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NR 326 Final Exam|75 Questions with complete Accurate Answers
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NR 326 Final Exam|75 Questions withcomplete Accurate Answers
Dilsulfiram (Antabuse) - medication to help an alcoholic client maintain
sobriety
-medications for patients withdrawing from alcohol (classes) - thiamine,
benzodiazepines, anticonvulsants, vitamins
-signs and symptoms of patients withdrawing from alcohol - tremors, change
in mental status, weakness, anxiety, mood changes, increased temp, heart
rate, respirations, insomnia, N/V, diaphoresis, hypertension
-When do alcohol withdrawal symptoms begin? - within 4 to 12 hours of
cessation or reduction of prolonged and heavy use
-basic principles of AA - admitting you have a problem
admit powerlessness over the substance
not responsible for the disease, but responsible for the cure
believe in a higher power
accept alcohol as a disease and know the only answer is abstinence
understand that lives are unmanageable with alcohol use / correlate life
problems with alcohol use
-substance abuse disorder defense mechanisms - denial, rationalization,
projection, compensation
-interventions for alcoholic patient - -Check labs - AST/ALT/ CPK/Blood
alcohol level/obtain urine specimen, CT scan, check pupils. Know how to
assess alcoholic
-Put on seizure precautions
-Give Antabuse
-Assess for suicidal ideations
-interventions/caring for Alzheimer's - provide consistent routine, safety,
locks on doors, redirect, talk to patient step by step
-interventions for dementia - don't give too much information at once, limit
choices
-teaching the family of patient with primary dementia/Alzheimer's - -expect
progressive forgetfulness
-forgetfulness will gradually get worse until the patient is disoriented
-forgetfulness is progressive and irreversible
, -you can tell the family that they can bring personal items from home to help
the patient remember things and be more comfortable
-what to do if suspected child abuse and what to do if it is challenged - -
report immediately
-if challenged, state it is legally required
-reasons to suspect child abuse - child is knowledgeable about sexual
information, broken bones, stories don't match up, child is afraid to answer
questions in front of parents
-conduct disorder - -defiant against authority
-Repetitive and persistent pattern of behaviors in which the basic rights of
others or major age appropriate societal norms or rules are violated
- Childhood onset develops before the age of 10
- Males are more prevalent
- Adolescent onset occurs after the age of 10
- The ratio of males-to-females is equal in the adolescent stage
- Physical aggression and peer relationships disturbed
- Behaviors affect all areas of child's life
- Stealing, lying, and truancy
- Lacks feelings of guilt or remorse
- Use of substances, sexual activity occur earlier
- Can demonstrate signs of suicidal ideation
- Demonstrates physical cruelty to animals
- Believes that aggression is justified
- Learning disorders or impairments of cognitive functioning
- Has run away from home
- Defense mechanisms such as projection
- Low self-esteem
- Poor frustration
- Irritability
- Frequent temper
- Anxiety and depression are common
- Low IQ
- Manifestations of ADHD are common
-secondary prevention - the level of prevention that nurses take when
patients are in hospital
- ex. pt. coming in after suicide attempt
-body dysmorphic disorder - incorrect perception of body image
-signs and symptoms of patient with anorexia nervosa - low bone density,
bradycardia, constipation, hypotension, amenorrhea, altered body image,
excessive exercise, hyperactive, lanugo
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