260 Test 1

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created 10 months ago by lashervalerie
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1

What are the expected findings for lupus?

Fatigue, alopecia, blurred vision, weight loss, depression, joint pain and swelling

2

What meds are used for Lupus?

NSAID for inflammation

Corticosteroid for immunosuppression and reduce inflammation like Prednisone

immunosuppression agents like methotrexate and azathioprine

3

What is distinctive sign of Lupus?

Butterfly rash on face

4

Is gout more common in men of woman?

Men

5

What joints most commonly affected w/ gout?

Big toe

6

What are the main symptom in gout?

Quick onset, joint pain, redness swelling Often in big toe

7

What is hyperuricemia?

Uric acid excess

8

How is gout diagnosis?

Crystals in the synovial fluid

9

What are some risk factor for gout?

Obesity, alcohol ingestion, chronic kidney failure, starving diet, trauma

10

Is rheumatoid arthritis more common in men or woman

woman

11

What symptoms would you see in RA

Recent flu

decresed range of motion

hypersalvation

incresed blood pressure

pain at rest

12

With osteoporosis what vitamins would be beneficial?

Vitamins C and D

13

What does ADPIE stand for ?

Assessement

Diagnosis

Planing

Implementation

Evaluation

14

What is crepitus ?

Grating or crackling sound or sensation with joint movement

15

What are the criteria for hospice care?

Serious and progressive illness

limited life expectancy

Informed choice of palliative care over cure-focused treatment

16

What is assisted suicide?

The use of pharmacologic agent to hasten the death of a terminally ill patient (in most states is still illegal)

17

What are the 5 stages of mourning?

1. Denial

2. Anger

3. Bargaining

4. Depression

5. Acceptance

18

According to Kubler-Ross, when a dying client pleas for more time they are in this stage.

Bargaining

19

What is lateral curvature of the spine call?

Scoliosis

20

If you have gout what foods should you avoid?

Organ meats and scallops

21

What is the medication that most used for gout?

Colchicine

22

What is Ageism?

Bias against older people based solely on chronological age.

23

What is the life expectancy you need to have in order to use hospice care ?

Less then 6 months.

24

Which is a sign of approaching death?

Mental confusing, breathing becomes irregular, loss of bladder control,eating and drinking, cool skin.

25

When a terminal ill client lash out at staff and family What stage of the Kubler-Ross what stage is the client in?

Anger

26

What is the most common affective or mood disorder of the geriatric?

Depression

27

What is the most common barrier for older clients when preforming ADL?

Chronic physical pain

28

What would effect meds dose in a older adult?

Decreased kidney function

29

What lab result would show prolonged malnutrition?

Decresed albumin

30

When giving alendronate sodium for osteoporosis a history of________ would be consider contraindication?

esophageal achalasia

31

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

32

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

33

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)

34

What is the acute condition ?

implies a curable and relatively short disease course,

35

What are some modifiable changes we can make?

Somking, diet, sexual practices, excise

36

What are some non-modifiable, thing that can not be changed?

Sex, height,genetic trait, developmental level

37

What is polypharmacy?

When a patient take 5 or mores meds at the same time.

38

What is fragility?

is an increased vulnerability resulting from age related and associated decline.

39

What is subjective?

What the client tell the nurse

40

What is objective ?

Data the Nurse obtains through observation and examination

41

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

42

what is Dementia?

Chronic, progressive and possibly w/ an unknow cause eg Alzheimer's disease

43

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

44

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

45

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

46

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

47

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

48

What is a living will?

Allows a person to document treatment in the event that the signer can not communicate their wishes directly

49

What a DNR?

A medical order to withhold CPR in the event of a cardiac arrest

50

What are 3 types of advanced directives ?

Living will

proxy directive (healthcare proxy)

Durable power of attorney