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NUR 2214 Exam 3 Study Guide Questions with Complete Solutions
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NUR 2214 Exam 3 Study Guide Questionswith Complete Solutions
Side effects of chemo - -nausea/vomiting
fatigue
diarrhea
loss of appetite
mouth sores
thinking and memory problems ("chemo brain/fog")
-Interventions for chemo fatigue - -encourage rest periods
routine sleep schedule
do NOT cluster care
-A child with chemo? - -Be careful with live vaccines (rubella)
-Nausea and vomiting with chemotherapy: - -antiemetics 1 hour before and
after
-Peripheral IV chemo priority - -extravasation is top concern, check IV site
frequently
-Describe the pathophysiology of sickle cell anemia - -Red blood cells are
sickle-shaped, and unable to carry oxygen properly
Sickle cells stick together decreasing blood viscosity and causing hemolysis
-Peds PT teaching for Sickle Cell - -Hydrate
No strenuous Activity
Monitor RR
Avoid stress
Pay attention to temperature/altitude
Seek treatment ASAP when there is a crisis
Fatigue and pain are indications for a crisis
-Priority care in a sickle cell crisis - -hydration
oxygen
pain
-Adolescents smoking - -Stunt development
Increase in CV disease chance
Gateway behavior
Smoking is becoming less prevalent with adolescents
-Parents with smokers? - -Increase the likelihood of children smoking.
, -Signs of PT violence - -restlessness
pacing
high voice
high stress
rigid posture
clenching jaw
narrowed eyes + eye contact
-What is NOT a sign of aggressive behavior (so dont mistake it for one) ? - -
Crying
-PT in restraints - -assess constantly for:
Cyanosis
Tingling
Redness
Complaining
-IPV questions - -do they have a plan
do they have access to resources
-IPV intervention PRIORITY - -Build TRUST + RAPPORT
-One thing to know about alcohol tolerance - -it develops through use
-Priorities with alcohol withdrawal - -Safety: Seizures and delirium
-Safety for withdrawl - -fall precautions
seizure precautions (limit stimulation)
-CAGE screening questions: - -"Have you ever felt that you need to cut
down on your drinking?"
"have people annoyed you by criticizing your drinking?"
"Have you ever felt guilty about your drinking?"
"Have you ever need a drink first thing in the morning to cure a
hangover/steady nerves?"
-Statements that qualify a problem: - -"I dont have a problem"
"I can quit any time"
-Spouse needs to be aware of what during rehab?" - -relapses
agitation
the fact that alcohol was their coping mechanism
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