NA caring for patient in the subacute unit :

A. Take blood pressure on in the arm with a dialysis

B. Adjust or regulate the equipment

C. During personal care is provided, disconnect device or equipment

D. Perform the procedure only if you are permitted to do so by states law and facilitas policy

D. Right - Doing only tasks that you have been instructed to do and doing things in the way that you were taught, protects patients from injury. It also protects you from injury, legal exposure and liability.

A. Wrong-Avoid take B/P with a dialysis, patient in the subacute unit require close monitoring of their vital signs

B. Wrong you will not be permitted to adjust or regulate the equipment. If an alarm on a piece of equipment sounds, respond immediately. Notify the nurse without delay.

C.Wrong-Many of devices are used by patients 24 hours a day and cannot be disconnected

What is not true about subacute unit :

A. It is may be permanent for patients to live

B. Focuses primarily on managing new or acute problems

C. Assessment and adjustment continue until the patient's condition stabilizes and treatment goals are met

D. manages chronic conditions affecting patient recovery

Subacute care unit, accept  :

A. Higher cost than the acute care facility

B. More medication (treatments), physician's visit, types of equipment than in a skilled care unit, pain management

C. Is not a permanent place for patients to live

D. Subacute unit do not need hospital services, but their needs are greater and more complex than the skilled nursing facility provide

Types of care in subacute care unit:

A. Wound management for person with stage 1 

B. Pregnant Woman

C. Alzheimer's care

D. Rehabilitation ( Provide therapies )

D. Right - Rehabilitation ( Provide therapies )

A. Wrong-Wound management for person with stage 3 or stage 4 pressure ulsers, related to peripheral vascular disease, or burns

B. Wrong-Hospice care 

C. Wrong-Alzheimer's isin nursing nursing facility or long ter care

infiltration

It is indicate by swelling, cool skin temperature and a white or pale skin color by the needle insertion site

 NA's action if an IV infusion stop dripping, accept :

A. Confirm that fluid is present in the container

B. Straighten the arm with the IV to see if the fluid begins infusing.

C. Check for kinks in the tubing

D. Restart the the IV flow

During caring for patient with IV, you should inform the nurse promply and not attempt to correct the problem, accept :

A. Blood backed up in the tubing

B. Alarm sounds on an intravenous pump

C. Infiltration occurs

D. Patient use arm with IV side for brushing

D

Advise the patient not to comb hair or brush the teeth using the arm with the IV

When caring for the patient in bed, position the arm with the IV :

A. With the tubing under the body

B. at heart level 

C. accross the abdomen

D. None of the above

B. at heart level

A. Wrong - avoid position the tubing under the body when caring for the patient in bed

C. Wrong - when the patient is ambulating instruct him/her to place the arm with the IV across the abdomen

When assisting patient in the tub or shower, when the IV insertion site is in the hand :

A. Covered with another transparent dressing

B. Cutting out of an exam glove about 1/2 inch of each fingers

C. Stop the procedure

D. Inform the nurse

B. Cutting out of an exam glove about 1/2 inch of each fingers

The IV insertion site must be kept dry, to prevent infection. An IV infection can be very serious because, once inside the blood vessel, pathogens can move freely about the body.

A. Wrong - although the insertion site is covered with a transparent dressing, it can still ge wet.

Pain management with drug :

• Patient-Controlled Analgesia (PCA)
• Pain management with an Epidural Catheter
• Implantable Medication Pumps

CVC (Central Venus Insertion)

The catheter tip ends in or near the heart chamber

Used to  administer medications or to provide total parenteral nutrition

PICC (Peripheral Intravenous Central Catheter)

Used to  administer medications or to provide total parenteral nutrition

TPN (Total Parenteral Nutrition)

All required nutrients (carbohydrates, proteins and fats) are given directly to the vein so the bowel does not have to work to digest food.

Patient with an enternal feeding should be weighted every daily or every other day

A. True

B. False

Special clamp Kelly used to clam the tubing close to the patient's body if the line vreaks or is accidentally pulled loose, should be store :

A. In the drawer

B. Nursing office

C. Patient closet

D. Bedside 

D. Right - Bedside of patients central intravenous lines

A, B, C  Wrong - Kelly should be readily available and visible at all times. avoid storing in a drawer or removing it from the room.

• Patient-Controlled Analgesia (PCA)
• Pain Management with an Epidural Catheter
• Implantable Medication Pumps

Integrative (integrated) health care

exam : Osteophatic

Doctor Of Osteophathy (D.O.) has preparation similar to a medical doctor (M.D.) A.D.O, received additional training in osteopathic manipulative treatment (OMT)

If level of acid and carbon dioxide vecome too high death will reulst. Signs and symptoms that may indicate problems with oxygen use are :

• Tachycardia
• Choking on secretions
• Slow rapid or erregular breathing

pg 619

Insufficient oxygen the the blood

Hypoxemia

Patient who are immobile and those on bedrest have an increased risk of hypoxemia

also pg 619

Capilary refill

Varies with age, skin color should return to normal within 2 to 3 seconds in all patients.

Pulse oximetry

Placed on the finger, toe, earlobe, foot, forehead aor the bridge of the nose

When applying the pulse oximeter, accept :

A. document the liter flow of oxygen after applied the oximeter

B. Always monitor the patient and not the equipment

C. Dark skinned patients work best with the fingers and toe sensors

D. Measurement  of 95%-100% is considered normal

A. Wrong - check and document the liter flow before applying the pulse oximeter

Calming and queiting the mind by focusing attention

modalities

There are : (if use alone it is called alternative treatment) 

• Alternative medical systems
• Min-body therapy
• Biological therapy
• Body-based therapy
• Energy therapy

Different between Chiropractic and Osteopathic :

Chiropractic focuses :

• mainly on the spine and involves very fine maneuvers
• Preventing interruptions in nerve flow 

Osteopathic focuses :

• How tight muscles and joints affect the function of all body systems
• ensuring proper movement of air (oxygen) and fluid within the body

pg640