Term
| if the patient is lying in fetal position where is the pressure point? |
|
Definition
|
|
Term
redness on the skin
what is the nursing intervention? |
|
Definition
| rub the area around the redness, reposition the patient |
|
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Term
| unconscious patient, how would you provide good body alignment? |
|
Definition
| provide footboard or high top shoes |
|
|
Term
| when a patient is getting out of bed for the first time in a while, you would |
|
Definition
| dangle patient, asses them for dizziness or lightheadedness, check patient for orthostatic hypotension to prevent a fall risk |
|
|
Term
| what position should the patient be in for a pelvic exam? |
|
Definition
|
|
Term
| how would you reposition a patient after spinal surgery |
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Definition
|
|
Term
| how would you prevent a paralyzed patient from getting contractures? |
|
Definition
| give them a "hand roll" rolled up cloth to hold in their hands, conduct ROM twice a day |
|
|
Term
| what are there types of ROM |
|
Definition
| active-passive, passive, assisted |
|
|
Term
| what is active, passive, and assisted ROM |
|
Definition
active- patient does it
passive- nurse does it
assisted- both nurse and patient does it |
|
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Term
| while helping a patient ambulate, they begin to fall. what do you do? |
|
Definition
| keep back straight, put your leg behind them and let them slide gently to the floor |
|
|
Term
| a patient who is weak should have ROM perform 2-3 times a day, when do this what should you make sure of? |
|
Definition
| you are not inflicting pain or resistance |
|
|
Term
| how do you place a gait belt? |
|
Definition
| around the patients waist, over the clothing, and use a underhanded grasp when helping them move |
|
|
Term
| what are the principles of body mechanics |
|
Definition
| back straight, don't twist-pivot with feet, use legs to lift, work close to the body, pull don't push |
|
|
Term
| what does pulling require? |
|
Definition
|
|
Term
| what is the first line of defense,and if broken what happens? |
|
Definition
| the skin, more susceptible to infection-invasion of microorganisms |
|
|
Term
| how would you take care of an elderly patient who is fragile? |
|
Definition
| accompany patient to bathroom, make sure walkways are clear, make sure there is no soap on their skin, monitor because sensory deprived and make sure food temp isn't too hot or cold |
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|
Term
| a patient has developed a bed soar that is 2x2" and 1" deep how would you document |
|
Definition
| only the facts and not your speculations |
|
|
Term
| what do you consider when giving a bed bath |
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Definition
| ensure privacy, keep warm, well covered, work from clean to dirty, wipe cantos of eye from inner to outer |
|
|
Term
| what is important to keep in mind when giving hygiene care |
|
Definition
| not everyone performs hygiene the same as you. be mindful of patients preferences |
|
|
Term
| who has the highest risk of developing bed soars? |
|
Definition
| those patients who are incontinent |
|
|
Term
|
Definition
| black harden ulcer that cannot be staged |
|
|
Term
| how do you position an unconscious patient while giving oral care |
|
Definition
| flat and side lying with head turned |
|
|
Term
| if you have a patient who cannot sleep at night and you have performed all possible nursing interventions to help them, what is your next step? |
|
Definition
| evaluate after an hour and see if your interventions were helpful so you can tell physician |
|
|
Term
| what kind of bath would you give a patient with an itchy skin irritation |
|
Definition
| oatmeal or starch bath(you can also use baking soda) |
|
|
Term
| how do you wash a patients eyes |
|
Definition
| from inner cantos to outer to prevent washing dirt into the tear duct |
|
|
Term
|
Definition
|
|
Term
|
Definition
| pull back foreskin, wash top to bottom and pull skin back up |
|
|
Term
| how often do you preform oral care on a unconscious patient |
|
Definition
|
|
Term
| what should you do when cleaning dentures |
|
Definition
| use cold water, place a towel in the sink to prevent breakage if you drop them |
|
|
Term
| what should you do is a patient has tangled hair with blood or glue |
|
Definition
| soak hair with alcohol or astringent, hold a small portion at a time between scalp and area being brushed to prevent pulling. NEVER CUT HAIR WITHOUT PHYSCICIAN ORDER |
|
|
Term
|
Definition
| perform hand hygiene, put gloves on, pull skin taut and shave in direction of hair growth. Always check chart to first insure patient is not diabetic or thrombocytopenic |
|
|
Term
| how do you care for nails |
|
Definition
| cut straight across and clean with orange stick. if patient is diabetic you should clean nails but not cut them |
|
|
Term
| what should you do before cleaning or cut nails |
|
Definition
|
|
Term
| what kind of care should you always do on a diabetic |
|
Definition
|
|
Term
| what is the 5th vital sign |
|
Definition
|
|
Term
| when a patient is in pain, what do vital signs show |
|
Definition
| increased pulse, blood pressure, and respiration |
|
|
Term
| pain from arthritis is considered |
|
Definition
|
|
Term
| JACHO says that patients have to right and ability to |
|
Definition
|
|
Term
| the standards of care and clinical nursing practices were established by |
|
Definition
American Nursing Association(ANA),
Canadian Nurses Association(CNA) |
|
|
Term
| when is pain considered chronic |
|
Definition
| after lasting more then 6 months, and comes slowly |
|
|
Term
| when is pain considered acute |
|
Definition
| last less then 6 months and comes fast |
|
|
Term
| how are student nurses held |
|
Definition
| same standards as licensed nurses |
|
|
Term
|
Definition
| against medical advice.if patient tries to leave, try to assess(take vitals) immediately |
|
|
Term
| if a patient is scheduled for surgery, and changes their mind what should you do |
|
Definition
| call the physician because patient has not been properly informed about surgery |
|
|
Term
| if patient comes to hospital with no infection and leaves with one, it is termed |
|
Definition
| Nosocomial or HAI(hospital acquired infection) |
|
|
Term
| what kind of isolation is used for active TB patient |
|
Definition
| airborne isolation-an N95 mask or special respiratory mask should be worn at all times |
|
|
Term
| what is the correct way to handle linens |
|
Definition
| wash hands, don gloves, roll from top to bottom, don't shake, hold away from body, place directly into hamper |
|
|
Term
| a patient who has been exposed to radiation |
|
Definition
| called ARS, it is treated with Potassium Iodine, consider decreasing distance, time exposed, and shielding between person and radioactive substance |
|
|
Term
| where do you take core temp |
|
Definition
|
|
Term
| how do you take the pulse of cardiac patient |
|
Definition
|
|
Term
| why should you never use a thermometer in cardiac patient |
|
Definition
| because it may stimulate the vagus nerve |
|
|
Term
| what type of patient is more susceptible to nosocomial infection |
|
Definition
| surgical patients because of invasive procedures |
|
|
Term
| when taking VS and come across abnormal readings, you should |
|
Definition
| report it and document it |
|
|
Term
| what are health choices influenced by |
|
Definition
| beliefs, cultures, and socioeconomics |
|
|
Term
| if someone has told you they have visited their faith healer but the treatment isn't working you should say |
|
Definition
| is there anything in your beliefs that would prevent you from seeing a physician |
|
|
Term
| what would you think if a patient who is admitted is Jewish |
|
Definition
| torrah, rabbi's, kosher food |
|
|
Term
|
Definition
| belief that your ethnicity is better or more superior to someone else's |
|
|
Term
|
Definition
| set of opinion or belief about the group that is applied to an individual (African Americans don't care about being on time) |
|
|
Term
|
Definition
| activities of daily living |
|
|
Term
|
Definition
| person who does not believe in the existence of god |
|
|
Term
|
Definition
| person who doubts the existence of god |
|
|
Term
| when is circumcision done on Muslims |
|
Definition
| within 7 days of life or before puberty |
|
|
Term
|
Definition
| knowledge of a people's history and ancestry |
|
|
Term
|
Definition
| refraining from using offensive language, respecting accepted patterns of communication, and refraining from speaking in ways that are disrespectful of a person |
|
|
Term
|
Definition
| knowing yourself, examining your values, attitudes, beliefs, and prejudices |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| equality between male and female |
|
|
Term
| which culture focuses on the chi'i and yin and yang |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| hands, face, axillae, perennial care |
|
|
Term
|
Definition
| cleanse, stimulate circulation and provide comfort |
|
|
Term
|
Definition
|
|
Term
| how long should a bath be and what temp should the water be |
|
Definition
| no longer then 20 min, and temp should be between 110-115 |
|
|
Term
| when do you change the water for a bath |
|
Definition
| after the feet, when it is dirty, or when the water gets cold |
|
|
Term
|
Definition
| promotes muscle relaxation, relieves muscle tension and stimulates circulation, should last 3-5min |
|
|
Term
|
Definition
| not being used, top linens not folded back, bed is ready for a new patient |
|
|
Term
|
Definition
| being used by patient, top linen folded back about 24in from foot of bed |
|
|
Term
|
Definition
| made so client can move from stretcher to bed, should be made by client has left for surgery, linens are fan folded to the side of bed |
|
|
Term
|
Definition
| support the hip joint and thigh |
|
|
Term
|
Definition
|
|
Term
|
Definition
| patient lying on side with support of pillows |
|
|
Term
|
Definition
|
|
Term
|
Definition
| partial skin loss, looks like abrasion, blister or shallow crater |
|
|
Term
|
Definition
| full thickness is loss, subcutaneous tissue damage or necrotic |
|
|
Term
|
Definition
| extensive damage to muscle, bone, supporting structures(eschar) |
|
|
Term
| Sequential compression device(SCD) |
|
Definition
| alternately compress and release, squeezing the vessels and propelling blood along the vessels |
|
|
Term
|
Definition
| slider board, gait belt, crutches, cane, walker |
|
|
Term
|
Definition
| values, beliefs, attitudes and customs shared by a group of people that are passed from one generation to another |
|
|
Term
|
Definition
| bond or kinship a person feels with his or her country of birth or place of ancestral origin |
|
|
Term
|
Definition
| biologic variation, physical difference(skin color, eye shape, and hair texture) |
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