NR226 FINAL REVIEW

Flashcards for Nursing Exam Review

Sleep hygiene

Knowing and refreshing good sleep habits.

Examples of sleep hygiene

Shutting off electronics, meditation, workout early, less caffeine.

Narcolepsy

A condition where a person is at fall risk and should live with someone.

Restless Leg Syndrome

Leg moves at night, so PT can't sleep, ask PT if they need a sleeping aide.

Common sleep issues in kids/pre-schoolers

Night terrors and sleepwalking.

How to promote more sleep for a patient

Cluster care.

How to know a patient with insomnia is getting more sleep

Patient reports they are more rested.

If a patient reports 10/10 pain, what should you do?

Believe them, and scale it.

Tylenol

Not appropriate for high pain levels.

How to assess a wound after colon removal

Pain assessment via OLDCARTS.

PCA pump

Patient can medicate themselves.

PCA pump function

Controls how much medication a patient can get and monitors respirations.

Chronic pain consideration

Do not accuse patients with chronic pain of drug-seeking behavior.

What to do if a patient in constant pain can't sleep

Offer pain relief medication.

Nursing priority

Treating acute pain.

Patient still in pain 15 minutes after pain medication

Educate the patient that it will take a while for the pain medication to take effect. Distract PT.

Hypoactive bowel sounds S/P

Normal immediately after surgery.

Hypoactive or missing bowel sounds

NOT normal 3 days post-op.

Pre-op #1

Consent form.

Order of pre-surgical assessment

General survey first, then IPPA.

Preventing skin breakdown

Reposition every 2 hours.

Atelectasis treatment

Spirometer and ambulate sooner rather than later.

Blood clot treatment

Heparin/Warfarin and sequential compression devices.

Pressure injury treatment

Reposition every 2 hours and increase protein in their diet.

Priority system S/P surgery

Respiratory.

Respiratory comes first

Assess lung sounds.

Hypovolemia

Circulation issue.

GI complications

Paralytic ileus/dehiscence.

Older adults

Be wary of isolation; encourage group activities.

Older adult retires

An adjusting phase.

Older adult red flag

NOT socializing is a red flag

Hearing aids

Talk face to face, speak slowly and clearly, no shouting, allow time to respond.

Common aging signs

Skin and urinary changes.

UTI in elderly

Frequent bathroom visits.

BPH

Nocturia and weak stream.

Safety risks

Assess for fall risks.

Family needs for new Alzheimer's diagnosis

Counseling/support groups.

Examining an older adult

Give them time, incorporate rest, and limit position changes.

Stoma appearance

Beefy red and moist.

Brand new stoma

Slight bleeding and swelling.

Not normal stoma

Pale or purple.

If you can't see the stoma

Change the colostomy bag.

Ostomy

Another word for stoma.

Additional considerations for ileostomy

Increase fluid intake and perform more frequent skin cleanings.

Maladaptive grief

smoking, drinking, not sleeping.

End of life priority

Comfort care.

Colorectal Cancer risks

Crohn’s disease, tobacco use, and polyps.

1 Priority

Airway.

Crohn's Disease Treatment

Reduce stress and medication like steroids.

Ulcerative Colitis (UC) and Crohn's disease

genetic conditions that can only be TX (treated) symptomatically.