NSG-430: Exam 1 Materials
What is included in the loss of facial muscle tone? - CORRECT ANSWER -- Sagging jaw
- Difficulty speaking
- Loss of gag reflex
- Swallowing can become more difficult
What are a few examples of patients who would be in the PCU? - CORRECT
ANSWER-Patients:
- Awaiting stent placement
- Awaiting heart transplant
- Receiving stable dose of vasoactive IV drugs
- Being weaned from prolonged mechanical ventilation
Alterations in ventilated & immobile clients are at an increased risk for what? - CORRECT ANSWER -- Anxiety & pain
- Impaired communication & sensory-perceptual problems
- Poor sleep & nutrition
Explain rapid response for unstable patients - CORRECT ANSWER -- Provides rapid assessment & intervention
- Non-ICU patients experiencing acute clinical deterioration
- Reduce cardiopulmonary arrests outside ICU
What is the goal of rapid response? - CORRECT ANSWER -Improve the patient's outcome
Describe what it means by: recognize urgent unmet needs of patients - CORRECT
ANSWER-- Timely identification of clinical deterioration
- Prompt activation of the team
Describe delays in recognition - CORRECT ANSWER -- Failure to monitor
- Failure to recognize problems
- Failure to escalate
Describe patient/family activation in regards to rapid response - CORRECT ANSWER -- Might result in significant increase in unnecessary calls
- Overwhelms staff & resources
Define palliative care - CORRECT ANSWER -Care or treatment that focuses on reducing the severity of symptoms
- / 2
What type of patients should be placed on palliative care? - CORRECT ANSWER -- Those who are receiving curative or restorative care
- Those diagnosed with a life-limiting illness
Define hospice care - CORRECT ANSWER -- Curative care is forgone
- Requires physical certification that life expectancy is 6 months or less
Explain the role of spirituality at the EOL - CORRECT ANSWER -Associated with decreased despair
- A patient may have no faith but deep spirituality
Explain addiction in terminally ill patients - CORRECT ANSWER -It is not a concern when providing comfort for the patient
What do you never call a person who recently passed away? - CORRECT ANSWER - "The body"
What are physical manifestations at the EOL? - CORRECT ANSWER -- Metabolism is decreased
- Body function slows down until all functions end
- Respirations generally ceases first: heart stops beating within a few minutes
Explain the physical manifestations of the respiratory system at the EOL - CORRECT ANSWER-- Irregular breathing that gradually slows
- Cheyne-strokes respiration
- Inability to cough or clear secretions
When do patients begin exhibiting the early & subtle signs of deterioration? - CORRECT ANSWER-6-8 hours before cardiac or respiratory arrest
What will incompatible drugs in an IV line look like? - CORRECT ANSWER -White crystal precipitate
Explain the purpose of progressive care units (PCUs) - CORRECT ANSWER -- Provides a transition between the ICU & the general care unit or discharge
- Provides critical care nursing for an at-risk patient population in a more cost-effective
environment
Describe cheyne-strokes - CORRECT ANSWER -Alternating periods of apnea & deep, rapid breathing
Explain the "death rattle" - CORRECT ANSWER -- AKA terminal secretions
- Caused by mouth breathing & accumulation of mucus in the airways
- / 2