Fundamentals Flashcards
What kind of dressing would you use for a client who has a pressure two wound?
Hydrocolloid
It provides a moist bed for the wound to heal
What kind of dressing would you use a transparent dressing for?
Stage 1
What stage wound would you use gauze for?
Stage 4
What stage wound would you use alingnate for?
Stage 3 and 4
How to protect your client with a allogenic stem cell transplant?
Make sure they wear a mask when outside of their room
They have compromised immune systems
What side does a person using a cane use it?
On the strong side
Considerations when Using sequential compression devices
Make sure you can fit 2 fingers under the stockings so that when they are inflated it does not inhibit circulation
What ppe should you use with a patient experiencing diarrhea due to shigella?
Wear a gown
Normal range for BUN labs
10-20
Normal lab rage for creatinine
0.5-1.1
Women men 41-60….0.6-1.3
0.8 for older or anyone under 9 years
Normal lab range for sodium
136-145
Normal lab ranges for potassium
3.5-5
When does discharge planning begin?
As soon as client undergoes admission process.
What type of transmission precautions should you take when caring for a client with a large abdominal wound with a large amount of purulent drainage?
Contact precautions
Gown and gloves
Type of transmission precaution you should take with clients with RAV, shigella, enteric diseases caused by microorganisms, would infections, herpes simplex, impetigo, scabies, MRSA
Contact precautions
A patient that is likely to have a latex allergy
Patient with spina bifida
When caring for a patient with an NG tube that is reviving intermittent feedings through an open system what is the first thing you should do
Set patient up at at least 30degreess
When checking a blood pressure, you do not feel the radial pulse anymore
How much more do you inflate next??
Plus 30
The herbal supplement echinacea can help your
Immune system and reduce risk of infection
Valerian and chamomile can be used to help with
Anxiety
Ginger can help with
Nausea, vomiting and digestion
Ginkgo biloba can be used to help
Improve memory and reduce stress
Do you shake liquid meds
Oral
Yes
Can you ask a nurse from another unit to assist with documentation for a client?
No
violated HIPAA
But you can: talk about your client with your nursing student, speak to someone in the phone who is appointed in healthcare proxy to discuss client, discuss client with the physician therapist
Only health care team members directly responsible for clients care can access the clients record
Nurses cannot share information with other clients or staff not caring for the client
You are giving regular insulin and nph insulin. What are the steps
Inject air into nph
Inject air into r insulin then withdrawal
Then I sorry and withdrawal nph insulin
Why would a urinary catheter require irrigation?
If it is backed up.
There should be a continuous flow
If there isn’t then there is a blockage and it needs to be irrigated
Client education on home oxygen safety
Check cord routinely for fraud and tears
Keep unit atleast 3.5 metes or 10ft from gas stove
Consider purchasing generator for backup power
Know the signs of hypoxia
Use bedding and clothing that does not generate static
Know where the closets fire extinguishers are
Do not use volatile flammable materials such as alcohol or acetone mere clients reviving oxygen
Do ice chips count as intake?
Yes but you document half of the volume of ice chips given
Feeding tube.
How much should you flush??
15-30 ml of sterile water before and in between each medication
30-60ml after all have been given
What can garlic help with?
Inhibit platelet aggregation
