NUR 243 Exam 1 - Questions and Answers Unequal Receipt of Early and Adequate Prenatal Care prenatal care initiated by 28 weeks and which a woman has at
... [Show More] least 80% of expected number of visits Common Barriers -limited resources -transportation issues -not knowing one is pregnant Unequal Receipt of Recommended Immunizations children living below the federal poverty level had lower coverage of nearly all vaccines compared to those at or above poverty level Unequal pain management judgements about pain are frequently influenced by characteristics of patients , situations, healthcare providers -African American and Hispanics are seen more likely to require scrutiny for potential drug Abuse results in -primary care providers more likely to underestimate pain intensity and lead to less and passive pain management Unequal breast cancer screening women without health insurance are much less likely to get a mammogram -due to -low income -lack of a local mammography center -lack of transportation to mammography center -lack of usual health care provider -lack of recommendation from healthcare provider -lack of awareness to breast cancer risks and screening methods -cultural and language differences Unequal quality of palliative care racial/ethnic minorities tend to received lower quality palliative care -minority patients are disadvantaged in terms for access to hospice care -have lower rates hospice sue Barriers -racial/ethnic differences in knowledge -cultural beliefs -treatment preferences Simulation PE risks patient history of moking/hypertension put patient at risk for endothelial injury -bed rests(venous stasis) -did not use incentive spirometer -surgery -was not taking blood pressure medications as prescribed Simulation concepts Gas exchange perfusion pain patient education anxiety Simulation oxygen rationale impaired perfusion body is not exchanging o2 and Co2 Heparin rationale simulation to prevent further clots from forming Compression stocking simulation DO NOT PLACE ON AFFECTED LEG -took off to assess skin on affected extremity (patient complained of left leg pain/take off) -keeping on can move clot up body Heparin-induced thrombocytopenia (HIT) Put patient as allergic to her pain -stop infusion -monitor platelets UAP can delegation ROM Ambulation hygiene [Show Less]