Fundamental A 2 Flashcards
ADLs
Bathing
grooming
dressing
toileting
ambulating
feeding without swallowing precaution positioning
Who are responsible for these
APS
Monitoring findings
Reinforcing clients teaching from a standard care plan
Performing tracheostomy care
Suctioning
Checking NG tube patency
Administering internal feeding
Inserting a urinary catheter
Administering medication including IV medication in some states
LPNs jobs
Routine physical examination for females
Every 1 to 3 years
Routine physical examination for
Males
Every 5 years age 20 to 40
More after that age
Dental assessment
Every 6 month
Tb screen
2 years
Blood pressure
At least every two years
Annually If previously elevated
Body mass index
At each routine healthcare visit
Blood cholesterol
At age 20 minimum of five years
Blood glucose
At age 45 minimum every three years
Visual acuity
Age 40 and under
Every three to five years
Every 2 years 40 to 64
Every year 65 and older
Heating acuity
Periodic hearing checks as needed more frequently If hearing loss is noted
Skin assessment
Every three years by a skin specialist for age 20 to 40
Annually over age 40 years
Digital rectal exam
During routine physical examination or annually if have at least a 10 year life expectancy
consult with provider is green should continue after 76
Colorectal screening
Every year between the age of 50 and 75 for a high sensitivity fecal occult blood testing
or flexible sigmoidoscopy every five years
Or colonoscopy every 10 years
consult with provider if screen should continue after the age 76
Test specific for women
Cervical cancer screening
Breast cancer screening
Cervical cancer screening
Age’s 21 to 65 years
Pap smear
Every 3 years at age 30
Decrease to every 5 years
After 65 no test
Breast cancer screening
Ages 20 to 39
Every 3 years
40 to 44 annually
Infants
2days-1years
Trust versus mistrust
example having a bond to their mom separation anxiety
Toddler
One to three years
autonomy versus shame and doubt
Engage in parallel play but by the age 3 begins to play and communicate with others
bedwetting
attempt to do everything themselves
Preschoolers
3 to 6 year old
initiative vs guilt
misbehaved
School age children
6 to 12 year old
industry versus inferiority
develop sense of learning
stress is increasing
fear to be ridicule ridicule by peers and teachers over school related issues
Adolescent
12 to 20 years
identity versus role confusion
they develop a sense of personal identity that the family expectation influence
strives for independence from guardians and identify more with peers
Young adult
20 to 35 intimacy versus isolation
Middle adult
35 to 65 years
generatively versus stagnation
Use life as an opportunity for creative and productivity
have concerns for others
consider parenting an important task
contribute to the well-being of the next generation
start to do well in one’s own environment
adjust to changes and figure physical appearance in ability
Older adults
65 years and older
integrity versus despair
adjust to the lifestyle changes related to retirement
adapt to changes in family structure
adapt to changes in living environment
deals with multiple lost face death
PH
7.35-7.45
PaCO2
35 to 45
PaO2
80 to 100
HCO3
22 to 26