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nur305 buder > week1 > Flashcards

week1 Flashcards

1
Q

What are some appropriate resources to enhance patient nurse communication

A 
Body language
Lip reading
Writing
Alphabetical boards
Pictures
Gestures, including nodding, blinking
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2
Q

Nurse-family communication

A 
Speak with a doctor once a day
Know the progress/prognosis
Competent/correct/skilled/care
Given hope
Transfer plans
Consistent information
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3
Q

Anxiety occurs when patients

A

are occupied with internal dialogue
are overly dependant on the nurse
have a long-term recovery ahead
perceive a threat to their well being

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4
Q

Contributing factors of anxiety

A 
Duration and severity of illness
Impact on learning ability and role function
Loss of sense of control
Impact of illness on family
Foreign environment
Overhearing discussion of condition 
Frequency and complexity of invasive interventions
Pain
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5
Q

Precipitated Factors of Anxiety include:

A

Concern about current illness/underlying chronic disease
Current experiences and feelings
Current care interventions
Medication side effects
Environmental considerations
Concern about the ongoing impact of illness on recovery

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6
Q

Anxiety clinical Indicators

A

Psychological
Behavioural
Psychological/cognitive
Social

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7
Q

Anxiety pharmacological Treatment

A

Treat pain and any other reversible physiological causes of anxiety and agitation

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8
Q

Anxiety non-Pharmacological treatment

A 
Massage
Aromatherapy
Music therapy
Natural light
Noise reduction
Sleep/rest
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9
Q

Sleep deprivation in patients who are critically ill is often attributed to :

a) bed baths during the evening shift
b) untreated pain and anxiety
c) family visiting
d) altered melatonin levels

A

b) untreated pain and anxiety

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10
Q

Integumentary care

A

Pressure area care
Positioning
VTE

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11
Q

Personal Hygiene care

A

Oral Hygiene

Eye care

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12
Q

6Discus the importance of cultural care and spiritual/religious in caring for the critically ill

A

It is important to integrate a person’s cultural, spiritual and religious needs into their care to reduce anxiety felt by the patient…

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13
Q

What is a nebuliser?

A

A nebuliser is compressed air/oxygen, it is a fine mist in aerosol form that can deliver large doses of a drug over long periods

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14
Q

What is Salbutamol otherwise known as?

A

Ventolin

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15
Q

What is Salbutamol?

A

Bronchodilator, which acts quickly as a beta2-adrenoreceptor agonist on the smooth bronchial muscle

Acts in 5-15 minutes
Half life 2.7 – 5hrs

Dosage
Adults – 5mg
Children – 4-12yrs – 2.5mgs
Repeat 4-6hrs
PRN – Emergency
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16
Q

What are some of the possible reactions to salbutamol?

A 
Tremor				
Tachycardia			
Cardiac arrhythmias
Headaches			
Nausea	
Palpitations

Contraindications
Previous sensitivity

17
Q

What is Ipratopium Bromide otherwise known as?

A

A fast acting bronchodilator which inhibits bronchomotor tone

Acts in 3-5 minutes
Half life 6 hrs

Dosage
Adults – 250-500mcg with 2-3 mls saline (1ml if given with salbutamol)
Children – Not given under 12yrs – 250mcg
Repeat 6 hrs

18
Q

What are some possible reactions to Ipratropium Bromide?

A 
Tachycardia			
Arrhythmias		
Nausea
Dry mouth			
Glaucoma

Contraindications
Hypersensitivity to atropine/atropine like drugs

19
Q

What is a bronchoconstriction?

A

Narrowing of the airways by the contraction of the muscle fibers

20
Q

When it comes to bariatric considerations what does RESPECT stand for?

A 
Respect
Environment/ Equipment
Safety
Privacy
Encouragement
Caring and compassion
Tac
20
Q

What is a tracheostomy?

A

It is a surgical procedure in which an opening is made into the trachea

21
Q

What are the general principles for transporting a critically ill pt?

A

A careful assessment of the risk of adverse events during transportation should be evaluated.
The primary focus should be on pt safety and prevention of adverse reaction.
Risk/benefit assessment.
Equipment check prior to transport
Informing pt and family.

22
Q

What is CAUTI

A

Catheter-associated urinary tract infection caused by contamination from the healthcare worker or from the pt own flora during catheter insertion.

23
Q

What is MRO

A

Multi-drug resistant organisms

24
Q

3 categories to describe skin tear:

A

Skin tear without tissue loss
Skin tear with partial tissue (flap) loss
Skin tear with complete (flap) tissue loss

25
Q

What is constipation

A

Fewer than 3 BM per week, hard or difficult to pass stool

26
Q

When would you use a large diameter catheter?

A

To drain haematuria or clots

28
Q

How often should eye assessment be undertaken?

A

Every 12hrs for conscious pt able to blink

Pt unable to close their eyelids should receive 2hourly eye care

29
Q

What is DVT?

A

Deep Vein Thrombosis, blood clot in a major vein of the lower body.

nur305 buder (15 decks)

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