test 3 extra Flashcards
back massages help how
relaxation stimulation ciculation,
potential complications related to immobility
blood clots, constipation, pressure injuries
what tool do you use for a prosthetic eye?
suction cup
the first step in hearing aid removal
turn off
environmental factors that patients need
privacy, arrange furniture, control odor, noise level
what position for oral care
lateral
the nurse looks for what during the oral care
leukoplakia, Sardes
do you use a denture tablet if she has a bridge?
no beacuse it was metal
suction is used to prevent swallow and removing excess secrtion
when would you remain with a conscious patient durring oral care
water base lube on lip, yes prevent risk choking / asipration
what precautions do you need to take contact lens
wear non powder gloves, proper handwash
do you have to remove stainless stell and titanium piercing
no beacuse its nonmagnetic
prevent atlecatis and pneumonia
change postions increase movement
how to prevent gastroinestinal complication
repostion, offer fluids fiber , laxative , stool softner
effect does immobility have on the urinary system
uti, kidney stone , urinary retention
how can complication of the intergumentary system be prevented
clean+mositure good nutrition , repostionting , inspect body promineces
what factors can affect blood pressures
diabtes + kidney disease, age(newborn), race(black men with hypertension, rest, stress, nicotine,
circulatory qualtites determine the amount pressue or tension in bp
blood volume , blood thickness, strength of heart contraction
factors can inhibit an accurate oulse oximetry
nail polish, circulation,
normal range for pulse oximetry
96% to 100%
what is being measured durring distolic pressure
pressure exerted by blood on the artery walls while the heart ventirlces arent contracting
what is being measured durring the systolic pressure
forced exerted by blood aganist the allas of arties durring contraction of the hear ventricles
what is included in the pain assement
only subject, 0-10, cant infant, disabled m unconsisouness
what is some nursing care for patient with a fever
monitor vital signs m frequent fluids cool towel
how is fever treated but not with children
acetaminpohen or ibuprofen
hypothermia
core temp. below 95f (30c)
apical pulse the most desried pulse reading
the heart which the most accurate and largest
Pmi
point of most implus
s1
longer lower picted sound
s2
close shorter sharper
what is assesed udrring pulse assement
rate, rhytm ,volume strength
why would someone have a temperate
bacteria fighting thermoregulation control the body temp by the hypothalamus
how to prevent complications related to neurological systems
ask questions specific, perform neurological checks use foot splints or
how can immobility affect a patient’s psychological health?
depression anxiety fear sensory difficulty sleeping
how to prevent psychological complications
ensure pt has distractions, stimulation encourage then to be awake + alert encourage visit let pt be active encourage pt to be aware with sense
vital 6 signs
temp, pulse respirations, bp oxygen, saturation + pain
why is pain considered a vital sign
Its subject measurement
why would a nurse decide to check vital signs themselves despite delegating to UAP?
is ultimately the nurse’s responsibility vital signs are only of value when accurate
vital signs assessed
admission to the hospital, healthcare providers’ orders, change in concentration
what are the factors that affect temperature
environment, time of day, gender, exercise, medication, food intake, stress, illness
guidelines for assessing vital signs included
equipment, ranges, medical history, and records communicate significant findings
