Nursing Care: Older Adults and Renal Function

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Questions and Answers

Which of the following contributors is associated with Chapter 27?

  • Janice L.
  • Casey, RN, MSN (correct)
  • Nancy E.Donegan, RN, BS, MPH
  • Phyllis Dubendorf, RN, MSN, CS-ACNP

Which chapter is not associated with Casey, RN, MSN?

  • Chapter 28: Management of Patients With Coronary Vascular Disorders
  • Chapter 12: Health Care of the Older Adult
  • Chapter 45: Management of Patients With Urinary Disorders (correct)
  • Chapter 27: Management of Patients With Dysrhythmias and Conduction Problems

What is the title of Nancy E.Donegan's chapter?

  • Chapter 28: Management of Patients With Coronary Vascular Disorders
  • Chapter 70: Management of Patients With Infectious Diseases (correct)
  • Chapter 44: Management of Patients With Upper or Lower Urinary Tract Dysfunction
  • Chapter 27: Management of Patients With Dysrhythmias and Conduction Problems

Which contributor is not a Director?

<p>Janice L. (A), Phyllis Dubendorf, RN, MSN, CS-ACNP (D)</p> Signup and view all the answers

What organization is Casey, RN, MSN affiliated with?

<p>Kaiser Permanente Mid-Atlantic Region (A)</p> Signup and view all the answers

Which contributor is associated with Chapter 43?

<p>Not provided in the content (B)</p> Signup and view all the answers

Who is the Clinical Nurse Specialist at Inova Fairfax Hospital?

<p>LaBorde, MSN, RN (A)</p> Signup and view all the answers

What is the title of the chapter contributed by Dale Halsey Lea?

<p>Chapter 9: Genetics Perspectives in Nursing Practice (D)</p> Signup and view all the answers

Where is Randolph E.Gross, RN, MS, CS, AOCN, a Clinical Nurse Specialist?

<p>Memorial Sloan-Kettering Cancer Center (C)</p> Signup and view all the answers

What is Doreen Grzelak's role at Evelyn H.Louder Breast Center?

<p>Operations Manager (A)</p> Signup and view all the answers

At what hospital was LaBorde formerly a Clinical Nurse Specialist in the Burn Unit?

<p>Orlando Regional Medical Center (B)</p> Signup and view all the answers

Who contributed to Chapter 18: Preoperative Nursing Management, Chapter 19: Intraoperative Nursing Management, and Chapter 20: Postoperative Nursing Management?

<p>LaBorde, MSN, RN (A)</p> Signup and view all the answers

What is the purpose of including guidelines on home care checklists for patients?

<p>To provide goals and management for home-based patients (D)</p> Signup and view all the answers

What is the effect of activity on tension and dyspnea in patients?

<p>Decreases tension and dyspnea (D)</p> Signup and view all the answers

What is an important consideration when assessing the symptoms of patients with terminal illness?

<p>The meaning of the symptom to the patient and their family (A)</p> Signup and view all the answers

What is a characteristic of patients with rhinitis?

<p>Edematous conchae and polyps (C)</p> Signup and view all the answers

What is an important aspect of nursing assessment for patients with terminal illness?

<p>Assessing the impact of symptoms on the patient's life (B)</p> Signup and view all the answers

What is the primary goal of including relaxation techniques in patient care?

<p>To reduce tension and anxiety in patients (B)</p> Signup and view all the answers

Why is it important to express interest in a pulmonary rehabilitation program?

<p>To improve the patient's management of dyspnea (C)</p> Signup and view all the answers

What is the role of the nurse in assessing symptoms of patients with terminal illness?

<p>To assess the impact of symptoms on the patient's life (B)</p> Signup and view all the answers

Which university is associated with the Villanova University College of Nursing?

<p>Villanova University (A)</p> Signup and view all the answers

Which chapter is related to the Management of Patients With Cerebrovascular Disorders?

<p>Chapter 62: Management of Patients With Cerebrovascular Disorders (C)</p> Signup and view all the answers

What is the title of Eleanor Fitzpatrick?

<p>Clinical Nurse Specialist (D)</p> Signup and view all the answers

At which hospital does Eleanor Fitzpatrick work?

<p>Thomas Jefferson University Hospital (A)</p> Signup and view all the answers

What is the title of Ryan R. Iwamoto?

<p>Oncology Clinical Coordinator (C)</p> Signup and view all the answers

What is the title of Hinkle, PhD, RN, CNRN?

<p>Lecturer, Acute Care Nurse Practitioner Program (A)</p> Signup and view all the answers

What is the primary concern of the patient regarding the recommended surgery?

<p>Loss of voice and livelihood (B)</p> Signup and view all the answers

What is the healthcare provider's recommended treatment for the patient?

<p>Surgery and chemotherapy (D)</p> Signup and view all the answers

What is a common problem after mechanical ventilation?

<p>Psychological dependence (A)</p> Signup and view all the answers

What should be assessed if the patient still resists weaning despite feasible physiologic parameters?

<p>Psychological dependence (B)</p> Signup and view all the answers

Why is it important to address the patient's psychological dependence before the next weaning attempt?

<p>To ensure successful weaning (C)</p> Signup and view all the answers

What is the dilemma in this scenario?

<p>The patient's right to refuse treatment conflicts with the healthcare provider's recommendation (B)</p> Signup and view all the answers

What should be considered when evaluating the patient's decision to refuse treatment?

<p>The patient's treatment options, risks, and benefits (A)</p> Signup and view all the answers

What is the primary role of the nurse in this scenario?

<p>To educate the patient about their treatment options (A)</p> Signup and view all the answers

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Study Notes

Contributors to the Medical Textbook

  • Casey, RN, MSN, Director, Regional Cardiovascular Program, Kaiser Permanente Mid-Atlantic Region
  • Nancy E.Donegan, RN, BS, MPH, Director, Infection Control, Washington Hospital Center
  • Phyllis Dubendorf, RN, MSN, CS-ACNP, Lecturer, Acute Care Nurse Practitioner Program, University of Pennsylvania
  • Janice L.Hinkle, PhD, RN, CNRN, Assistant Professor, Villanova University College of Nursing
  • Eleanor Fitzpatrick, RN, MSN, CRNP, CCRN, Clinical Nurse Specialist, Surgical ICU/Intermediate Surgical ICU, Thomas Jefferson University Hospital
  • Ryan R.Iwamoto, ARNP, MN, AOCN, Oncology Clinical Coordinator, Genentech BioOncology, Inc.
  • LaBorde, MSN, RN, Clinical Nurse Specialist, Patient Care Services, University of Arkansas Medical Sciences Center
  • Randolph E.Gross, RN, MS, CS, AOCN, Clinical Nurse Specialist, Evelyn H.Louder Breast Center, Memorial Sloan-Kettering Cancer Center
  • Doreen Grzelak, RN, MSN, AOCN, Operations Manager
  • Dale Halsey Lea, RN, MPH, CGC, APGN, FAAN, Assistant Director, Southern Maine Regional Genetics Services

Home Care Checklists

  • Include guidelines on goals and management of home-based patients
  • Activities reduce tension and decrease tolerance of dyspnea as patient becomes conditioned
  • Expresses interest in a pulmonary rehabilitation program

Physiology/Pathophysiology

  • Rhinitis: edematous conchae, polyps may develop
  • Assessment of symptoms associated with terminal illness
  • Psychological dependence is a common problem after mechanical ventilation

Procedure Guidelines Charts

  • Offer nursing activities and rationales for important skills

Dilemma

  • Patient's right to refuse treatment conflicts with family's wishes and recommendation from healthcare provider
  • Patient's decision based on all pertinent information concerning health status, treatment options, risk/benefits, and long-term prognosis

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