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2024 N546 EXAM 1 WITH CORRECT ANSWERS
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2024 N546 EXAM 1 WITH CORRECT ANSWERS
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2024 N546 EXAM 1 WITHCORRECT ANSWERS
Cascade iatrogenesis - CORRECT-ANSWERSa spiraling unintended decline of
health from a series of severe effects caused by medical intervention
Examples of cascade iatrogenesis - CORRECT-ANSWERSpressure ulcers
medication errors
delirium
falls
physical restraint use
hospital mortality
hospital length of stay
hospital readmissions
Why do we need transitional care models? - CORRECT-ANSWERSFocus on
keeping patients out of the hospital
What are transitions of care? - CORRECT-ANSWERSanytime the patient's care
transfers to/from the: doctor's office, ER, hospital, home health, anyplace
that health care information is shared
Information handoff leads to - CORRECT-ANSWERSconfusion
unnecessary tests
inconsistent patient monitoring
medication errors
delays in diagnosis and treatment
poor quality of care in all settings
unnecessary clinic ED and hospital visits
animosity between sites
frustration
when are we warmest in body temperature? - CORRECT-ANSWERSnight
Age related changes that affect body temperature (hypothermia) - CORRECT-
ANSWERSdecreased cardiac output
delayed or diminished shivering
decreased muscle mass (less contraction)
inefficient vasoconstriction
decreased fat
decreased CNS function
, diminished peripheral circulation
Age related changes that affect body temperature (hyperthermia) -
CORRECT-ANSWERShigher threshold for onset of sweating
diminished response when sweating occurs
dulled sensation of warm environments
renal and cardio changes
diminished thirst sensation which can lead to inadequate fluid intake
what is a febrile response - CORRECT-ANSWERSfever in response to cancer,
infection, dehydration, connective tissue disease (starts being blunted at 40,
50 -- likely to be very subtle in an older adult)
Meds that may contribute to hypothermia - CORRECT-ANSWERSopioids
antipsychotics
barbiturates
benzos
tricyclic antidepressants
alcohol
(suppress shivering, induce vasodilation, affect CNS)
Meds that may contribute to hyperthermia - CORRECT-ANSWERSdiuretics
(diuresis)
cardio agents
anticholinergic agents (interfere with sweating)
Atypical presentation of infection - CORRECT-ANSWERStemperature variation
(often subtle)
change in mentation
change in function
often overlooked
Risk factors for hypothermia - CORRECT-ANSWERS75+
adverse environmental temperatures
pathophysiologic alterations
SES conditions related to poor housing
alcohol
stroke
dementia
diabetic ketoacidosis
endocrine disorders
malnutrition
parkinson's disease
renal failure
meds
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