PN1 finals Study guide. Rasmussen College. 1. What test can diagnose osteoporosis only?
Dexascan
2. Gout patients may have nodules, they are called
Tophus
3. Which disease does not have pain associated with it?
Osteoporosis
4. What task can you delegate to a CAN
Backrub (DO N...
1. What test can diagnose osteoporosis only?
Dexascan
2. Gout patients may have nodules, they are called
Tophus
3. Which disease does not have pain associated with it?
Osteoporosis
4. What task can you delegate to a CAN
Backrub (DO NOT delegate what you can EAT! E - evaluate. A - assess. T – teach)
5. Which is not a component of evidence-based practices
Leader practices
6. When an IV is infiltrated, the priority nursing intervention is
Stop the IV fluid
7. Who is at the greatest risk for dehydration?
An elderly dementia patient
8. The best indicator of fluid status is
Daily weights
9. When giving Alendronate to a patient, tell the patient to
Drink a full glass of water with it
10. If a patient needs to increase their magnesium level, they can eat
Nuts
11. What should a patient eat to increase calcium levels?
Chocolate, salmon and 2% milk
12. Which is NOT a sign/symptom of inflammation?
Pallor
13. So, a newborn does not lose heat to evaporate the nurse should?
Dry the baby
14. You should have this medication available in case of an adverse reaction with narcotics
Naloxone
,15. What is the main aspect of maintaining a culture of safety in a healthcare setting?
Communication
16. Which behavior best indicates a patient is experiencing acute changes related to pain?
Inability to concentrate
17. Older people have a diminished ability to regulate body temperature because?
Decreased metabolic rates
18. A fever of 99.8 degrees Fahrenheits over the last 24 hours. The fever would be classified as
Remittent
19. Which intervention would best prevent falls in an older client?
Exercise regularly
20. Elderly client scheduled for surgery the outcome of the surgery would depend upon?
Patients severity of illness
21. Breakthrough pain
A sudden increase in pain that may occur in patients who already have chronic pain
from cancer, arthritis, fibromyalgia, or other conditions. Breakthrough pain usually
lasts for a short time.
22. Morphine
Watch respiratory rate when administrating morphine. Monitor for respiratory
depression.
23. Manage pain
Patient should be the best way to determine pain. Since pain is subjective, self-report
is considered the Gold Standard and most accurate measure of pain.
24. PCA pump
Use pain scale to determine pain for themselves.
25. Chronic pain
Assess pain to be able to treat properly. Assess pain 60 mins after oral, IV assess 15
minutes after giving pain meds. If pain is not managed, call doctor to get a new plan.
Alzheimer’s patients cannot communicate effectively and might not request pain
meds. Hot and cold application; check skin for skin redness, hot or cold burns.
Adjuvant medications can be given for chronic pain; Tricyclic anti-depressants,
Anticonvulsants- Gabapentin, Corticosteroids, Muscle relaxants- methocarbamol,
, baclofen and benzodiazepines, Sedatives - midazolam (Versed), diazepam (Valium),
or lorazepam (Ativan).
26. Common side effects of morphine
Constipation
27. Hyperthermia
28. Medications for osteoporosis
Boniva is part of a class of osteoporosis drugs known as bisphosphonates, which help
build and maintain bone density (a measure of bone strength) in people with
osteoporosis. Other drugs in this class include Actonel and Fosamax, but these must
be taken daily or weekly.
29. Understanding teaching about alendronate
Cannot lie down after taking drug
Before meals empty stomach
Full glass of water
Taken without any other medications
30. Know medications
Dulcosate – Colace
Nystatin – fungal
Alprazolam - zanax
31. Expect not to find in osteoarthrosis
Asymmetrical involvement
32. Osteoporosis
No pain involved until a bone is broken
33. Pain is not associated with this disease
Osteoporosis
34. What part of restraints assessment can be given to UAP?
Check circulation, put it on and take it off.
35. Patient has history of falls
Get a family member to stay with patient
36. Lyme’s disease
What have they done outside lately?
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