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PN3 > Test 3 > Flashcards

Test 3 Flashcards

1
Q

Performance of a CAM by a nurse?

A

Nurses should understand the ramifications
• Think critically before recommending or preforming
• Must be in scope of practice (Based off state)

Nurses should ask the client if they are currently using any CAM purpose, and outcome , educate about CAM, Create supportive/healing environment, obtain necessary training, be aware of the risks, and provide non judge mental supportive counseling

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2
Q

Using therapies instead on conventional ?

A

Educate risks but be supportive ?

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3
Q

Chinese client/energy flow – what CAM?

A

Traditional Chinese Medicine maintaining energy
• Yin and Yang
• Acupuncture is one technique used to alter the bodies energy flow

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4
Q

inseparable connection and operation of thoughts, feelings, and function

A

Bodymind

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5
Q

new field of science—mind can alter the body

Study of the complex relationship among the physical cognitive and affective aspects of humans

A

Psychoneuroimmunology

PNIe

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6
Q

Chemical transmitters/nerve impulse

A
  • Neurotransmitter: chemicals that carry information from one neuron to another
  • Ex: stimulate muscle fibers
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7
Q

Visual soothing mental picture-

Relaxation technique of using the imagination to visualize it wasn’t soothing image

A

Guided imaginary

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8
Q

What would touch therapy be best used for

A

The nurse should not touch until effective communication has been established with the client

Part of assessment ,Promotes bonding Between nurse and client, important means of communication, especially when other senses are impaired, assistant soothing, Colleen, comforting, and helps keep oriented.

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9
Q

Concept of reflexology

A

Noninvasive complementary therapy that involves the application of pressure by the use of the practitioners hand or fingers to the clients feet hands and ears with specific techniques

Divides the body into 10 equal longitudinal zones running the length of the body from the top of the head to the top of the toes.
The foot is viewed as a microorganism of the entire body.

Illness is evident as calcium deposits and acids in the corresponding part of the persons feet. Press in certain points on the feet brings an automatic nervous system response or reflex. It induces a state of relaxation which is conductive to healing.

It promotes health by relieving pressure‘s and accumulation of toxins in the corresponding part of the body.It can be used as a complementary therapy for chronic conditions such as asthma, sinus infection, migraines, irritable bawl syndrome, constipation, and kidney stones.

involves applying pressure to specific places on your feet, hands and ears, which have peripheral nerves that are connected to your central nervous system. Massaging these areas is a way to tap into your central nervous system to relieve pain and reduce stress through the simple power of touch.

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10
Q

aids in night vision, promotes growth of bones and teeth, maintains skin and mucus membranes

A

Vitamin A

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11
Q

builds and maintains strong tissues, promotes wound healing, aids in resisting infection, and enhances iron absorption

A

Vitamin c

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12
Q

acts as antioxidant, maintains cell membrane integrity, protects red blood cells from hemolysis

A

Vitamin E

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13
Q

act as chemical communicators in the body and are called neuropeptides

A

Amino acids

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14
Q

What amino acids have impact on brain and body?

A

conscious control of some sympathetic nervous system functions - heart rate, respiratory rate, and BP

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15
Q

Amino acid produced in the brain and other sites in the body that acts as a chemical communication

A

Neuropeptides

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16
Q

Chemical substance produced by the body that facilitates or inhibits nerve-impulse transmission

A

Neurotransmitters

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17
Q

With Acute pain, no meds – what is the best CAM to teach client

A

Relaxation -

decreases muscle tension and anxiety

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18
Q

Macrobiotic diet – what does it consist of

A

Essentially vegetarian and emphasize natural, organically, and locally grown foods. Usually the diet is when 50% of daily intake is whole grains. Primary advantage is getting enough fiber

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19
Q

Assessing client for medication list – what is an essential question to ask

A

Allergies

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20
Q

Hypovolemic, leads to inadequate tissue perfusion

A

Leads to hypoxia (inadequate tissue perfusion) and eventually organ damage/failure.

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21
Q

A condition in which the liquid portion of the blood (plasma) is too low.

tachycardia, tachypnea, hypotension, anxiety, restlessness, delayed cap refill, poor circulation, decreased kidney function less than 10ml/hour. if not corrected, can lead to change in LOC

Caused from acute blood loss from trauma, surgery, or severe fluid loss

A

Hypovolemic shock

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22
Q

Treatment of hypovolemic shock?

A

Give IV fluids of normal saline,

give blood, or lactated ringers. Blood products including electrolytes, especially potassium

Stop bleeding or fluid loss

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23
Q

Cardiogenic shock, hypotension – placed in what position? Caused by?

A

condition in which your heart suddenly can’t pump enough blood to meet your body’s needs. The condition is most often caused by a severe heart attack, ventricular rupture

hypotension-Place in Trendelenburg or supine position if systolic less than 80. Monitor VS including I&O

Treatment- identify the cause.

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24
Q

Physiologic change, anaphylactic reaction – causing lungs to do what

A

Causes-hypersensitivity reaction caused by allergen comes in contact with the body thru ingestion, skin, or inhalation.

Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death. It typically causes more than one of the following: an itchy rash, throat or tongue swelling, shortness of breath, vomiting, lightheadedness, and low blood pressure.

Airway closes due to edema and bronchospasms

Angioedema #1 sign of anaphylactic shock

Treatment- Establish IV site, ABC’s, epinephrine, then oxygen, antihistamines, and corticosteroids, monitor VS, start cardiac monitoring

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25
Q

Gunshot wound, left femoral artery – what kind of shock

A

Hypovolemic

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26
Q

Fluid treatment for hypovolemic shock

A

As tolerated

• Lactated ringers

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27
Q

Teaching client self-administering Epi-pen –

A

placement of the injection

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28
Q

Relationship between sepsis and age

A

As it progresses- anxiety, mild HTN, hypoxia, higher fever, more significant mental changes, tachycardia worsens

As we age, our immune system becomes less effective at fighting infections. This results in older people contracting more infections and they are more severe. more likely to see a drop in cognitive (mental) abilities that can make it impossible for them to return to their previous living arrangements. As well, the risk of dying from severe sepsis or septic shock rises as you get older.

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29
Q

Sepsis s/s

A

s/s- body temp above 101 or below 96.8, heart rate above 90, resp higher than 20/min

30
Q

Dyspneic, crackles in lungs, fluid volume excess, CHF - what physiologic symptom will be present

A

Increased blood pressure
Edema
Swollen jugular vein

31
Q

Med allergy most at risk for anaphylactic shock

A

? Medication- penicillin

Latex , medication , shellfish, milk, eggs, and bee stings

32
Q

Nursing responsibility for prevention of shock

A

Monitor patient for signs and symptoms of shock, take immediate action if patient becomes positive for shock

33
Q

Warm, flushed skin, fever, increase respiratory rate and heart rate – what stage of sepsis

A

Stage 1

34
Q

First line of treatment for anaphylactic shock

A

Maintain airway

35
Q

Primary treatment for hypovolemic shock

A

Stop fluid loss or blood loss

• Give fluids or blood

36
Q

Most serious complication for anaphylactic shock

A

Bronchoconstriction?

37
Q

2nd and 3rd degree burns – what type of shock at risk for

A

Hypovolemic

38
Q

Hypovolemic shock – risk for what electrolyte imbalance

A

Hypokalemia- after large amounts of fluids

• Hypo/ hypernatremia- depending on fluids given

39
Q

Primary treatment for hypovolemic shock

A

Stop bleeding or fluid loss

• Give blood or lactated ringers

40
Q

Early sign of cardiogenic shock

A

Pale, cold; decreased urine; bowel stasis; tachypnea; fatty change; decreased conscious level; tachycardia

41
Q

Chemical warfare agent, extent of injury – what else?

A

?
a chemical substance whose toxic properties are used to kill, injure or incapacitate human beings. Liquid, gas or solid form

In halation chemical exposure

Ingestion chemical exposure

Contact chemical exposure

42
Q

1st symptoms of radiation sickness

A

First :

Nausea
Headache
Diarrhea
Fever

2nd and 3rd:
Vomiting, disoriented, weakness, fatigue, hair loss, bloody vomit and stools, infections, poor wound healing, hypotension

43
Q

CDC does this

A

An agency of the federal government whose goal is to:

promote health and quality-of-life by preventing and controlling disease and injury and disability

44
Q

Medical or surgical condition requiring immediate or timely intervention to prevent permanent disability or death

A

An emergency in healthcare

45
Q

Triage in ER – what to triage first

A

?

It is the sorting out of patients into categories of priority of care depending on illness and severity.

Triage people who need immediate care and transport first. First priority - red tag

46
Q

A situation or event of greater magnitude that an emergency and that is unforeseen, serious, or immediate threat to public health

serious disruption, occurring over a relatively short time, of the functioning of a community or a society involving widespread human,

A

Disaster

47
Q

CPR in the hospital, promote respiration – what will you use

A

CAB. Compressions stat for unconscious or non-breeding person with normal patterns. Second responder gets defib you later equipment. After compressions are established a bag valve mask is used to provide breath. (BVM)

Use a mask for respiration’s
Bag valve mask to push air into lungs

48
Q

Morphine drug of choice in a cardiopulmonary emergency – why?

A

MONA
Morphine oxygen nitro aspirin

To decrease pain of chest discomfort and reduce panic and anxiety (calming effect)

49
Q

Abdominal pain assessment – what 4 things to assess

A

?
PQRST
Provoked , quality , region/radiation, severity, timing

50
Q

Penetrating trauma bowel loops protruding – what do you do?

A

Apply a moist sterile dressing followed by a dry sterile dressing

51
Q

Treatment of simple strains and sprains

A

RICE- Rest Ice Compression Elevation

Splinting
Suturing
Rehab exercises

52
Q

Frostbite to feet and toes – what to do?

A 
?
Check for hypothermia, 
protect skin from further exposure, 
get out of the cold, 
remove wet clothes, 
gently warm affected areas, 
over-the-counter pain medication such as ibuprofen, 
protect injury, 
debride if needed, 
antibiotics, 
clotbusting drugs, 
wound therapy,
whirlpool therapy
53
Q

8 yr old bee sting, emergency – consent?

A

?
Informed consent is only needed when anesthesia is used because the procedure is considered invasive, the procedure is non surgical but has more than a slight risk of complications such as an arteriogram or radiation or cobalt therapy is used.

54
Q

Triage injury, system ranks – what is it?

A

?
Trauma triage is the use of trauma assessment for prioritising of patients for treatment or transport according to their severity of injury

Red is immediate-first priority- stat help
Yellow- delayed transport - serious injury but not expected to deteriorate for several hours
Green- minor injuries- unlikely to deteriorate over days and may assist in own care.
Black- expectant- victim unlikely to survive. Provide palliative and pain relief

55
Q

Mass casualty and traditional triage – what’s the difference

A

?
Mass casualty uses the START method.

ED is emergent, example: immediate intervention to sustain life or limb

urgent, example care required in 1 to 2 hours to prevent deterioration

non-urgent, example care can be delayed without serious risks

(Level one is most acute care needs. Level 5 needs least care, 1 and 2 based on acuity. 3-5 based on resources a client will need. )

56
Q

Terrorists attack/triage – multiple choice question

A

?

57
Q

Terminal cancer and CAM – multiple choice question

A

?

58
Q

Epi-Pen – multiple choice question

A

?

Can use Epi pen through clothes in outer thigh for anaphylactic shock

59
Q

In halation chemical exposure signs and symptoms?

A

Headache, dizziness, red eyes, coughing, throat pain, wheezing, SOB, lung cancer, nausea, vomiting, diarrhea, rash, skin cancer, nervousness, loss of coordination and balance

60
Q

Ingestion chemical exposure signs and symptoms?

A

Skin reaction, constructed airway, swelling of the tongue or throat, wheezing, tachycardia, nausea, vomiting, diarrhea, dizziness

61
Q

Contact chemical exposure signs and symptoms?

A

Pruritus, burning, rash, erythema

62
Q

Occurs when high-energy radiation damages or destroy a certain cells in the body,

Intestinal lining, stomach, and blood cells and producing cells of bone marrow are most vulnerable

A

Radiation sickness

63
Q

Therapy used instead of conventional or mainstream medical practice

A

Alternative therapy

64
Q

Therapy used in conjunction with conventional medical therapies

A

Complementary therapy

65
Q

A technique of releasing blocked energy within a person wins specific points along the meridians are pressed or massaged by the practitioners fingers or hands

A

Acupressure

66
Q

Technique of application of needles and heat to various points on the body to alter the energy flow

A

Acupuncture

67
Q

The science of life, refers to India’s traditional medicine which has underlined spiritual basis

A

Ayurveda

68
Q

Measures psychological responses assist individuals to improve their health by using signals from their own bodies

A

Biofeedback

69
Q

Of or relating to the interrelationship of the nervous system and consciousness, or relating to the mental functions of the CNS

A

Psychoneural medications

70
Q

And activity that brings the mind and spirit and focus on the present and provokes a sense of peace and relaxation

A

Meditation

71
Q

Examples of antioxidants

A

Vitamin c and E, blueberries dark chocolate pecans artichokes can you beans cranberry blackberries cilantro

PN3 (4 decks)

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