midterm Flashcards
fowlers position
up right spine straight and between 60-90 degrees
prone position
when healthcare providers move someone from lying on their back (supine position) to lying on their front, face-down
what kind of immunity is hepatitis b
artificial immunity
someone has difficulty swallowing who do we ask for help
speech therapist
asepsis home environment
enforcing hand hygiene
free of microorganisms
TB precaution
airborn, wear N95 mask
what nurse leader cared for soldiers
dorothy dix
founder of american cross
clara barton
threaten to touch someone without their persmission
assault
touching someone without consent
battery
giving legal power to a healthcare patient
Power of attorney
unexpected caravan death or something that results in serious injury
sental event
who makes the care plan
RN
who do you not report bruises of the body to ?
the family
a type of pressure injury of subcutaneous tissue
stage 3
The patient got in accident has a fractured femur and mild concussion and glass in the hair ( which is not a following appropriate for nursing intervention )
shaving head
your teaching a person to assist in prevention of illness and promotion of wellness
pick the wrong one
aphasic
language disorder caused by brain
a dry erase board is helpful when trying to communicate with aphasic patients
mouth care for unconscious
-turn them to the side
-Provide full mouth care at least once every 8 hours
-If patient is mouth breathing, care done every 4 hours
kind of therapeutic technique
active listening and asking open ended questions,
someone is feeling tired and shortness of breath
dyspnea
what part of patient body do you wash first
the face
factors when patient doesn’t understand english and become anxious
use pictures
how do you take care of elderly
talk slowly and use repetition
teaching in which domain patients need to learn how to draw up insulin
Cognitive Domain
types of learning kinesthetic & affective
Kinesthetic learning - By performing tasks or handling items. Best learned through feeling or doing experience (hands on learning)
Affective learning - Assess for factors that might interfere with the patients ability to learn
-Poor vision/hearing, impaired motor function, illiteracy, impaired cognition
-Age may interfere with the strength or dexterity for performing certain tasks
factors affecting learning except
quiet room, proper lighting
another stage of pressure injury that has necrotic tissue and damage to the muscle (what stage is it )
stage 3
moist cloth that has soap and water
hygiene wipes
goal of nurse trying to teach family members how to improve life (expect)
being excluded from. the care planning
key word osteoporosis
decease in bone mass and density
type of breathing when you are dying
cheyne strokes
rate of hypertonia
babies (before 2 yrs old)
what type of compacted stool is large and hard
type 2, mild constipation
impaired mobility do all the following except
walk, LROM
what is the definition or term that describes bone breaking easily
osteogenesis imperfection
hearing less and the condition that worsens gradually over time?
presbycusis
promotion of safety at home
-Place non-skid bath mat in tub/shower
-Use night-lights to help patient find the -bathroom
-Suggest installation of grab bars
-Install door buzzers or bed alarms
-Maintain same furniture arrangement
-Encourage removal of extension cords
-Caution patient about toys and -animals
-Provide appropriate community resources
therapeutic baths
Sitz Bath (Therapeutic) - moist heat & cleansing to perineal area; med added to water
Whirlpool Bath (Therapeutic) - used to cleanse and stimulate peripheral circulation
Sponge bath - bring down fevers
nursing process except
assessment
diagnosis
planning
implementation
evaluation
most common patient accidents/incidents
Falls
Burns
Cuts & Bruises
Fights w/ others
Loss of possessions
Choking
Electrical Shock- improper use of hosp. Elect. equip
risk for pressure injuries
Immobility
Incontinence
Inadequate nutrition
Lowered mental awareness
Excessive diaphoresis
Extreme age
Edema
Hospice setting acutely ill, critical care setting
Spinal cord injuries, fractured hip
meticulous
Seriously ill client
Injured
Unconscious
Dehydrated
Altered mental status
Limited upper body mobility
nonverbal comminication
Gesture
Body Posture
Intonation
General appearance
mouth care for conscious patient
Raise the head of the bed 45 to 90 degrees
nursing intervention for someone who has urinary incontinence
-Toileting every 2 hours
-Bladder retraining
-Prompted voiding
-Habit (timed) voiding
nursing intervention for someone who wanders
giving them a scheduled bathroom break
someone with cognitive disorder
Dementia
Metabolic disorders
Stress, alcohol abuse
Undesirable medication effects
Vision or hearing impairments
- Benign senescent forgetfulness
- Age-associated memory impairment
read about dash (dietary approaches to stop hypertension)
It is a healthy-eating plan that’s designed to help treat or prevent high blood pressure. The DASH diet helps people lower salt, which contains sodium, in diets. The diet is also rich in nutrients that help lower blood pressure. Favors meals that are low in animal and dairy fat and rich in fruits, veggies & whole grains.
in the operating room how do you maintain surgical asespsis
preparing and handling instruments and materials in a way that prevents the patient’s exposure to living microorganisms.
Involves sterilization of all surgical instruments used in surgery and of supplies used to invade the body such as catheters or needles
