1538 EXAM IV QUESTIONS AND
ANSWERS
Complicated Grief - Answer--a person has a prolonged or significantly difficult time
moving forward after a loss
not accepting
-not changing things/keeping everything the same, stop caring for themselves,
substance and alcohol abuse, not leaving house
Interventions to promote grieving infant loss - Answer--Listen
-therapeutic communication
-No remarks towards responsibility
-allow goodbyes
-home visits
-support groups
Exemplers of infant loss - Answer--Prenatal diagnosis of congenital heart defects
-amputation
-Mi
-stillborn
-terminal illness
Signs and symptoms of imminent death - Answer--Cessation of heartbeat, respirations,
or irreversible brain function
-Decline in physical function
-weakness
-unable to swallow (anorexia)
-pooling of blood
-breathing patterns (shallower)
-muscles relax
-bowels release
Preactive Phase (Death, 2 weeks) - Answer--reports seeing people who have already
died
-requests family to settle "unfinished business"
-Cant heal/recover from wounds
-Increased edema in extremities and body
Active Phase (Death, 3 days) - Answer--Coma/semi coma state
, -Longer periods of apnea
-resp. pattern disruption (cheyne stokes)
-increased fluid In lungs
-inability to swallow
-pt states they are going to die
-sleep all the time
-hypotensive
-urine becomes dark brown
-cool to touch in extremities
Prostate cancer (definition) - Answer--slow growth confined to the prostate gland
-can spread to other parts of body (metastasized)
Prostate Cancer Complications - Answer--ED
-Incontinence
-Cancer that spreads
Neutropenic Precautions: - Answer-immunocompromised, starts at WBC of 1K,
enforced at 500, strict hand washing, private room, no raw veggies/fruits, no flowers,
masks, daily baths, visitors are restricted
Prostate Cancer Diagnosis - Answer-Biopsy
PSA level
immunizations with chemo - Answer-physicians specific
skin cancer - Answer-A-assymetry
B-border
C-color
D-diameter
E-elevation
Autonomic Dysreflexia - Answer--sudden onset of excessively high blood pressure
-bowel and bladder habits (full bladder/bowel)
-last BM
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