Final Exam and HESI ReviewPOWERPOINTNU2740revised.pptx

Elderly people with alzheimers may forget to eat and

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Elderly people with Alzheimer’s may forget to eat and often have very erratic intakes, putting them at risk for dehydration, which is best monitored via daily weights, since hydration can change so quickly in an elderly, confused person.
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HYPOKALEMIA AND BULIMIA 39. Hypokalemia results from potassium loss associated with vomiting. Physiological integrity can be maintained if the patient can self- diagnose potassium deficiency and adjust the diet or seek medical assistance.
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LITHIUM 40. Bipolar patients are maintained on lithium indefinitely to prevent recurrences. Helping the patient understand this need will promote medication compliance . It is expected that the patient will take medication for a long time.
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SSI 41. Supplemental Security Income is for disabled persons who have economic need but who have not worked long enough to be eligible for Social Security Disability Insurance.
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SCHIZOPHRENIA PTS 42. Asking for others to share their experiences will facilitate discussion of an issue. Giving information may serve to close off discussion of the issue because it sounds final. Nurse to ask how others in group handled painful feelings like these.
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DISENFRANCHISED GRIEF 43. The nurse is experiencing disenfranchised grief. Nurses often incur loss that is not openly acknowledged or publicly mourned. Loss of a patient may not be recognized or acknowledged by others, so the grief is solitary and uncomforted and may be difficult to resolve.
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NEUROLEPTIC MALIGNANT SYNDROME 44.Neuroleptic malignant syndrome is a life- threatening reaction to antipsychotic medications that presents with increasing muscular stiffness (leading to rigidity), hyperpyrexia, autonomic nervous system instability, diminished level of consciousness, and other symptoms. Emergency cooling measures are indicated for hyperpyrexia, and because this is a dangerous medical emergency, care in a medical unit (preferably intensive care unit) is required stat.
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COMPLEX EMOTIONAL NEEDS 45. Many nurses tend to be more comfortable with meeting physical needs than in focusing on emotional needs. Standard precautions are necessary for all patients. Patient’s lifestyle is irrelevant.
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DEFINE H1 RECEPTOR 46. H 1 receptor blockade results in weight gain, which is undesirable for an obese patient. Blocking of the other receptors would have little or no effect on the patient’s weight.
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RELAXATION TECHNIQUE 47. Pain is increased when the patient has muscle tension, and relaxation can diminish the patient’s perceptions of the intensity of pain. Antidepressants have also been shown to be helpful in reducing somatization of emotional needs.
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SOCIAL SKILLS TRAINING 48. Assertiveness training would give the patient the skills she needs to assert herself and assure that her needs are met. Social skills training is helpful in treating and preventing the recurrence of depression but does not necessarily address passivity.
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PERSONALITY STYLE 49. Patients whose personality style causes them to externalize blame see the source of their discomfort and anxiety as being outside themselves—in others or in the environment. In this case, the patient displaces anger about his illness and resulting discomfort, and his distress is blamed on the nurses. This dynamic is supported by the patient’s history.
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