
utis-stright caths
fecal disempaction- every other day- increase fiber in diet
autonomic dysreflexia-HTN, fatal
depression- esp at 2-3 weeks
verbal and physical abuse

33
Q

nsg interventions sci

A

therapeutic plan
consistent nurses with pt

34
Q

spinal shock

A

lack of dtrs
very red from injury down
pal from injury up

35
Q

neurogenic shock

A

bradycardia

36
Q

drug for ed

A

sildenafil- vasodilator

37
Q

symptoms from sildenafil

A

flushing
nasal congestion
ha

38
Q

what is associated with both dementia and alz

A

depression
delusions and hallucinations

39
Q

what do we not do with dementia and alz pts

A

reorient
instead say: what do you see? wht are they telling you? we are here to keep you safe.

40
Q

s/s of panic

A

flushed
htn
tachycardia
agitation

41
Q

early stage dementia characteristics

A

they know what is happening
know they are declining
know they are forgetting
dpression is a major issues- start antidepressant

42
Q

sfaety dementia and alz

A

by nsg station
1-1 care
floor padding
give tasks-coloring, folding
play fav music

43
Q

apraxia

A

lack of mvmts

44
Q

agnosia

A

lack of understanding stimuli

45
Q

aphasia

A

cant speak

46
Q

amnesia

A

cant remember

47
Q

stage 1 alz

A

no symptoms

48
Q

stage 2 alz

A

forgetfullness

49
Q

stage 3 alz

A

mild interference with performance
some decrease in social

50
Q

staeg 4 alz

A

moderate confusion and confabulation
might forget what day or make up stories

51
Q

stage 5 alz

A

moderate early dementia
loss of adl abilities
delusions and paranoia

52
Q

stage 6 alz

A

moderate severe dementia
sundowning

53
Q

stage 7 alz

A

severe cognitive decline: late dementia
bedrest, oten die of pneumonia

54
Q

enculturation

A

person learns values, norms and bheaviors of a culture

55
Q

acculturation

A

process of acquiring new attitudes, roles, customs, or behaviors as a result of contact woth anotjer culture

56
Q

assimilation

A

person gives up original identity and develops new cultural identity

57
Q

safety with cultures

A

use interpreters
respect wishes as long as they dont interfere with treatment
“is it ok is i touch you”

58
Q
A

NUR 240 (7 decks)

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