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Nursing unit 1 - 3
Exam on 1/12/11
| Question | Answer |
|---|---|
| What are the patient teaching points for a colonoscopy? | Provide emotional support, show how to properly attach wafer, how to properly attach bag to wafer, emptying stool from pouch and how to burp the bag. |
| What is the correct procedure for stool testing for occult blood? | Wash hands, apply gloves, use tip of wooden applicator to obtain a small portion of stool specimen, perform hecmocult slide test, dispose of contaminated items, hand hygiene and record results. |
| What are infant sleep patterns? | Usually develop a sleep pattern by 3 months of age. |
| What is the placement of an infant for sleep? | On the back. |
| What are nursing interventions for a post op patient with an epidural opioid infusion? | Prevent displacement, maintain catheter function, prevent infection, monitor for respiratory depression, prevent undesirable complications and maintain urinary and bowel function. |
| How would you chart pain described as a burning sensation in the epigastric area? | Deep or Visceral |
| Three questions on how to asses pain? | Onset and duration, intensity and location. |
| What are sleep patterns of preschoolers? | Average of 12 hours of sleep per night. |
| What are the sleep patterns of a 6 year old? | average of 11 - 12 hours of sleep per night. |
| What are the sleep patterns of an 11 year old? | Average of 9 - 10 hours of sleep per night. |
| What are sleep patterns of an adolescent? | Approximately 7.5 hours of sleep per night. |
| What are sleep patterns of the young adult? | Average of 6 - 8.5 hours of sleep per night. |
| What is the sleep pattern of middle adults? | Total time spent sleeping at night begins to decline, insomnia is particularly common. |
| What are the older adult sleep patterns? | there is a progressive decrease in stages 3 & 4 NREM sleep some older adults have almost no stage 4 or deep sleep. |
| What is a common interference with sleep? | Respiratory disease. |
| What is pain perception? | The point at which a person is aware of pain. |
| What is pain threshold? | The point at which a person feels pain. |
| What is chronic pain? | Last longer than anticipated, does not always have an identifiable cause and leads to great personal suffering. |
| What is ideopathic pain? | Is chronic pain in the absence of an identifiable physical or phychological cause or pain perceived as excessive for the extent of an organis pathological condition. |
| What are 3 questions on the teaching for a pca? | Teach patient how to use before the procedure, no risk for overdose, only the paitent allowed to push the button, have patient demonstrate administering medicine. |
| Considerations for a patient receiving round the clock opioid pain medicine? | Monitor respiratior because opioid can depress respiratory, educate on side effects, constipation, itching, nausea, vomiting, altered mental processes. |
| How to instruct a patient on the use of a TENS unit? | TENS-A battery powered transmitter with lead wires and electrodes. Place electrodes directly over the site of pain and turn transmitter on. When feeling pain patient adjust the intensity and quality of skin stimulation. |
| What types of patients are at risk for sensory alterations? | Older adults, people living in confined environment. |
| Nutritional therapy for the first few weeks for a post op colonoscopy patient? | Foods low in fiber. |
| In what type of patient would you request an order for a stool softener to prevent the patient from performing a valslava maneuver? | Patients with cardiovascular disease, glaucoma, increased intra-cranial pressure or new surgery wound. |
Created by:
bobbiemills
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