Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nurs 100 > Ch 14 > Flashcards

Ch 14 Flashcards

1
Q

Macroenvironment

A

Elements in larger world that affect people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Microenvironment

A

Immediate surroundings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Accidents

A

7th leading cause if death among older people

Unintentional falls is number 1 injury in ER

Falls leading cause of early institutionalization and long term disability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Infections

A

Altered antigen-antibody response contributes to high chronic conditions

Pnemonia and flun is 8th leading cause of death

Pnemonia leading cause of infection related death

Increased UTI, etc.

Atypical symptoms can delay treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Medications

A

Drug administering issues lead to accidents

Drowziness

Diziness

15% of admissions are drug related

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Importance of environment

A

Continual assess environment to ensure it meets needs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Environmental safety considerations

A

Lighting, temp, colors, psychosocial factors, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lighting

A

Night lights

Exposure to natural light is important

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Temp.

A

Recommended temp is 75 F, lower temp can cause hypothermia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Colors

A

Red yellow white-can stimulate pulse, blood pressure, and appetitie

Blue, brown, earthy
-relaxing

Orange-
Stimulate appetitie

Be careful with patterns and lines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Scents

A

Therapeutic scents or aromatherapy

Essential oils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Carpeting

A

Absorb sounds but can cause problems

Static electricity and cling

Difficult wheelchair mobility

Scattered rugs or area rugs can cause fall

Use nonslip surfaces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Furniture

A

Chairs correct height with arm rest

Easy to clean

Avoid obstructions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Sensory stimulation

A

Create environment the senses like
Pictures, sculptures, plants

Sensory stimulation box for bed bound patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Noise control

A

Has physical ad emotional impact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Bathroom hazards

A

Safety measures:
Lighting
Floor surface, etc

17
Q

Fire hazard

A

-burn injury risk
-kitchen fires
-careless use of matches or cogarettes

18
Q

Psychosocial impact

A

Need for own space

19
Q

Enhancing nursing homes and residences

A

Let them choose decorations

20
Q

Leading cause of fatal and nonfatal injuries

A

Falls

21
Q

Risk factor for falls

A

Postural hypotension
-causes diziness upon standing

Give plenty of time to adjust from laying down to standing up. Same for taking a bath

22
Q

Fall prevention

A

Regular inspection of environment
Fall risk assessment

23
Q

Nursing assessment after fall

A

Keep immobile until full examination
Might be hard to find fractures
May affect area other than area of impact
Must do psychological assess.
Pay attention for late appearing symptoms

24
Q

Risk with restraints

A

Can worsen behavior

Can cause medical complications; aspiration, cardiac stress, skin tears

Nonuse of restraints is standard is standard for gerontological nursing

25
Q

Alternatives to restraints

A

One to one

Put patient near nurses station

26
Q

Reducing hydration and nutrition risk

A

Adequate hydration is difficult for elderly

They should consume 1500 mL of fluid daily. Water jello etc.

Poor food intake due causes such as oral health, GI issues, etc

27
Q

Addressing risks related to sensory deficits

A

Vision: reduced peripheral vision, etc.

Hearing: misinterpreting instructions. Provide written and oral directions

Taste and smell: miss harmful odors. Unable to recognize spoiled food. Excessive consumption of salt and sugar

Touch:reduced sensation can lead to skin breakdown. Inability to differentiate temperature.

28
Q

Monitor body temp and preventing infection

A

Normal temp for older adults is 97 F

99 F can mean fever

Hypothermia risk

Preventing infection:

Prevent iatrogenic infections

29
Q

Interventions for clothing snd med risk

A

Med:

Only use when nevessary

Provide education

Fall risk increases with anticholinergics, barbiturates, benzodiazepines, psychotrpics, digoxin, clonidine

30
Q

Promote early detection of problems

A

Teach basic assessmemt

RN conduct thorough assessment

Correct problems before incident

31
Q

Addressing functional impairment

A

Assess to see how ADLs are affected

Then plan interventions

32
Q

Lighting

A

Diffused lighting, soft red lighting in bedroom

33
Q

Carpet

A

Absorbs sound but can cause problems.

Static Electricity And cling

Difficult wheelchair mobility

34
Q

Flooring

A

Nonslip sure faces

35
Q

Sensory stimulation

A

Create environment the senses like

36
Q

Risk factors for falling

A

Previous falls
Unsafe clothing
distractions
Caregiver related factors

37
Q

Postural hypotension

A

Causes dizzines upon standing.

Give patient alot of time to get up from baths and getting up in general

38
Q

Fall prevention

A

Active program

Regular inspection of environment

Proper assessment

Orientation to new environment

Nurs 100 (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions