Final Exam Flashcards
List the activity orders from most confined to least restrained
- CBR
- BR with commode
- BR w BRP
- Dangle
- Up in chair
- Walk with assistance
- Ambulate
- AAT
What is a therapeutic diet
Diet with modifications or restrictions
What is the BP of an adult
120/80
Why is bowel prep ordered
Prevent contamination and prevent blocking the surgeons view of the abdominal organs
What is an OR Slate ?
List of surgeries being done the following day
What is a gluten free diet?
For celiac disease
What is intravenous PCA?
Small tube in your arm - pain mess are delivered to your body though your veins
What is the normal range of human body temperature
97-99 F
What is a full fluid diet
Liquified food at room temp
What are examples of wound/skin treatment orders
- Remove staples
- Change dressing
- Saline soaked dressings to leg ulcer
Mr. Green is on the OR slate for surgery today, what are our duties
- File diagnostic reports
- Get old/thinned chart
- Have chart andMAR ready
- Double check chart
- OR porter will come get pt.
NUA duties when pt is being discharged with a prescription:
- print off discharge RX
- fax it to where it needs to go
- fax it for patient
- indicate on every sheet RX was faxed and time/where it was faxed to
- inform RN when RX has been faxed
if the patient is to go home the next day what can the NUA do?
- kardex
2. symbolize
NUA duties w/ patient discharges w/ home care:
- enter HCC referral
2. record order in discharge section of kardex
NUA duties for Social Work referrals:
- enter into medi-tech
- kardex
- symbolize
NUA duties for Pt. discharges w. F/U apt:
- phone drs. office to book apt.
- complete apt card
- RN will read note w/ patient
- card if pt will be leaving following day
NUA responsibilities for discharge orders:
- record pt name/room on ADT sheet
- make arrangements that are necessary
- record time pt left
- enter discharge into comp
- recycle kardex
- inform housekeeping
- pull MAR/nursing notes and place with chart
- dismantle chart
what is the purpose of physio
- improve circulation
- strengthen muscles
- restore motion
- correct deformities
- relieves pain
- speeds up recovery
if a doctor orders “MME” what doe this mean?
(mini mental exam) put OT referral in the write MME in comments
what is an adults usual pulse/heart rate:
70-82 BPM
the doctor has ordered “NVS q30minx6hs” what are NUA duties ?
- kardex
- symbolize
- NVS sheet
define administrative dietitian
director of the dietary department
what does the administrative dietitian do?
- oversees operation of department
- purchases food
- admin duties
define therapeutic dietitian and his role
- prepares menus for pts.
- visits patients
- teaching of diets for pts and families
what are the functions of the FNS department
- plan diets for pts. and employees
- prepare and serve food
- prepare diets as per BC diet manual
what are the staff members of the FNS department
- dietitian
- food service supervisor
- food service worker
- cooks
- dishwasher
what are the 4 types of “methods of feeding patients”
- ingestion
- NG tube
- gastostomy tube
- TPN
what are the 2 main categories for diet orders
- standard/DAT
2. therapeutic diet
what are 4 textures of diets
- normal
- digestive light
- clear fluids
- full fluids
what are examples of therapeutic diets (9)
- 1000 calorie diet
- 1400 calorie diabetic
- hi fiber diet
- gluten free diet
- bland diet
- digestive soft
- tube feedings
- health heart diet
- paediatric diet
common categories found on admission orders:
- diet
- activity
- diagnostic
- vital signs
- meds
NUA duties for Surgical admission
- greet pt
- admit routine
- check pre-op tests are complete
- put sticker on chart, kardex and enter if pt has allergies
- put pre-op checklist on clipboard for nurse
- leave labels and MAR in front of chart
- have old chart
- OR will call for patient when ready
- OR will call porter
- double check chart
define CBR
patient remains in bed at all times
define BR w. Commode
patient may use the commode at bedside
define BR w. BRP
patient is on bedrest but may use the bathroom
define dangle
patient sits at edge of bed and dangles feet over the bed
define up in chair
patient sits in lounge chair beside bed
define walk with assistance
physio or nurse will assist patient
define AAT/Up as tolerated
patient has no restrictions
ambulation is allowed in the following advancing stages:
- dangle
- up in chair
- walk with assistance
- AAT
NUA duties for activity orders:
- enter order
- kardex
- symbolize
why does the doctor order vital signs?
to help diagnose patients disease and determine progress
what do vital signs consist of:
- pulse
- BP
- temperature
- respiration rate
how may the pulse be taken: (5)
- radial
- carotoid
- femoral
- pedal
- apex
what is a adults Respiration rate:
15-20/min
define systole:
top number, records the heart at work
define diastole:
bottom number, records the heart at rest
NUA duties for Vital Sign orders:
- kardex
2. symbolize
what does near vital signs include
- pupil reaction
- reflexes
- motor strength
- level of consciousness
NUA duties for NVS orders:
- kardex
- symbolze
- NVS record
what are examples of pre-op orders
- diet
- meds
- labs
- iv therapy
- skin prep
- bowel prep
- urinary cath
who orders pre-op meds?
anesthetist
what lab test is done on a pt before surgery ?
type and crossmatch
what 2 antibiotics are commonly ordered prior to surgery
- ancef
2. flagyl
why is a type and crossmatch test done before surgery
incase there is blood loss during surgery
why is skin prep done prior to surgery
prevent contamination
why is bowel prep done prior to surgery
to prevent contamination, prevent blocking surgeons view of the abdominal organs
NUA duties for processing oral laxative order (bowel prep)
- MAR
2. symbolize
NUA duties for skin prep
- kadex
2. symbolize
define a catheter
tube inserted into body cavity, duct or vessel
NUA duties for urinary catheterization orders
- kardex
2. symbolize
what do we do with the OR slate when it prints off?
highlight patients scheduled for following day
how long does a pt spend in PAR
1-3 hours
NUA duties for Post-Op orders
- return old/thinned chart
- file all forms
- record date/type of surgery done
- process all post-op orders
define PCA
drug delivery system
what are the 2 types of PCA
- intravenous
2. epidural
what are the 2 functions on the PCA pump that keeps you safe?
- safety time called lockout
2. limit to how much you can have
what is I&O mean?
patients fluid intake and output ins estimated and recorded throughout a shift
NUA duties for intake and output orders:
- get fluid balance sheet
- kardex
- symbolize
why are dressings used?
to protect surgical incisions and wounds
NUA duties for wound and skin treatment orders:
- kardex
2. symbolize
oral suction is usually performed on what basis?
PRN
what are the 2 common suctions devices
- wall mount
2. gomco
what are the 2 common incisional drains
- hemovac
2. davol
what drain is the most common abdominal drain?
penrose drain
the rehab department includes:
- physio
- OT
- speech therapist
what are 2 examples of physic orders
- DB&C q4h
2. chest physio
what are the 4 types of weight bearing
- NWB
- FWB
- PWB
- Feather WB
define range of motion (ROM)
exercises used to advance or preserve joint mobility and muscle tone
what are the 4 types of ROM exercises
- passive
- active assisted
- active
- resisted
NUA duties for processing physio orders
- enter into comp
- kardex
- symbolize
define OT
trains patient in self care, helps build moral ad physical fitness, assists pt to return to community life
NUA duties for processing OT orders
- enter
- kardex
- symbolize
define speech therapy
improve the quality of speech for patients with impaired speech
NUA duties for Speech Therapy Orders
- enter
- kardex
- symbolize
