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PNVN 1631 – Quiz 1, 2026 – Study guide and practice material-3.docx
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Age related changes of peripheral circulation? - correct answer ✔✔ Decreased cardiac output, The chambers are less elastic, the heart takes longer to fill heart valves become more thicker and more rigid. Why is blood pressure important? - correct answer ✔✔ it can reflect the adequacy of blood flow throughout the body Know cholesterol levels (LDL HDL TRI)? - correct answer ✔✔ Total cholesterol = < 200 HDL= 60+ (the higher the better). Low HDL is a risk factor for CV disease LDL less than 100 TRI < 150 Know changes of care regarding terminally I'll pts over 20 to 30 years? - correct answer ✔✔ With Hospice nowadays we are wanting for family to be more involved. Having the patient able to pass away at home, and Hospice means that you are actively dying, wanting the patient pain to be tolerable. How perceived loss is different than actual loss? - correct answer ✔✔ Not all losses are obvious or immediate. Actual loss is obvious like losing a limb. Perceived loss is not-so- obvious losses like getting a divorce. How to assess people who are grieving? - correct answer ✔✔ The five aspects of human functioning: Physical, emotional, intellectual, sociocultural, and spiritual. Assess each area, using the nursing process, understand the patient's needs and provide appropriate intervention.
Why do dying patient's hit call light so much? - correct answer ✔✔ Patient does not want to be alone / die alone. How would family like to be involved in care of dying family member? - correct answer ✔✔ Be present and at bed side. They may want to sit and talk to them or read a book to them or just sit and hold their hand. What does unresolved grief look like? - correct answer ✔✔ Hostility, irritability, or agitation toward someone connected to the death. Withdrawal and detachment from family, friends, or at school. Lack of trust in others. Problems sleeping (fear of being alone at night). If already dying, why would you stop tube feedings? - correct answer ✔✔ gagging, tube complications (e.g., blockages or infections), discomfort, aspiration pneumonia, pressure sores, bloating and a sense of "drowning" or feeling "trapped." TEE- what it is and does? - correct answer ✔✔ Transesophageal echocardiography (TEE) is an ultrasound technology that provides highly detailed images of the heart and its internal structures. Our heart experts use TEE to detect blood clots, evaluate heart valves, and guide treatment for arrhythmias (abnormal heartbeats) and many other heart conditions. What do I need to evaluate on patient returning from cardiac lab? - correct answer ✔✔ Monitor incision for hematoma and leakage. What is Metabolic syndrome? - correct answer ✔✔ A cluster of conditions that increase the risk of heart disease, stroke, and diabetes. What statin stands out for being different? - correct answer ✔✔ Lovastatin needs to be given at the last meal of the day, while the other statins are given at bedtime.