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28 Cards in this Set
- Front
- Back
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The biggest safety concern for pts that are having sleep problems is ?
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driving while sleepy
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A pt tells you that she is going to bed at her regular time each night, but she is not falling asleep for over 45 minutes. The time it takes for someone to fall asleep is the ? period
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latency
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The longest REM sleep occurs at the ? of the sleep cycle and is the reason why we wake up remembering our ?'s
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end,
dream's |
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?'s suppress slow wave/Delta wave sleep which is stages ? and ? of NREM.
?'s suppress REM sleep. |
Benzo's,
3 & 4, SSRI's |
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Tx with Trazodone(Desyrel) which is an ? med does not automatically result in improvement in sleep in depressed people.
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anti-depressant
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A pt is having trouble sleeping at night but is having napping episodes during the day, what might the nurse expect to be prescribed to help this pt stay awake during the day?
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Ritalin
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A pt tells you that she is having extended sleep patterns but is still waking up feeling unrested, what do you the nurse believe is the sleep disorder is that will be Diagnosed?
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hypersomnia
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A pt has been administered an EEG test after drinking alcohol. The test will probably show that the pt never reached ? sleep due to the consuption of this CNS depressant.
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REM
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A Dr. tells the pt that he is going to prescribe a category of antidepressant meds for her sleep disorder that will have less side effects than other antidepressants. What category does the nurse expect the Dr. to prescribe from?
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SSRI's
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A skilled practioner is placeing needles into the skin of a pt at ? points to modulate the flow of qi. This traditional chinese medicine practive is called ?
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meridian,
acupuncture |
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The practitioner uses small doses of plant extracts, herbs, minerals and othe material to sitmulate the body's defenses this is the practice of ?
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Homeopathy
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? emphasizes health restoration rather than disease tx and combines nutrition, homeopathy, herbal medicine, hydrotherapy, light therapy, therapeutic counseling and other therapis.
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Naturopathy
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Prayer and ? are known to help pts with their problems.
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spirituality
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A pt tells you that he is using different scents around his house to help him relax. You the nurse know that there is no scientific backing for this form of therapy known as ?
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aromatherapy
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A pt is suffering with a TBI post MVA. Which meds do you the RN know to avoid that may lower the seizure threshold?
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Wellbutrin and
typical antipsychotics |
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A pt is confused and agitated what meds does the RN know to avoid that may further confuse this pt?
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Lithium,
Benzo's, Anticholinergics |
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A TBI pt is having cognitive difficulties that are affecting his concentration, his memory, and his decision making. What class of medication do you expect the Dr. to prescribe from
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SSRI's
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A TBI pt is feeling anxious what two classes of meds do you expect the Dr. to prescribe from ? and ?
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Anxiolytic (for short term)
SSRI |
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A TBI pt is feeling depressed, is showing signs of irritability and has poor frustration tolerance. What two classes of meds do you expect the Dr. to prescribe from?
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Anti-epileptics,
SSRI |
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What med will the Dr. prescribe for a pt suffering with a seizure?
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Dilantin
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A 79yo elderly white male states "everyone must die" what assessment would you make?
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assess for suicide
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What is the priority for a pt that is having an active seizure?
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protect the airway
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A pt that is in stage 3 of AD and is having apraxia difficulties may need ? direction so that they can accomplish ADL's.
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specific
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A pt in on your unit is being administered Heparin via IV drip. She tells you that she takes vitamin E as a supplement, what do you need to keep an eye out for?Why?
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bruising, b/c Vit E has anti-coagulation properties so the two meds together could potentiate blood thining.
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A 6 yr old boys parents tell you that not long after he goes to sleep at night he starts thrashing around in bed and appears to be in a trance like state that they cannot awaken him from. You suspect that he is having ?
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night terrors
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A pt wakes up in the morning feeling happy after remembering a pleasant dream. You know that dreaming usually occurs during ? sleep
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REM
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A pt tells you that he was awoken by his wife after she told him that he was wimpering in his sleep and repeating "NO". What do you suspect this pt was experiencing? and what part of the sleep cycle do you know that this usually happens in?
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nightmare,
REM |
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Narcolepsy is distinguished from primary hypersomnia in that pts with narcolepsy pts generally feel ? upon wakening.
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refreshed
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