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CHN Part 2 > nursing procedures > Flashcards

nursing procedures Flashcards

1
Q

professional face to face contact made by the nurse to
provide necessary health services.

A

home visit

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2
Q

professional face to
face contact made by the client to
avail necessary health services in the rhu/bhs

A

clinic visit

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3
Q

steps in clinic visit

A

RWTLDDD

registration/ admission
waiting time
triaging/ referral system
laboratory
dispensing
discharge
document

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4
Q

registration and admission

A

GFAC

greet patient and be able to establish rapport
family record
assess pt ( ask chief complaints and look into client’s hx)
conduct physical examination (head to toe)

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5
Q

waiting time

A

PI

priority numbers
implement policies except emergency cases

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6
Q

triaging or referral system

A

MRI

manage program-based cases
refer all non-program based cases to physician
if patient needs further management, use two way referral system

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7
Q

purpose of home visit

A
  1. To give nursing care
  2. To assess the living condition
  3. To give health teaching
  4. To establish close relationship between
    the health agency and the public
  5. To make use of the inter-referral system
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8
Q

principles of home visit

A

HIPUP

home visits should be flexible
it should revolve around the essential needs in the family
plan or objective
use all available information
planning should include the individual and family

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9
Q

steps of home visits

A

GSOPP RM

  1. Greet & introduce
  2. State the purpose
  3. Observe & determine health need
  4. Place the bag in a convenient space &
    perform bag technique
    5.Perform nursing care and give health
    teachings
  5. Record all pertinent data, observation and
    care rendered
  6. Make Appointment for a return visit
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10
Q

guidelines to consider in home visits

A
  1. Needs of the family
  2. Acceptance
  3. Policies of the agency and emphasis given towards
    health programs
  4. Health personnel and other health agencies already
    involved in the care
  5. Careful Evaluation of past services given and how the
    family avail of the nursing services
  6. Ability of patient and family to recognize own needs
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11
Q

to test for pregnancy induced hypertension

A

testing for proteinuria

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12
Q

testing for proteinuria equipments

A

test tube
test tube holder
alcohol lamp with denature alcohol inside
dropper

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13
Q

steps in testing for proteinuria

A
  1. Pour urine 5-10 ml in the test tube
  2. Pour 3 drops of acetic acid in the test tube
  3. Heat for 10-15 minutes (not boil)
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14
Q

results (proteinuria)

A

0 to +1- 0- no cloudiness/ +1 - mild proteinuria (10-50 mg/dl)
+2- moderated proteinuria (50-200 mg/dl)
+3- marked proteinuria ( 200-500 mg/dl)
+4- thick cloudiness (>500mg/dl)

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15
Q

to test for presence of gestational diabetes

A

testing for glycosuria

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16
Q

equipments for benedict’s test

A

tes tube
test tube holder
alcohol lamp with denature alcohol inside
dropper

17
Q

steps for benedict’s test

A
  1. Pour 2 ml OF BENEDICT solution in the test tube
  2. Pour 8 drops OF URINE in the test tubes
  3. Heat the tube 3-5 mins
18
Q

results for benedict’s test

A

0-+1- 0- blue (no sugar) ; +1- green (traced-0.1 to 0.5% sugar)
+2- yellow ( mild glycosuria - 0.5- 1%)
+3- orange (moderate glycosuria - 1 - 1.5%)
+4- red ( severe glycosuria - 1.5 - 2%)
- brick red ( more than 2%)

19
Q

A tool by which the
nurse, will enable her to perform a
nursing procedure with ease and to save
time & effort with the end view of
rendering effective nursing care to
clients.

A

bag technique

20
Q

An essential and indispensable
equipment which the nurse carries along
during home visits. It contains basic
medications and articles which are
necessary for giving care

A

public health bag

21
Q

principle of bag technique

A

PSST

Performed in a variety of ways.
Saves time and effort during performance of procedure
Shows effectiveness of total care given
Totally prevent or minimizes spread of infection

22
Q

important points to consider in using the bag

A
  1. it contains all necessary articles,
    supplies and equipment
  2. The bag & its contents should be
    cleaned often, supplies are replaced, and
    ready for use anytime.
  3. The bag & its contents should be well
    protected from any contact with any
    article
  4. Arrangement of the contents of the bag
    Should be convenient to user
23
Q

contents of the bag

A

• Paper lining , Extra paper (cornucopia)
• Plastic/linen lining, Apron
• Hand towel, Soap in a soap dish
• Thermometers, scissors, forceps, syringes,
hypodermic needles, sterile dressing,
cotton balls, cord clamp, micropore tape,
tape measure, sterile gloves, baby’s scale,
alcohol lamp, test tubes,
solutions(betadine, spirit of ammonia,
acetic acid, benedict’s sol, hydrogen
peroxide, alcohol, opthalmic ointment

24
Q

steps in performing bag technique

A
  1. Place the bag in a clean surface lined
    with paper
  2. Ask/look for a water
  3. Open the bag and take out the soap
    and towel
  4. Wash hands
  5. Take out the the apron
  6. Pull out necessary article
  7. Close the bag and put it one corner
  8. Perform needed nursing care
  9. After giving care, clean all things
    used
  10. Open the bag and return things
    properly
  11. Remove the apron and place in bag
  12. Fold the paper lining and place
    inside bag. Close the bag
  13. Record data, observations, nursing
    care rendered
  14. Make appointment for the next visit
25
Q

principles of nursing care in the home

A

Utilize a plan of care and treatment
Utilize skills, maximum comfort and security
Used as a teaching opportunity for patient
and family
Should recognize dangers of over-prolonged
acceptance and of support and comfort
Good opportunity for detecting abnormal
signs and symptoms, observing patient’s
attitudes toward care and progress exhibited

26
Q

isolation techniques in the home

A

Frequent washing and airing of
beddings and other articles
Use of protective gown by the person
caring for the sick in the room
Discharges from the nose and throat
should be carefully discarded
All articles should not be mixed with
those used by the rest of the
household
Articles soiled with discharges are to
be boiled for ______minutes

27
Q

needed for vision,
maintenance of
healthy skin cells,
growth and
development, fights
infections, boosts the
immune system

A

vit A

28
Q

inadequate dietary intake of vit A

A

night blindness of xeropthalmia
corneal ulcerations/scarring
bitot’s spots (foamy whitish lesions found in cornea)
scaly and dry skin

29
Q

foamy whitish lesions found in cornea

A

bitot’s spots

30
Q

vit a rich foods

A

yellow or orange fruits and vegetables
some green vegetables
animal source: eggs, meats
processed foods: cheese, fortified milk

31
Q

vit A supplements

A

children every 6 months

  • children 6-11 months old: 100,000k IU (blue capsule)
  • children 12-71 months old: 200,000k IU (red capsule)
32
Q

vit a pregnant mother

A

2x/week - 10,000k IU
do not give 1st trimester (organogenesis)
give at 4 months
if pregnant mom is taking multivitamins, do not give vit a
if pregnant mom is not taking multivitamins, give vit a

33
Q

vit a postpartum

A

old [do not give within 4 weeks]  possible pregnant
New [within 6-8weeks] involution returned of the uterus in a pre-pregnant  give 200,000 IU

34
Q

An Act Establishing the
Philippine Food Fortification Program (Food
Fortification Law)

A

RA 8976

35
Q

RA 8976 refers to the mandatory
fortification of staple food items:

A

rice, flour, oil, sugar

36
Q

voluntary fortification of processed
foods:

A

noodles, snack foods

37
Q

Look for the __________when
looking for fortified food items

A

sangkap pinoy seal

38
Q

rice
sugar
cooking oil
flour
salt

A

iron
vit a
vit a
vit a and iron
iodine

CHN Part 2 (4 decks)

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