Test Five Flashcards

1
Q

Signs and Symptoms of Pain

A

Grimacing, restlessness, increased heart rate, increased blood pressure, crying, guarding of painful area, decreased activity.

Example sentence: The patient was grimacing and crying, indicating signs of pain.

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2
Q

Nursing Measures for Comfort and Pain Relief

A

Administering medications, positioning for comfort, applying heat/cold, therapeutic touch, distraction techniques.

Additional information: These measures aim to provide comfort and alleviate pain for the patient.

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3
Q

Define Pain

A

Unpleasant sensory and emotional experience linked to actual or potential tissue damage.

Example sentence: The patient described the pain as sharp and located in the lower back.

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4
Q

Define Comfort

A

State of physical ease, psychological well-being, feeling safe, meeting personal needs.

Additional information: Comfort is essential for promoting healing and overall well-being.

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5
Q

Safety Rules for Oxygen Therapy

A

Correct flow rate, no open flames/smoking, monitor for oxygen toxicity, secure tanks, educate patients.

Example sentence: Always ensure that oxygen tanks are securely stored to prevent accidents.

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6
Q

Define Apnea

A

Temporary cessation of breathing, especially during sleep.

Example sentence: The patient experienced episodes of apnea during the night.

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7
Q

Define Cyanosis

A

Bluish discoloration due to deoxygenated hemoglobin in blood.

Example sentence: The nurse noticed cyanosis in the patient’s lips, indicating a lack of oxygen.

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8
Q

Define Dyspnea

A

Difficulty or discomfort in breathing, often described as shortness of breath.

Additional information: Dyspnea can be a symptom of various respiratory conditions.

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9
Q

Define Sputum

A

Mucous coughed up from the respiratory system.

Example sentence: The nurse collected a sputum sample for analysis.

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10
Q

What can a nurse aide assist with? (Oxygen Therapy through Nasal Cannula)

A

Ensuring cannula comfort and placement.

Additional information: Nurse aides play a crucial role in ensuring patient comfort and safety.

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11
Q

What a nurse aide should NOT assist with? (Oxygen Therapy through Nasal Cannula)

A

Adjusting oxygen flow or equipment.

Additional information: Only qualified healthcare professionals should adjust oxygen settings.

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12
Q

Areas a nasal cannula may irritate and comfort promotion

A

Ears and nostrils; ensure proper fit, use padding, and keep nasal passages moist.

Example sentence: The nurse applied padding to prevent irritation from the nasal cannula.

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13
Q

Temperature Sites and Normal Body Temperatures

A

Oral (95.9-99.5), rectal (97.9-100.2), axillary (97.8-99.5).

Additional information: Different temperature sites may yield slightly different readings.

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14
Q

Taking a Radial Pulse

A

Feel wrist (thumb side), count beats for 60 secs or 30 secs x 2, normal rate 60-100 beats/min.

Example sentence: The nurse found the patient’s radial pulse to be within the normal range.

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15
Q

Counting Respirations

A

Watch chest rise, count breaths for 60 secs, normal rate 12-20 breaths/min.

Example sentence: The patient’s respiratory rate was slightly elevated at 22 breaths per minute.

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16
Q

Factors affecting Blood Pressure

A

Age, gender, stress, exercise, medications, obesity, smoking, medical conditions.

Additional information: These factors can influence blood pressure readings.

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17
Q

Guidelines for Measuring Blood Pressure

A

Patient seated, feet flat, arm supported at heart level, quiet environment, wait 5 mins before measurement.

Example sentence: The nurse followed the guidelines for measuring the patient’s blood pressure accurately.

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18
Q

Measuring Blood Pressure

A

Inflate cuff, note systolic (first sound) and diastolic (last sound) pressures in mmHg.

Example sentence: The nurse recorded the patient’s blood pressure as 120/80 mmHg.

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19
Q

Bradycardia

A

Slow heart rate (<60 beats/min).

Example sentence: The patient’s bradycardia required further monitoring by the medical team.

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20
Q

Tachycardia

A

Fast heart rate (>100 beats/min).

Example sentence: The nurse identified tachycardia during the patient’s examination.

21
Q

Hypertension

A

High blood pressure (>130/80 mmHg).

Example sentence: The patient was diagnosed with hypertension and prescribed medication.

22
Q

Hypotension

A

Low blood pressure (<90/60 mmHg).

Example sentence: The nurse monitored the patient for signs of hypotension after the procedure.

23
Q

Vital Signs

A

Essential measurements like temperature, pulse, respiratory rate, and blood pressure.

Additional information: Vital signs provide valuable information about a patient’s health status.

24
Q

Systolic

A

Higher number in blood pressure reading (when heart beats).

Additional information: Systolic pressure reflects the force of blood against arterial walls during heart contractions.

25
Q

Diastolic

A

Lower number in blood pressure reading (when heart rests).

Additional information: Diastolic pressure indicates the pressure in the arteries when the heart is at rest.

26
Q

Promoting Safety and Comfort

A

Ensuring safe environment and comfort.

Additional information: Safety and comfort are essential aspects of providing quality care to patients.

27
Q

Admitting the Person

A

Initiating paperwork and orientation to facility.

Example sentence: The nurse admitted the new patient and provided an orientation to the facility.

28
Q

Moving the Person to a New Room

A

Ensuring safe transfer and continuity of care.

Example sentence: The nurse carefully moved the patient to a new room while ensuring their comfort and safety.

29
Q

Transferring or Discharging the Person

A

Moving between facilities or releasing from care.

Additional information: Transferring or discharging a patient requires coordination and proper documentation.

30
Q

Define Admission

A

Accepting into healthcare facility.

Example sentence: The patient completed the admission process and was assigned a room.

31
Q

Define Discharge

A

Releasing from healthcare facility.

Example sentence: The nurse prepared the discharge paperwork for the patient.

32
Q

Define Transfer

A

Moving between healthcare facilities or units.

Additional information: Transfers may occur for specialized care or resource availability.

33
Q

Types of Wounds

A

Surgical, pressure ulcers, diabetic ulcers, venous ulcers, traumatic wounds.

Additional information: Different types of wounds require specific care and treatment approaches.

34
Q

Measures to Prevent Skin Tears

A

Use moisturizers, avoid direct tape on skin, use protective padding.

Example sentence: The nurse implemented measures to prevent skin tears in the elderly patient.

35
Q

Measures to Prevent Vascular Ulcers

A

Leg elevation, compression therapy, exercise, manage diabetes and blood pressure.

Additional information: Preventing vascular ulcers involves a multifaceted approach.

36
Q

Applying Compression Stockings

A

Roll on gradually, ensure even compression, check fit and comfort.

Example sentence: The nurse assisted the patient in applying compression stockings correctly.

37
Q

Foot Problems in Diabetes

A

Neuropathy, peripheral vascular disease, foot ulcers, Charcot foot.

Additional information: Diabetes can lead to various foot complications that require specialized care.

38
Q

Rules for Warm and Cold Applications

A

Use barrier, monitor skin, limit time (15-20 mins cold, 20-30 mins warm), check circulation.

Example sentence: The nurse applied a cold pack to the injury following the prescribed time limit.

39
Q

Applying Warm and Cold Applications

A

Use barriers, monitor skin, limit application times.

Additional information: Proper application of warm and cold treatments helps in managing pain and inflammation.

40
Q

Define Vascular Ulcer

A

Ulcer caused by poor blood circulation, often due to arterial or venous insufficiency.

Example sentence: The nurse assessed the patient’s vascular ulcer for signs of infection.

41
Q

Define Venous Ulcer (Stasis Ulcer)

A

Ulcer on lower leg or ankle due to chronic venous insufficiency and pooling of blood.

Example sentence: The patient’s venous ulcer required regular monitoring and wound care.

42
Q

Common Health Problems requiring Rehabilitation

A

Stroke, fractures, joint replacements, spinal cord injuries, and cardiac events.

Additional information: Rehabilitation plays a crucial role in restoring function and independence after these health issues.

43
Q

Assisting with Rehabilitation and Restorative Care

A

Support activities to regain strength, mobility, and independence in daily life.

Example sentence: The therapist assisted the patient with rehabilitation exercises to improve mobility.

44
Q

Define Activities of Daily Living (ADL)

A

Basic self-care tasks like bathing, dressing, eating, and using the toilet.

Additional information: ADLs are essential for maintaining independence and quality of life.

45
Q

Define Prosthesis

A

Artificial device used to replace a missing body part, such as a limb.

Example sentence: The patient was fitted with a prosthesis after the amputation.

46
Q

Define Rehabilitation

A

Process of restoring health and function after illness or injury, often involving therapy and exercise.

Additional information: Rehabilitation aims to improve the patient’s physical and mental well-being.

47
Q

Define Restorative Nursing Care

A

Nursing interventions aimed at maintaining or improving a patient’s functional abilities and independence.

Example sentence: The nurse provided restorative care to help the patient regain strength and mobility.

48
Q

Nursing Measures for Sleep Promotion

A

Bedtime routine, comfortable environment, noise reduction, relaxation techniques, pain management.

49
Q

Define Phantom Pain

A

Pain felt in a body part that’s no longer there, often after amputation.