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Exam 2 Outline

1. Nutrition 1. BMR, REE 2. Carbohydrates, fats, proteins 3. Water 4. Vitamins and minerals 5. Dietary guidelines 6. Types of diets 7. Nutrition therapy a. oral assistance b. enteral c. medical nutrition therapy 1. GI disease 2. Diabetes mellitus 3. Cardiovascular disease 4. Cancer 5. HIV/AIDS 2. Sleep 1. Function 2. Illness 3. Sleep disorders 4. Factors affecting sleep 5. Promoting sleep/sleep hygiene 3. Oxygenation 1. Factors affecting oxygenation 2. Alterations in respiratory function a. Assessment b. Nursing diagnoses c. Planning d. Implementation 1. Basic principle of delivery 2. Types of O2 devices 3. Therapies 4. Promotion of lung expansion e. Evaluation

A. Principles of medication administration 1. Nurses role 2. Regulations 3. Pharmacokinetics 4. Types of medication actions 5. Interactions

6. 7. 8.

9. 10. 11. 12.

Adverse effects/side effects Anaphylaxis Routes of administration a. oral, buccal, sublingual b. topical c. ophthalmic d. ear e. nasal f. inhalation g. enteral h. rectal Systems of measurement Dosage calculations Types of medication orders Six plus two rights of medication administration

B. Complementary and alternative therapies 1. Definitions 2. Relaxation 3. Meditation 4. Breath work 5. Imagery 6. Training Specific Therapies a. Biofeedback b. Acupuncture c. Therapeutic touch d. Chiropractic e. Traditional Chinese medicine 7. Natural and herbal products

A. Mobility and immobility 1. Functions of musculoskeletal and nervous system in movement 2. Body alignment 3. Joint mobility 4. Pathological influences on mobility 5. Risks of immobility B. Safe patient handling 1. Postural abnormalities 2. Muscle abnormalities 3. CNS damage 4. Trauma

C. Factors affecting mobility 1. Bedrest a. Antiembolic stockings b. Sequential compression devices 2. Metabolic changes 3. Respiratory changes 4. Cardiovascular changes 5. Musculoskeletal changes 6. Elimination changes 7. Integumentary changes 8. Psychosocial

D. E. F. G.

Mobility aids, transfers and positioning Body mechanics Overview of exercise and activity Nursing care of the patient with impaired mobility

A. Patient safety 1. Basic Needs 2. Age related risks 3. Physical hazards 4. Risk for falls 5. Standard precautions 6. Restraints 7. Side rails 8. Seizure precautions 9. Fire safety 10. Disasters 11. Radiation B. Older adults 1. Variations in aging 2. Common physiological changes in aging 3. Assessment of older adult a. Physical assessment b. Functional assessment c. Psychosocial assessment 1. Delirium 2. Depression 3. Dementia 4. Social isolation 4. Common health concerns a. Heart disease b. Cancer c. Substance abuse

d. e. f. g. h. i. 5.

CVA Smoking Polypharmacy Nutrition Falls Sensory impairment

Communication with the older adult a. Reality orientation b. Therapeutic communication c. Validation therapy d. Reminiscence

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