NURS 4700 NURSING CONCEPTS AND INTERVENTIONS EXAM 2 STUDY GUIDE RATED A MARQUETTE UNIVERSITY
What are some metabolic emergencies?
✔✔1. SIADH: common in lung cancer
-Sx: weight gain without edema, weakness, anorexia, N/V
-Tx: fluid restriction, 3% NS infusion, consider lasix
2. Hypercalcemia: common in mets bone cancer
-Sx: depression, fatigue, muscle weakness, elevated serumcalcium
-Tx: hydration and diuretics
What is cardiac tamponade?
✔✔-Fluid accumulation in the pericardial sac, constriction of the
pericardium or pericarditis from radiation and common in lung cancer
-Sx: heavy chest, dyspnea, tachycardia, cough
-Tx: EMERGENT remove fluid
Difference between symptomatic interpretation model and symptom
management model
✔✔-Symptomatic interpretation: nurse interprets the patient's pain as what
the patient states
-Symptom management: >3 related symptoms that occur at the same time,
cluster care so it addresses more than 1 symptom
What is the pinwheel model of bereavement?
✔✔-Views loss as unique, lived experience; personal history is center of
model, cyclical movement through grief
-Inner experiences: being stopped, pain/hurting, missing, holding, seeking,
valuing