Final

Question 1

what can alc addiction cause

Answer 1

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

Question 2

what labs to look at for alcoholics

Answer 2

wbc
liver enzymes
cbc
electrolytes
clotting factors

Question 3

what can end stage liver failure cause

Answer 3

esophageal varices

Question 4

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

Answer 4

delirium tremens

Question 5

what kills alcoholics

Answer 5

seizures

Question 6

safety for alcohloicsq

Answer 6

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

Question 7

what do you ask alcoholics

Answer 7

when was your last drink

Question 8

what are drug overdoses at risk for

Answer 8

resp acidosis- dt decreased respirations

Question 9

drug of choice drug overdose

Answer 9

naloxone
give iv or intranasally

Question 10

a pt with drug or alc issues get what involved automatically

Answer 10

case management

Question 11

how to hndle drug diversion in nursing

Answer 11

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

Question 12

dont assume what about obese pts

Answer 12

that they dont have anorexia or bulemia

Question 13

safety with eating disorders

Answer 13

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

Question 14

what to do for all addictions

Answer 14

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

Question 15

what are examples of stims

Answer 15

cocaine
adhd meds-methylpehnidate
adderal

Question 16

s/s of being on a stim

Answer 16

high strung
hyper
pinpoint pupils

Question 17

what are 2 depressants

Answer 17

alc and opioids

Question 18

characteristic of child victm of abuse

Answer 18

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

Question 19

characteristics of vitimizer of child sexual abuse

Answer 19

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

Question 20

who and what to involve for these children

Answer 20

child life specialists
play therapy

Question 21

how to determien there is possible abuse happening

Answer 21

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

Question 22

how to determine if there could be interpersonal violence

Answer 22

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

Question 23

characteristics of elder abuse

Answer 23

financial exploitation
neglect
chronic illness at reat risk

Question 24

characteristics of victimizers of elder abuse

Answer 24

lack coping skills
poor self esteem
narcisistic

Question 25

who to report elder abuse to

Answer 25

area office of aging

Question 26

s/s of elder abuse

Answer 26

not making follow-up appts suddenly not going to church

Question 27

characteristics of transgender

Answer 27

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

Question 28

sci upper injury

Answer 28

more loss of fxn

Question 29

sci lower injury

Answer 29

less loss of fxn, area of injury and down

Question 30

cervical to thoracic (7-8) probs

Answer 30

resp issues- might need trached

Question 31

characteristics of sci

Answer 31

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

Question 32

risks associated with sci

Answer 32

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

Question 33

nsg interventions sci

Answer 33

therapeutic plan consistent nurses with pt

Question 34

spinal shock

Answer 34

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

Question 35

neurogenic shock

Answer 35

bradycardia

Question 36

drug for ed

Answer 36

sildenafil- vasodilator

Question 37

symptoms from sildenafil

Answer 37

flushing nasal congestion ha

Question 38

what is associated with both dementia and alz

Answer 38

depression delusions and hallucinations

Question 39

what do we not do with dementia and alz pts

Answer 39

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

Question 40

s/s of panic

Answer 40

flushed htn tachycardia agitation

Question 41

early stage dementia characteristics

Answer 41

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

Question 42

sfaety dementia and alz

Answer 42

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

Question 43

apraxia

Answer 43

lack of mvmts

Question 44

agnosia

Answer 44

lack of understanding stimuli

Question 45

aphasia

Answer 45

cant speak

Question 46

amnesia

Answer 46

cant remember

Question 47

stage 1 alz

Answer 47

no symptoms

Question 48

stage 2 alz

Answer 48

forgetfullness

Question 49

stage 3 alz

Answer 49

mild interference with performance some decrease in social

Question 50

staeg 4 alz

Answer 50

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

Question 51

stage 5 alz

Answer 51

moderate early dementia loss of adl abilities delusions and paranoia

Question 52

stage 6 alz

Answer 52

moderate severe dementia sundowning

Question 53

stage 7 alz

Answer 53

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

Question 54

enculturation

Answer 54

person learns values, norms and bheaviors of a culture

Question 55

acculturation

Answer 55

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

Question 56

assimilation

Answer 56

person gives up original identity and develops new cultural identity

Question 57

safety with cultures

Answer 57

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