MISC. Flashcards
Supine
laying Flat on back
- rest
- assessments to clients anterior
Prone
Laying on stomach
- extension of hips and knees
- drainage of secretions
- cleft palate
- ARDS
Low Fowlers
HOB 15-30 degrees
- reduce low back pain
- rest
Semi-Fowlers
HOB 30-45 degrees
- GERD
- Trach care
Fowlers
HOB 45-60 degrees
- prepare for walking
- rest after feeding if NGT or aspiration risk
- dec ICP
- GERD
High Fowlers
HOB 60-90 degrees
- best for lung expansion
- dec aspiration risk
- pulmonary embolism
- placing an NGT
- taking X-ray
- Eating
Right Lateral Recumbent
laying on Right side
- Gastric emptying
- post-op liver biopsy
Left Lateral Recumbent
laying on left side
- Pregnancy
Trandelenburg
HOB lower then feet
- Promoted Venus return
- hypotension
- prolapsed umbilical cord
- air embolism (left later trandelenburg)
Reverse Trandelenburg
HOB higher then feet (body flat)
- promoted gastic emptying
- Prevent reflux
Sims
Recovery position
- assessment of parental area
- enema (left)
Knee-to-chest
- tet spell
- prolapsed umbilical cord
High carb diet
- Grains
- Pasta
- Bread
- Rice
Low Carb diet
- Fruits
- Veggies
- Meats
- Eggs
High Protein Diet
- Fish
- Chicken
- Beans
- Steak
- Daily products
- Rice
Low Protein Diet
- Fruits
- Veggies
High fat diet
- Fried
Sugar
Low fat diet
- Veggies
- fruits
- grains
Potassium Diet
- Avocados
- Oranges
- Yogurt
- Milk
- Salmon
- Dried beans
Banana
Calcium diet
- Cheese
- Leafy greens
- Soy milk
- Tofu
almonds
Phosphorus Diet
- Chocolate & cola
- Beans
- Dairy
- Meats
- Nuts
Grains & seeds
Sodium diet
- Soy sauce
- Canned food
- Processed meats
- Table salt
- Condiments
Popcorn
Cystic Fibrosis Diet
- high calories
- High protein
Liver disease diet
- Low protein
- Low sodium
- Low fat
Walker
- stand in centre of walker
- slide walker forward 6-8 in
- keep all 4 feet of walker on ground
- step forward with affected side
- keep weight on walker and unaffected leg
- bring unaffected leg up to walker
Cane
- goes on unaffected side
- slight bend in elbow
- cane moved forward 6-10 in
- affected leg moved forward with cane
- unaffected leg then moved past cane
Crutches
- Fit
○ 2-3 finger space between armpit & top of crutch Bend in elbows- Up the stairs
○ Crutch on bad side Good leg up Crutch and bad side follow - Down the stairs
Crutch on good side Bad leg & crutch down Good leg follows
- Up the stairs
2-point crutch
- partial weight bearing
- crutch and opposing leg forward at the same time
3-point crutch
-non-weight bearing and can progress to partial weight bearing
- crutches advanced with affected leg
- unaffected leg brought forward
4-point crutch
- partial weight bearing
- stability
- each leg advances alternately with opposing crutch
swing through crutch
- non-weight bearing or partial
- requires balance
- stand on unaffected leg
- move both crutches forward
- brace hand grips for support
- swing both legs through the crutch
Justice
- Fairness
- To distribute care evenly
- To administer care fairly
To be just and equitable
Beneficence
- Doing good
Doing the right thing for the client
Nonmaleficence
- Doing no harm
- No intentional harm
No unintentional harm
- No intentional harm
Accountability
- Accepting responsibility for your actions
- Responsible for your nursing care
- Responsible for your actions
Accept the consequences of your actions
Fidelity
- Keeping your promises
- Faithful
True to professional responsibilities
- Faithful
Autonomy
- “The nurse accepts the client as a unique person who has the innate right to have their own opinions, perspectives, values and beliefs.”
- Encouraging clients to make their own decisions
- No judgement or coercion
- The client has the right to refuse any and all treatment
Veracity
- Telling the truth
- Must be completely truthful with your clients
- You may not withhold any part of the truth from your client
- This includes when news may upset or cause the client distress; it does not give you the right not to be truthful with them.
Medical Power of Attorney
- Legal document
- Designates a specific person to make medical decision for the client should they be unable to make their own decisions
- If the client doesn’t have a MPOA, laws vary state by state on who the decision goes to
Buddhism
- value turning inward & practicing self-control
- May follow vegetarian diet
- no alcohol
- May fast on Holy Days
- Burial or cremation permitted upon death
Christianity
- believe gods love will provide enlightment and in an afterlife of heaven or hell after death
- some may avoid alcohol and caffeine
- Roman Catholics
-> mat fast on Ash Wednesday & good friday
-> may not consume meat on Fridays during lent (40 day period before easter)
Christian Scientits
- Believe faith heals the body, may decline medical treatment
Mormonism
- No alcohol
- No caffeine
- No tobacco
Islam
- May wish to worship/pray 5 times daily (salah)
-> must be clean before prayers - No pork or alcohol, avoid caffeine
- Fast from sunrise to sunset during Ramadan
- Specific procedures of slaughter for meat
- At death, rituals of bathing and wrapping the body should be preformed before body is moved
Jehovah’s Witness
- No blood products for medical treatment
- Avoid food containing blood
Judaism
- May follow kosher diet
-> no pork or shellfish (fish with scales permitted)
-> no mixing dairy products with meat dishes - fast for 24 hours on Yom Kippur
- No leavened bread during Passover
- son circumcised at 8 days
- day of rest on Shabbat (sundown Friday to sundown Saturday)
- Extremely sick of dying person should not be left unattended, and bod of deceased should not be left alone until funeral
- May observe Shiva - week-long mourning ritual
Hinduism
- Some are vegetarians (believe in NOT killing living animals)
- No meat, poultry, fish/shelfish
-> Beef especially avoided - cow is considered a sacred animal - No alcohol
- Washing with running water important, ma prefer taking a shower VS bath
Seventh-Day Adventist
- No pork, fish/shellfish
-> May follow vegetarian diet
-No alcohol or caffeine
