260 Test 1
What are the expected findings for lupus?
Fatigue, alopecia, blurred vision, weight loss, depression, joint pain and swelling
What meds are used for Lupus?
NSAID for inflammation
Corticosteroid for immunosuppression and reduce inflammation like Prednisone
immunosuppression agents like methotrexate and azathioprine
What is distinctive sign of Lupus?
Butterfly rash on face
Is gout more common in men of woman?
What joints most commonly affected w/ gout?
What are the main symptom in gout?
Quick onset, joint pain, redness swelling Often in big toe
What is hyperuricemia?
Uric acid excess
How is gout diagnosis?
Crystals in the synovial fluid
What are some risk factor for gout?
Obesity, alcohol ingestion, chronic kidney failure, starving diet, trauma
Is rheumatoid arthritis more common in men or woman
What symptoms would you see in RA
decresed range of motion
incresed blood pressure
pain at rest
With osteoporosis what vitamins would be beneficial?
Vitamins C and D
What does ADPIE stand for ?
What is crepitus ?
Grating or crackling sound or sensation with joint movement
What are the criteria for hospice care?
Serious and progressive illness
limited life expectancy
Informed choice of palliative care over cure-focused treatment
What is assisted suicide?
The use of pharmacologic agent to hasten the death of a terminally ill patient (in most states is still illegal)
What are the 5 stages of mourning?
According to Kubler-Ross, when a dying client pleas for more time they are in this stage.
What is lateral curvature of the spine call?
If you have gout what foods should you avoid?
Organ meats and scallops
What is the medication that most used for gout?
What is Ageism?
Bias against older people based solely on chronological age.
What is the life expectancy you need to have in order to use hospice care ?
Less then 6 months.
Which is a sign of approaching death?
Mental confusing, breathing becomes irregular, loss of bladder control,eating and drinking, cool skin.
When a terminal ill client lash out at staff and family What stage of the Kubler-Ross what stage is the client in?
What is the most common affective or mood disorder of the geriatric?
What is the most common barrier for older clients when preforming ADL?
Chronic physical pain
What would effect meds dose in a older adult?
Decreased kidney function
What lab result would show prolonged malnutrition?
When giving alendronate sodium for osteoporosis a history of________ would be consider contraindication?
What is a chronic illness ?
he experience of living with a chronic disease or condition; the individual’s perception of the experience and the individual’s and others’ responses to the chronic disease or condition
What is chronic disease?
medical or health problem with associated symptoms or disabilities that require long-term management; has also been referred to as noncommunicable disease, chronic condition, or chronic disorder
What is disability ?
restriction or lack of ability to perform an activity in a normal manner; the consequences of impairment in terms of an individual’s functional performance and activity—disabilities represent disturbances at the level of the person (e.g., bathing, dressing, communication, walking, grooming)
What is the acute condition ?
implies a curable and relatively short disease course,
What are some modifiable changes we can make?
Somking, diet, sexual practices, excise
What are some non-modifiable, thing that can not be changed?
Sex, height,genetic trait, developmental level
What is polypharmacy?
When a patient take 5 or mores meds at the same time.
What is fragility?
is an increased vulnerability resulting from age related and associated decline.
What is subjective?
What the client tell the nurse
What is objective ?
Data the Nurse obtains through observation and examination
What is delirium?
acute,temporary and can have a physiologic (infection, lack of sleep,or pain ) or change like new surrounding:
often the first manifestation of an Infection
what is Dementia?
Chronic, progressive and possibly w/ an unknow cause eg Alzheimer's disease
what is upstream thinking?
is used to focus on interventions that promote health or prevent illness, as opposed to medical treatment models that focus on care after an individual becomess ill
What is palliative care?
philosophy of and system for delivering care that expands on traditional medical care for serious, progressive illness to include a focus on quality of life, function, decision making, and opportunities for personal growth
What is autonomy?
self-determination; in the health care context, the right of the individual to make choices about the use and discontinuation of medical interventions
What is euthanasia?
reek for “good death”; has evolved to mean the intentional killing by act or omission of a dependent human being for their alleged benefit
What is hospice care?
coordinated program of interdisciplinary care and services for terminally ill patients and their families that in the United States is provided primarily in the home
What is a living will?
Allows a person to document treatment in the event that the signer can not communicate their wishes directly
What a DNR?
A medical order to withhold CPR in the event of a cardiac arrest
What are 3 types of advanced directives ?
proxy directive (healthcare proxy)
Durable power of attorney