Fundamentals CMS Flashcards
what are some things that UAPs cant do?
assess
patient teaching
administer medication
insert catheters
what are some things UAPs can do?
vital signs on a stable patient
encourage
put on condom catheters
what are therapeutic diets?
diets prescribed by the health care provider
NPO diet
no food or liquid by mouth
clear liquid diet
liquids that have little residue (clear fruit juices, gelatin, broth)
full liquid diet
clear liquids plus liquid dairy products , all juices
pureed diet
clear and full liquids, pureed meats, fruits, and scrambled eggs
mechanical soft diet
clear and full liquids, diced or ground foods
mechanical soft
clear and full liquids plus diced or grounds foods
regular diet
no restrictions
what are some things to consider for patients that are eating?
make sure that they are not having problems with swallowing or chewing
signs that a patients is having trouble eating
pocketing food in cheeks
coughing
gagging
clearing throat
interventions for patient having trouble eating
sit patient in chair position
tucking their chin
not using straws
allowing them to sit up for at least an hour after eating
how should you talk to patient with hearing aids?
look at them
talk in a lower tone do not yell
patient education for hearing aids?
use the lowest settings
clean ear mold with with soap and water
turn off and remove battery if not using hearing aid for an extended period of time
keep extra batteries on hand
what are some non pharmacological comfort measures for pain?
distraction
feedback
self hypnosis
guided imagery
heat and cold applicants
relaxation techniques
musical therapy
massage
transcutaneous electrical nerve stimulation (TENS)
what are some examples of things that can distract a patient from pain?
music
playing a game
TV
meditate
cross word puzzle
massage
what is some important points for sleep and rest?
adhering to a normal routine
decreasing noise and distractions
turning down lights
dont drink, eat, workout or smoke before bedtime
avoid taking naps late in the day
PRN meds should not be given
do not wake patient up for PRN sleep meds
what is another name for PRN sleep meds?
hypnotic
if you see that a patient is given PRN every single night what action should you take as a nurse?
talk to health care provider because PRN medication should not be given routinely
a nurse is caring for a client who is sitting in a chair and asks to return to bed. which of the following. actions is the nurse’s priority at this time?
a.
b.
c.
d. determine the clients ability to help with the transfer
what are ways to confirm NG tube placement?
X ray (most common when inserting in for the first time)
aspiration of the pH contents
markers on the catheter
a nurse is preparing to instill an enteral feeding for a client who has an NG tube in place. which of the following actions is the nurses highest priority before performing the procedure?
verify the placement of the NG tube
you can still instill an enteral feeding tube is a client is not alert and oriented. true or false
true
a nurse is talking with a client about ways to help sleep and rest. which of the following recommendations should the nurse give to the client to promote sleep and rest?
alter sleep environment for comfort
practice muscle relaxation techniques
exercise each morning
limit fluid intake a few hours before bed
health promotion on how to perform a breast self exam (BSE)
feel for lumps with finger pads of the three middle fingers
lie down with arm up by head and small pillow under shoulder of side you are examining
palpate each breast from sternum, to posterior axillary line, from clavicle to bra line
squeeze carefully between thumb and index finger to check for discharge
what are some abnormal findings of lumps?
firm, non mobile, and pain less
all lumps or any abnormalities found in breast tissue should be reported. true or false
true
what is the order for bowel assessment?
inspection
ascultate bowel sounds
percussion
palpation
what quadrant should you start in when getting read to listen to bowel sounds?
RLQ
the RUQ, LUQ, LLQ
what should you do if you do not hear any bowel sounds?
listen for maybe an extra five minutes to confirm absent bowel sounds
what does absent bowel sounds indicate?
obstruction
sever constipation
when would it be expected to have absent bowel sounds?
after surgery
paralytic ileus
why do we palpate last during bowel assessment?
it is the most invasive
a nurse is assisting a patient who has cognitive deficits with a bed bath. which is important for the nurse to do?
encourage attention to each task of bathing
ongoing communication
what does a patient with cognitive deficit look like?
dementia
confused
autistic
what does sensory deficit look like?
someone who has trouble hearing
deaf
hearing aid
a nurse is collecting history and physical examination data from a middle adult.the nurse should expect to find decreases in which of the following physiologic functions?
metabolism
gastric secretions
near vision
glomerular filtration
what is middle adulthood?
ages 35-65 years
medication administration rights
right patient
righ
what are some client indentifiers?
patient name, DOB, ID number, telephone number
how do you identify an unresponsive patient?
picture
what is the correct way to obtain a verbal and telephone prescriptions (order)?
- repeat order back
- have a 2nd rn listen and repeat order back
- must be countersigned with 24 hrs by doctor
what is the difference between assault and battery?
assault: verbal attack
battery: physical attack
a nurse orienting a newly licensed nurse is reviewing the procedure for taking a telephone prescription. which of the following statements should the nurse identify as an indication that the newly licensed nurse understands the process?
a second nurse needs to listen to the phone call
how do you administer eye drops?
place drop 1 to 2 cm about conjunctive sac. do not touch the cornea; if they blink repeat drop.
apply gentle pressure in lacrimal duct to prevent systemic absorption.
what class of medications do we give for pressure in the eye (glaucoma)?
beta blockers
how do you mix insulin?
cloudy clear when drawing air in syringe
clear cloudy
hyperglycemia
too much sugar
hypoglycemia
too little sugar
what is the purpose of chest physiotherapy?
to loosen up secretions and move them into the central airways for easier removal
