Chapters 10 -18 Flashcards

1
Q

PRN

A

As needed

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2
Q

PO

A

By mouth

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3
Q

HS

A

Hour of sleep

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4
Q

BID

A

Twice a day

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5
Q

QD

A

Everyday

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6
Q

QOD

A

Every other day

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7
Q

NPO

A

Nothing by mouth

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8
Q

ADL’s

A

Activity’s of daily living

Feeding, bathing, & dressing.

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9
Q

HOH

A

Hard of hearing

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10
Q

I & O

A

Intake & output

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11
Q

O2

A

Oxygen

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12
Q

WT

A

Weight

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13
Q

VS

A

Vital signs

Blood pressure, respiration, pulse, & temp.

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14
Q

HOB

A

Head of bed

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15
Q

QID

A

4 times a day

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16
Q

^HOB

A

Elevate head of bed

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17
Q

STAT

A

Right now, immediately

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18
Q

H2O2

A

Peroxide

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19
Q

H2O

A

Water

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20
Q

Paraplegia

A

Paralysis from the waist down

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21
Q

Quadriplegia

A

Paralysis from the neck down

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22
Q

Hemiplegia

A

Paralysis on one side of the body

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23
Q

when do you use restraints?

A

when a person is at risk for falling & cannot call for help
at risk of wandering away
attempting to pull out medical tubing
someone who has overdosed on alcohol or meds and is being combative
suicide attempts

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24
Q

when to check restraints?

A

must check every 15 minutes and repositioning and basic needs. it must be removed every 2 hours

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25
Q

complications of restraints

A
strangulation
bruises, nerve damage, skin abrasions
permanent tissue damage
broken bones
pneumonia, pressure ulcers, and blood clots
incontinence
mental effects-- humiliation, confusion
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26
Q

restraint alternatives

A

provide a safe environment
frequent attention to the person’s basic needs
explain procedures and reassure the person
get help from family members, co workers, and volunteers
use less restrictive forms of restraints– pressure sensitive alarms
use postural supports

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27
Q

what type of knot is used to secure restraints

A

quick-release knot

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28
Q

supine position

A

lying on the back

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29
Q

fowler’s position

A

head of the bed is elevated to between 45 to 60 degrees

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30
Q

semi-Fowler’s position

A

head of the bed is elevated 30 to 45 degrees

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31
Q

high Fowler’s position

A

the head of the bed is elevated 60 to 90 degrees

32
Q

lateral position

A

lying on their side

33
Q

prone position

A

lying on his abdomen with his head turned to one side

34
Q

sim’s position

A

extreme side-lying position that is almost prone

35
Q

using a mechanical lift

A

used to move people who are very heavy or unable to assist in the transfer

36
Q

emergency

A

result of an accident or medical condition

unresponsiveness

37
Q

signs of a heart attack

A
pain/tightness in the chest, neck, back, or arm
pale or grayish skin
excessive sweating
trouble breathing
nausea 
trouble breathing
heart burn like pain
38
Q

signs of stroke

A
unconscious 
confused/disoriented 
slurs in speech
drooling
eyelids or corners of mouth drooping
sudden onset of severe headache 
weakness, paralysis, tingling of arm or leg or side of face
change in persons vital signs, especially bp or pulse
39
Q

what is syncope?

A

fainting

40
Q

hemmorage

A

severe uncontrolled bleeding

41
Q

shock

A

occurs when the organs and tissues of the body did not receive enough oxygen-receiving blood

42
Q

signs of shock

A
low bp that continues to decrease
pulse is rapid and weak
skin is cool and clammy and pale
confused and disoriented
breathe rapidly 
may complain of thirst if conscious
43
Q

aspiration

A

accidental inhalation of foreign material into the airway

44
Q

what does OBRA regulate in a resident’s room?

A
size of the room
lighting 
temp -- must be between 71 and 81 degrees 
air quality
noise control
types of furniture and equipment that must be present
handrails, call light
minimal amount of personal storage space
ability to provide privacy
45
Q

what is trendelenburg’s position

A

the foot of the mattress is raised so the head is lower than the feet

46
Q

what is reverse trendelenburg’s position

A

head is higher than the feet

47
Q

order to make the bed in

A

mattress pad, bottom sheet, top sheet, draw sheet, lift sheet, bed protector, blanket, bedspread, pillow case, and bath blanket

48
Q

how to make an unoccupied (closed) bed

A

place linens on clean nearby work surface
lock wheels and place bed in good work height
lower side rails and move mattress to head of bed
place mattress pad on bed, crease centered on mattress
bottom sheet on bed, miter the corners if unfitted
place the lift sheet on the bed
place top sheet on bed
place blanket on bed
place bedspread on bed
put pillow in case

49
Q

bed cradle

A

metal frame placed between the bottom and top sheets to keep them away from the persons feet

50
Q

footboard

A

padded board that is placed upright at the top of the bed.

keeps the persons feet in proper alignment

51
Q

medicare

A

federally funded by social security for people over 65

52
Q

medicaid

A

federally funded to help low income families pay for health insurance

53
Q

what are vital signs

A

temp, pulse, respirations, bp

54
Q

how to take a rectal temperature

A

lock wheels, cover the electric thermometer with a probe sheath, apply lubricant onto paper towel, lub the tip of the thermometer, lower side rail on the side you are on, lower head of the bed so the bed is flat, ask person to lie in sims position facing away from you, fanfold sheets below the persons buttox, pull back clothes to expose butt, put on gloves, raise butt cheek to expose anus, carefully insert temp 1 inch for adults and 1/2 inch for children, hild in , remove, and wipe anus with tissue

55
Q

how to take blood pressure

A

put person in sitting or lying position, position forearm level with heart and the palm of the hand facing up, use alcohol wipes to clean earpieces and stethoscope, locate brachial artery, place arrow mark over the artery, put stethoscope in your ears. pump the pressure so it is 30 mm Hg higher than the systolic pressure, note first boom this is systolic, last is diastolic,clean stethoscope.

56
Q

tachycardia

A

rapid pulse, more than 100 beats a minute

57
Q

bradycardia

A

heart rate slower than normal, less than 60 beats a minute

58
Q

systolic pressure

A

when the heart muscle contracts, first heard beat

59
Q

diastolic pressure

A

when the heart muscle relaxes, last heard beat

60
Q

hypertension

A

person who has a bp consistently high than 140/90

61
Q

hypotension

A

lowers than 90/60

62
Q

orthostatic hypotension

A

sudden decrease in bp that occurs when a person stands up from a sitting or lying position.

63
Q

pulse deficit

A

difference between the apical pulse rate and the radial pulse rate

64
Q

korotkoff sounds

A

the sound you hear as the bp cuff deflates

65
Q

dyspnea

A

labored breathing, having difficulty breathing

66
Q

insomnia

A

inability to fall asleep or stay asleep

67
Q

sleep apnea

A

person who stops breathing for varying periods of time during sleep

68
Q

acute pain

A

sharp sudden pain

like what occurs after injury

69
Q

chronic pain

A

pain that lasts beyond the usual time that it would take for the tissues to heal

70
Q

pain threshold

A

the point at which the person becomes aware of the pain

71
Q

pain tolerance

A

the level of pain the person can endure before seeking help

72
Q

how to promote sleep

A

environment- keep lights dim, noise down, temp comfortable, limit naps, encourage physical activity during the day, avoid caffeinated beverages, offer a bedtime snack, turn off tv or radio before bed.

73
Q

why do you do perineal care?

A

prevents infection, prevents skin breakdown and odor

74
Q

order of complete bed bath

A

oral care, wash face, neck, ears, arms, abdomen, legs, feet, butt, perineal

75
Q

who is at risk for a hot/cold application

A

fair skined people, people with impaired sensations, and impaired consciousness

76
Q

what does a hot application do?

A
  • relaxes muscles, relives pain, and promotes blood flow
  • heat makes blood vessels dilate, allow more blood to flow to tissue
  • speeds healing by bringing more oxygen nutrients and infection fighting white blood cells to the area
  • reduces swelling and loosens stiff joints
77
Q

what do cold applications do?

A
  • used for traumas such as sprains or fractures
  • reduces pain or swelling
  • decreases bleeding by cooling the skin and underlying tissue
  • blood vessels constrict
  • less blood is carried to the tissues which means less swelling
  • numbness of cold reduces pain