Exam 1 - NSG 430 Questions With Complete Solutions

Palliative Care correct answer: Care or treatment focusing on reducing the severity of symptoms; curative treatment can be involved Hospice Care correct answer: treatment of the terminally ill with the goal of helping them to die comfortably, without pain; curative care is forgone Physical manifestations of EOL - respiratory correct answer: Cheyne-Stokes respirations, death rattle, terminal secretions, loss of gag reflex (risk for aspiration) Physical manifestations of EOL - integumentary correct answer: Mottling, cyanosis in nail beds, cold/clammy skin, and "waxlike" skin very near death Decisional capacity correct answer: ability to consent to or refuse care Tissue/Organ donation correct answer: Some used within hours, notify physician immediately What guides our care? correct answer: Code of Ethics - relieve suffering Principle of Beneficence - care is provided to benefit Standard of Care - define nursing acts that are required for safe and competent care Assessments - last hours of life correct answer: limit to comfort measures, concerns about pain and respiratory should be addressed, emotional/comfort support Postmortem Care correct answer: close pt's eyes, replace dentures, wash/position body - allow family privacy Classic triad of DKA correct answer: hyperglycemia (250) ketones acidosis Other manifestations of DKA include correct answer: profound dehydration tachycardia fruity breath (early signs) - weakness/lethargy DKA treatment includes correct answer: IV fluids regular insulin - 0.1 U/kg/hr