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SG Ch17-Ch20
Fundamentals on Hygiene, Comfort and Sleep, Safety and Pain
| Question | Answer |
|---|---|
| Nocturnal enuresis | bed-wetting. |
| Sundown syndrome | the onset of disorientation as the sunsets. |
| Somnambulism | sleepwalking |
| Sordes | dried crusts containing mucus microorganisms and epithelial cells shed from the mucous membrane. |
| Sunrise syndrome | early morning confusion. |
| Phantom limb | an example of neuropathic pain in which a person with an amputated limb perceives that the limb still exists and feels burning, itching, and deep pain in tissues that have been surgically removed. |
| Hypersomnolence | excessive sleepiness or drowsiness. |
| What the acronym RACE | R- Rescue, A- Alarm, C- Confine (the fire) E- Extinguish |
| What is the acronym for using a fire extinguisher, PASS? | P- Pull the pin, A- Aim the nozzle at the base of fire, S- Squeeze the lever slowly, S- Sweep the nozzle from side to side. |
| What are hypnotics? What do they interfere with? | Sleep inducing agents. They can produce wakefulness or restlessness in older adults. |
| What is phototherapy? | a technique for suppressing melatonin by stimulating light receptors in the eye. |
| What is milk of magnesia used for? | reduces oral acidity and is soothing to oral lesions. |
| What is a TENS unit? Who is it contraindicated for? What is one of the advantages of using this? | transcutaneous electrical nerve stimulation- a medically prescribed pain management technique tht delivers bursts of electricity to the skin and undelying nerves. Pregnant women. It is a nonopioid, noninvasive with no harmful side effects. |
| What is referred pain? | discomfort perceived in a general area of the body, usually away from the site of stimulation. |
| What is pain threshold? | the point at which sufficient pain-transmitting stimuli reach the brain. |
| The best room temperature is 68-74 degrees F. | True |
| The best relative humidity for a pt's room is 30-60%. | True |
| What is NREM? What is REM? | NREM- nonrapid eye movement sleep. REM- rapid eye movement sleep. |
| What is a PCA? What is it used for? | an intervention that allows clients to self administer opioid pain medication through use of an infusion device. It is used primarily to relieve acute pain after surgery. |
| When accidents occur you should always check the condition of the patient first. | True |
| What would you do for a patient with seasonal affective disorder? | Phototherapy, |
| Who is a back rub contraindicated for? | |
| What signs may suggest carbon monoxide poisoning? | Nausea, vomiting, headache, dizziness, muscle weakness, confusion, shortness of breath, cherry-red skin color, loss of consciousness. |
| What chemical substance is secreted by the pineal gland and results in drowsiness? | melatonin |
| What is nocturnal myoclonus? | rapid muscle contraction usually at night. |
| What is the effect of L-tryptophan on sleep process? What foods have this in them? | Sleep producing, it's found in foods such as fish, poultry, eggs and legumes. |
| What is the gate-control theory? | sensory info travels over slow small fibers as well as fast large fibers. Slow fibers, through which pain stimuli travel, open gates w/in the spinal cord, allowing its transmission toward the brain. |
| What are the sleep patterns of the elderly? | older adults suffer disproportionately from chronic sleep deprivation. They awaken more frequently during the night. |
| What type of pain is usually experienced at the subcutaneous level? | cutaneous pain caused by some form of trauma. |
| When applying a wheelchair restraint what measures should be applied? | the nurse must position the patient correctly. |
| What is a sign or characteristic of chronic pain? | remote onset, nonspecific and generalized, poor response to drug therapy, requires more drug therapy, persists beyond healing stage, suffering is intensified,, |
| What techniques are used when providing routine perineal care? | prevent direct contact b/w you and any secretions, cleanse so that secretions are removed from less soiled to more soiled areas. |
| What stage of sleep do dreams occur? | NREM 3 sleep |
| What is another name for atypical pain? | neuropathic |
| What are some behaviors after a post-fall syndrome? | gait changes, and being overly cautious |
| What substance naturally occurs in the body to reduce pain? | |
| What measures would be best for promoting sleep? | |
| What type of pain management blocks the perception of pain in the brain? | |
| When do you change the water during a bed bath? | |
| What might be used to clean dried blood? | |
| When is seasonal affective disorder most likely occur? | |
| What is nocturnal myoclonus? | rapid, rhythmic contraction of a group of muscles occurring at night. |
| What has to be done when using restraints? What are the risks involved? | |
| What patients must have proper foot care provided? | diabetics |
| What is narcolepsy? What is best used for this disorder? | characterized by the sudden onset of daytime sleep, treatments include Ritalin, Adderall, and some antidepressants. |
| In sleep apnea, the treatment of choice is? | cpap machine |
| What can lemon glycerin swabs for long periods of time cause? | |
| What is the most prevalent type of accident experienced by older adults? | falls |
| When there is smoke and you are rescuing a patient, what should you do? | RACE- rescue, alarm, confine, extinguish |
Created by:
Jessica Venyke
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