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NURS105 > Chapter 19 > Flashcards

Chapter 19 Flashcards

The Person's Unit

1
Q

the person’s unit

A

space, furniture, equipment used by the person

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2
Q

what is the person’s unit designed for ?

A

comfort, safety and privacy; should be treated w/ respect and as personal / home-like as possible

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3
Q

private room

A

1 person

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4
Q

semi-private room

A

2 units / people; some may have 3 /4

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5
Q

what should be kept in reach of the person ?

A
  • call light (ALL TIMES)
  • over-bed table / bedside stand
  • phone, TV, bed, light control
  • tissues
  • other requested items
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6
Q

maintaining the person’s unit ?

A
  • meet person’s needs
  • adjust room settings at person’s request
  • prevent odor / excessive noise
  • empty wastebaskets daily / when full
  • RESPECT; do not touch / move belongings unless necessary
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7
Q

admission

A

official entry into healthcare / agency setting

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8
Q

what will you tell the person upon entry ?

A
  • identify items within unit / explain instructions for each
  • how to use call light in room & bathroom
  • explain how to use agency phone / how to connect to WiFi
  • explain where to find the nurses’ station, chapel, lounge, dining room, etc.
  • what time meals / snacks are served
  • visiting hours / policies
    POLITE / RESPECTFUL
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9
Q

what affects a person’s comfort in their unit ?

A
  • temperature
  • ventilation
  • noise
  • odor
  • lighting
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10
Q

comfortable room temp

A

68°-74°F

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11
Q

usual temp for nursing homes

A

71°-81°F

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12
Q

how to protect patients from the cold ?

A
  • wear enough clothing
  • offer covering (blankets, etc.)
  • provide enough blankets
  • use of bath blankets when giving care
  • move away from cold / drafty areas
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13
Q

why are older people more likely to feel cold ?

A

poor circulation / loss of fatty tissue layer due to age

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14
Q

“comfortable” sound level according to CMS

A
  • does not interfere w/ person’s hearing
  • promotes privacy when desired
  • allows person to take place in social activities
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15
Q

staff must try to reduce noise by doing what ?

A
  • not speaking loudly
  • remind others to speak softly when necessary
  • avoid unnecessary conversation
  • handle equipment carefully / properly
  • ensure equipment are maintained
    -answering phones / call lights / intercoms quickly
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16
Q

noise affects persons w/ dementia how ?

A

lack of understanding around them; may be more prone to being disturbed by noise, especially at nighttime

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17
Q

common noise disturbances

A
  • squeaking / clanging equipment / carts
  • ringing / loud phones / intercomms
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18
Q

how to reduce odors ?

A
  • clean tools for voiding (toilet, bedpan, etc,)
  • check / clean persons who are incontinent
  • dispose of incontinence products quickly
  • change soiled / wet linens
  • keep laundry bin closed
  • provide good hygiene care
  • use room deordorizers
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19
Q

if smoking pay attention to what ?

A
  • clothes
  • hair
  • breath for smoke odor
    wash hands after smoking / handling materials
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20
Q

safe / comfortable lighting is ?

A
  • lessens glares
  • allows the person to control brightness / location / direction of light
  • allows impaired to maintain / increase independence
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21
Q

bright room vs. dim room

A

cheerful / improve orientation vs. relaxing
use either for it’s properties

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22
Q

when is bed raised ?

A

when giving care to reduce staff risk for
injury

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23
Q

when is bed lowered ?

A

let person get out of bed / prevent risk of falls

24
Q

how should bed be adjusted ?

A

adjust each part for comfort and need of the person’s care plan

25
what position should head of bed be at, at all times for patients ?
at least 30°; to prevent dyspnea (shortness of breath)
26
how are manual bed lowered / cranked ?
by a crank at the foot of the bed
27
difference between the controls on the inside vs. outside of the bed rails
inside = for patients; limited for patient safety outside = for staff; all bed functions
28
when should bed be locked ?
AT ALL TIMES EXCEPT moving the bed - when giving care - when transferring to and from bed
29
semi-fowlers
head of bed raised 30°; some agencies have legs raised 15° as well
30
fowlers
head of bed raised 45°-60°
31
high-fowlers
head of bed raised 60°-90°
32
trendelenburg
head of bed is lower then foot of bed ( / ); need doctors order
33
reverse-trendelenburg
head of bed is higher than foot of bed ( \ ); need doctors order
34
parts of a bed system
- mattress - bed rails - head / foot board - all bed attachment
35
entrapment
caught / trapped / entangled in the spaces of a bed system; can cause serious injury if the head, neck, chest get entrapped
36
persons at great risk for entrapment
- older - frail - confused / disoriented - restless - uncontrolled muscle movement - poor muscle control - small in size - restrained
37
what to do if person is entrapped ?
- try to get them out of entrapment - call for nurse immediately PREVENT BY CHECKING OFTEN
38
entrapment zones
- within bed rail - under the bottom of bed rail and mattress - space between bed rail and mattress - between the split (head / foot) bed rails - between end of bed rail and head / foot board - between head / foot board and the mattress
39
bariatric beds
weight capacity of 500 - 1000lbs; can convert into a chair
40
over bed table
fits over the bed; used for activities by person / nurse team work area
41
bedside stand
used for personal items / care equipment; 1) stand top 2) top drawer 3) middle drawer / shelf 4) bottom drawer / lower shelf
42
stand top of bedside table holds ?
daily use items; tissues, clock, photos, phone, flowers, cards, etc.
43
top drawer of bedside table holds ?
eyeglasses, books, kidney basin, oral hygiene care
44
middle drawer / shelf of bedside table holds ?
washbasin w/ personal care items (soap, lotion, washcloths, towels, etc.)
45
bottom drawer / lower shelf of bedside table holds ?
bedpan, urinal, toilet paper
46
what should be placed on over-bed table ?
ONLY STERILE / CLEAN ITEMS; no bedpans, urinals, soiled linen, nothing dirty
47
when should you clean over-bed table ?
before / after serving meals and after using as work area
48
chairs
≥ 1 chair; comfortable, sturdy, does not tip and is easy to get in / out of
49
full visual privacy
completely free from public view while in bed
50
privacy curtain
curtain around bed pulled while giving ALL care to provide privacy
51
personal care items
items to help hygiene / elimination; bedpan urinal, commode, wash / kidney basin, water mug given as needed
52
call light
in the unit, bathroom, shower / tub room
53
call light safety
- within person's reach at ALL TIMES - on person's strong side - provide for any limited hand movement - remind them to call when needed - answer lights promptly red = bathroom call light
54
grab bars (safety bars)
bars by the toilet to help get on / off toilet
55
elevated toilet seats
make wheelchair transfers easier and help people w/ joint problems
56
closet / drawer space
CMS requires each person have closet w/ shelves and clothes rack
57
hoarding inspection policy
inspect place of suspected hoarding w/ person present; they are told when inspection will take place

NURS105 (43 decks)

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