Exam 4 & 5 Flashcards

(41 cards)

1
Q

What is the difference between complementary and alternative therapies?

A

Complementary therapies are used with conventional medicine, while alternative therapies are used instead of conventional treatment.

Examples include acupuncture with chemotherapy for complementary therapy and herbal medicine replacing medications for alternative therapy.

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2
Q

What are the types of relaxation therapies?

A
  • Deep breathing
  • Progressive muscle relaxation
  • Guided imagery

These therapies are aimed at promoting relaxation and reducing stress.

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3
Q

What are signs of relaxation?

A
  • Decreased heart rate (HR)
  • Decreased respiratory rate (RR)
  • Decreased blood pressure (BP)
  • Relaxed muscles
  • Calm facial expression

These signs indicate that a person has achieved a state of relaxation.

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4
Q

Define imagery in the context of relaxation.

A

Imagery is the mental visualization for relaxation or healing.

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5
Q

What is meditation?

A

Meditation involves mindfulness and focused breathing to calm the mind.

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6
Q

What is breathwork?

A

Breathwork is the conscious control of breathing to reduce anxiety and enhance focus.

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7
Q

What is the distinction between religion and spirituality?

A

Religion is a structured belief system with practices, rituals, and community, whereas spirituality is a personal sense of meaning, purpose, and connection.

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8
Q

How can spiritual practices affect health?

A
  • Influence decisions about treatment
  • Influence diet
  • Affect end-of-life care
  • Provide strength and hope
  • Enhance coping with illness

It’s important to approach these practices with respect and nonjudgment.

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9
Q

What is the nurse’s role in loss, grief, and death?

A
  • Provide presence
  • Listen
  • Educate on the dying process
  • Offer comfort
  • Advocate for patient wishes

This includes discussing advance directives and palliative care.

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10
Q

What are the patterns and characteristics of normal grief?

A
  • Sadness
  • Anger
  • Guilt
  • Sleep issues

These are common emotional responses during the grieving process.

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11
Q

What is anticipatory grief?

A

Anticipatory grief occurs before an actual loss, such as in terminal illness.

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12
Q

What is complicated grief?

A

Complicated grief can be chronic, delayed, exaggerated, or masked.

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13
Q

What variables can affect the grief response?

A
  • Age
  • Personality
  • Coping skills
  • Relationship to the deceased
  • Support systems
  • Cultural/religious beliefs

These factors can significantly influence how an individual experiences grief.

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14
Q

What is the focus of collaboration in palliative care?

A

The focus is on comfort, dignity, and quality of life, supporting the family during and after death.

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15
Q

What are key structures involved in oxygenation?

A
  • Lungs
  • Heart
  • Alveoli
  • Capillaries
  • Diaphragm

These structures play a critical role in the process of gas exchange and oxygen delivery.

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16
Q

What is cardiac output (CO) and how is it calculated?

A

Cardiac Output (CO) is calculated as heart rate (HR) multiplied by stroke volume.

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17
Q

Define preload in the context of cardiac physiology.

A

Preload is the blood volume returning to the heart.

18
Q

What is afterload?

A

Afterload is the resistance the heart pumps against.

19
Q

What factors affect cardiac output?

A
  • Heart rate (HR)
  • Stroke volume
  • Preload
  • Afterload
  • Contractility

These factors directly influence the efficiency of blood circulation.

20
Q

What are clinical outcomes of cardiac problems?

A
  • Arrhythmias
  • Fatigue
  • Dyspnea
  • Hypotension
  • Murmurs
  • Chest pain
  • Myocardial infarction (MI)
  • Cyanosis
  • Confusion

These symptoms can indicate serious cardiac issues.

21
Q

What are risk factors for impaired oxygenation?

A
  • Smoking
  • Immobility
  • Obesity
  • Anemia
  • Chronic disease
  • Allergens

Identifying risk factors can help in prevention and management.

22
Q

What are some physical manifestations of impaired oxygenation?

A
  • Dyspnea
  • Accessory muscle use
  • Low oxygen saturation (SpO₂)
  • Cyanosis
  • Altered level of consciousness (LOC)

These manifestations can indicate a need for immediate medical attention.

23
Q

What are some nursing interventions for oxygenation?

A
  • Vaccines
  • Smoking cessation
  • Oxygen therapy
  • Suctioning
  • Medications
  • Pulmonary rehabilitation
  • Breathing exercises

Each intervention targets different aspects of respiratory health.

24
Q

What are common oxygen devices and their flow rates?

A
  • Nasal cannula: 1–6 L/min
  • Simple mask: 6–10 L/min
  • Non-rebreather mask: Up to 15 L/min

Proper assessment of fit and patient response is necessary.

25
What is the CPR sequence according to AHA guidelines?
The sequence is Compressions → Airway → Breathing.
26
What is the purpose of oral/nasal airways?
Oral/nasal airways are used to keep the passage open.
27
What are aspiration precautions?
* Upright position * Small bites * Thickened liquids * Supervised feeding for high-risk patients ## Footnote These precautions help prevent aspiration during feeding.
28
What are the end products of carbohydrate metabolism?
Carbohydrates are metabolized into glucose.
29
What are the dietary guidelines recommended by MyPlate?
* Half fruits and vegetables * Lean proteins * Whole grains * Limit sodium, sugars, saturated fats * Increase fiber and hydration ## Footnote These guidelines are designed to promote a balanced diet.
30
What are major nutritional problems?
* Malnutrition * Obesity * Nutrient deficiencies (e.g., iron, calcium) ## Footnote At-risk patients include the elderly, chronically ill, and post-operative individuals.
31
What is medical nutrition therapy (MNT) for diabetes?
MNT for diabetes focuses on carbohydrate control.
32
What is the normal appearance of urine?
Normal urine is pale yellow, clear, and has no odor.
33
What are common alterations in urination?
* Dysuria * Polyuria * Oliguria * Nocturia * Hematuria * Retention * Incontinence * Urinary Tract Infection (UTI) ## Footnote These alterations can indicate underlying health issues.
34
What are the nursing measures to promote urinary elimination?
* Schedule voiding * Ensure privacy * Encourage hydration * Implement bladder training * Perform pelvic floor exercises (Kegels) ## Footnote These measures can help maintain urinary health.
35
What are the factors influencing bowel elimination?
* Diet * Fluid intake * Activity level * Medications (e.g., opioids slow, laxatives speed up) * Stress * Illness ## Footnote Understanding these factors can aid in managing bowel health.
36
What are common bowel alterations?
* Constipation * Diarrhea * Impaction * Incontinence * Flatulence * Hemorrhoids ## Footnote These conditions can significantly affect quality of life.
37
What is the role of the nurse in informed consent?
The nurse ensures the patient understands the procedure, risks, and benefits, and is competent and consenting voluntarily.
38
What is negligence in nursing?
Negligence is the failure to act as a reasonably prudent nurse.
39
What is malpractice?
Malpractice is professional negligence that results in harm.
40
What should nurses do when they encounter unclear orders?
Nurses should clarify the unclear orders and collaborate with the provider.
41
What are the components of the nurse-patient relationship?
* Confidentiality * Privacy (HIPAA) * Patient advocacy ## Footnote These components are essential for effective nursing practice.