MILESTONE EXAM 2 NEWEST ACTUAL 2024 EXAM WITH WELL DETAILED ANSWERS BY EXPERT
The nurse is reviewing blood pressure readings for a group of client's on a medical unit. Which client is at the highest risk for complications related to hypertension? - B. Middle-aged African-American male who has a serum creatinine level of 2.9 mg/Dl
Medication adverse reactions care (schizophrenia) - Constipation is a common side effect of antipsych meds, polydipsia occurs after years of treatment
Nurse can help minimize effects of delusions with distraction techniques, music, tv, writing and talking to friends, positive self-talk and positive thinking
Hypothyroidism - Sleep/ Depression - - Depression can result from untreated hypo
- falling/staying asleep difficult = avoid sedation
- frequent rest but stay action
Valve replacement teaching - o Anticoagulant therapy (frequent follow-up/lab tests)
§ Pt on warfarin has specific normal ratios
o Prevent infection
o ANTIBIOTIC PROPHYALXIS FOR DETAL PROCEDURES!!!
Cancer intractable pain plan of care - o Pain, other symptoms and side effects are managed based on the best available evidence, with attention to disease-specific pain and symptoms, which are skillfully and systematically applied. ??????
Schizophrenia nursing diagnoses and interventions - - Dx: 2 or more S&S for over 6 mo (Positive= delusions, hallucinations, disorganized speech or Negative= 6 A's Anhedonia, Flat Affect, Apathy, Anergia, Algogia, Avolition)
-Establish rapport and trust, ask about hallucinations, distract, lower environmental stimuli, monitor suicidal ideation, 1st or 2nd generation antipsych
Grief process therapeutic response - Allow the 5 steps of grieving (DABDA), active listening and offer a supportive presence
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