Exam Review Flashcards
Guidelines for body mechanics
Squat, bend at knees and hips, don’t use back muscles, turn body as whole unit, move feet in direction of turn
Good body alignment promotes
Comfort, breathing, circulation, prevents pressure ulcers
Friction
Resistance, skin rubbing against another surface
Shearing
Tearing of skin tissue hen skin sticks to a surface, bed or clothing
Lateral position
Sims position
Prone position
Supine position
Low Fowler
15 degrees to 30 degrees
Semi Fowler
30 to 45 degrees
High Fowler
45 to 90 degrees
Logrolling
Turning the person as a unit in alignment with one motion, with care taken to prevent twisting of the spinal column
If spinal injury/ post op spinal surgery logroll with how many people
3 people
Can psw students use mechanical lift
No
Two trained people must be present
Immobility can lead to what
Constipation, pneumonia, blood clots, pressure sores
If client falls
Do not try to prevent, guide to floor, call for help
After client falls
Assess for injury, incident report
Good nutrition promotes
Helps with wound healing
Maintains body function
MentAl function
Proteins
Energy, tissue repair
Carbohydrates
Energy, broken down to sugars
Fats
Energy, help body use vitamins
Vitamins
Normal function and growth
Minerals
Specific body function
Water
Most important, necessary for life, cell function, body temp regulations
What should you assess for when feeding a client
Swallowing, pocketing, chewing difficulties
Signs of dysphasia
Difficultly chewing
Coughing or vomiting food
Excessive saliva or drooling
If making occupied bed
Always assessing client skin, toleration of procedure
Dirty linens
Gloves, check for personal items,
roll away from you
Place in hamper immediately
Observations of hair
Sores, flakes, infestation. Dry or oily hair
Observations when bathing
Colour of skin
Swelling
Rashes
Drainage, bleeding
Pale or reddened areas
Bruises
Dry skin
Urinary elimination does what for the body
Removes waste
Water balance
Electrolytes balance
Acid-base balance
Vital signs are taken
During physical, when admitted, as often as required by client condition
Mouth temperature
37c
Ear (tympanic tempature
37.4c
Underarm (axillary temperature)
36.5c
Rectum (rectal temperature)
37.5c
Brachial pulse
Forearm
Radial pulse
Wrist
Carotid pulse
Neck
Normal pulse range for adults
60-100
Normal range of respiration
12 to 20 per minute
Hypoxia
Deficiency of oxygen in the cells
Signs of hypoxia
Restlessness
Dizziness
Disorientation
Odours from wounds do what
Can ruin appetite leading to poor nutrition leading to decreased healing
Tempature of wound
Can indicate infection
Abrasion
Partial thickness wound caused by scraping away or rubbing of skin
Contusion
A closed wound caused by a blow to the body
Incision
An open wound with clean, straight edges
Laceration
An open wound with torn tissue and jagged edges
Penetrating wound
An open puncture wound, deep or superficial
Puncture wound
A closed puncture wound
Clean wound
Not infected
Clean-contaminated wound
Result of surgical entry
Contaminated wound
Unintentional wound
Infected wound
Wound containing large number of bacteria and showing signs of infection
Chronic wound
One that does not heal easily in a timely manner
What causes pressure ulcers
Pressure, shearing, friction
Circulatory ulcers
Caused by decreased blood flow, painful and hard to heal
Shock
Not enough blood flow to supply organs and tissues
Dehiscence
Separation of wound layers
Evisceration
Separation of wound along with the protrusion of abdominal organs
Sanguineous
Bright red
Serosanguineous
Watery tinted red
Purple that
Thick, yellow, green, brown
Serous
Clear, watery
Reasons for dressings
Protect wound
Absorb drainage
Remove dead tissue
Promote comfort
Cover unsightly wounds
Provide moist environment for wound healing
Provide pressure to help control bleeding
PQRSTU
Provoking
Quality
Region
Severity
Timing
Client understanding
Elderly clients and pain
Decreased appetite
Changes in mentation
Decreased mobility
May not seek healthcare
Admission
Official entry of client into any health care facility
Discharge
Moving a client out of facility
Transfer
Moving from one room or to another unit in a facility
Pacu
Where clients wake up from anaesthesia
Rules for sterile field
Do not leave sterile field unattended
Do not turn your back on sterile field
If item is below waist it is no longer sterile
Do not reach over sterile field