VN 15 CLO 3 Test-DONE Flashcards
HOSPICE NURSE CARING FOR TERMINALLY ILL CLIENTS IS MAINLY FOR PAIN CONTROL. Nursing action?
Nursing action: pain medications every 3 hrs around the clock as ordered for maximum pain control.
WHY DO WE USE ALCHOL BASED WIPES OR HANDRUBS
Helps reduce microbial counts
WHEN CARING FOR INFECTIOUS (RESPIRATORY)PATIENTS BESIDES HAND WASHING WHAT IS A GOOD THING TO DO
Wearing a mask when talking to client, PPE
WHATS THE GREATEST CONCERN FOR ELDERLY PATIENTS
Accidental falls
WHAT IS A DEHISCENCE?
Wound that has opened up, separation of the incision
WHATS THE GREATEST RISK ON OLDER ADULTS WHEN PERFORMING CPR
Breaking the ribs
ELDERLY CLIENTS IN SNFS OR LONG TERM CARE FACILITY WHAT IS THE GREATEST INFECTION RISK
- C DIFF
- UTI
- PNEUMONIA
1 THING TO DO WHEN CARING FOR KNOWN IMMUNO SUPPRESSED CLIENTS
Hand washing
WHAT IS ONE OF THE THINGS THAT CONTRIBUTES TO NONSOCOMIAL (INFECTIONS THAT TAKE PLACE IN HOSPITAL) INFECTIONS?
Health professional with artificial fingernails
WHAT IS DOUBLE BAGGING?
Another nurse outside of the room will be holding second bag to put the first bag in
WHEN REPOSITIONING PATIENT WITH INDWELLING CATHETER, REGARDING CATHETER TUBING WHAT IS THE HIGHEST PRIORITY?
Place the catheter tubing lower than clients bladder.
WHAT TYPE OF ISOLATION PRECAUTION DO YOU FOLLOW WHEN CHANGING BED LINEN OF A CLIENT?
Standard precaution
NURSE IS CARING FOR A CLIENT WHO IS BEING TUBE FED, WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE PERFORM WHEN ASSESSING A CLIENTS GASTRIC RESIDUAL VOLUME?
Stop the infusion of the tube feeding formula
WHATS SOMETHING THAT CAN HAPPEN TO A CLIENT WITH CONSTANT DRY COUGH?
Can consume clients energy if left untreated which can lead to multiple other problems
WHATS THE REASON WE REPOSITION CLIENT IN FOWLERS POSITION AND LET THEM DANGLE THEIR LEGS BEFORE GETTING UP?
Safety and don’t become dizzy or faint
THINGS THAT KEEP CLIENT SAFE FROM FALLS?
- room is lit
- that floor is clear from lines or things client can fall on
- using kid resistant rugs
- slip resistant socks
- do not have items in walkway
- ambulatory devices near client
- call light near client
- lower bed
WHAT IS PYORRIA?
Puss in the urine
purulence
GENERIZED TONIC SEIZURES, WHAT ARE THINGS WE DO DURING ACTIVE PART OF SEIZING?
Lower them to the floor
Turn them to the side
Stay with client
4 RISKS INVOLVED WITH RESTRAINTS?
- increase client confusion
- cause chronic constipation,incontinence,infections (pneumonia)
- may cause pressure ulcers
- experience progressive decline in ability to perfrom ADL’s independently
HOW DO WE TIE RESTRAINTS ?
In a slip knot
NURSING INTERVENTIONS THAT CAN HELP PREVENT PRESSURE ULCERS?
Reposition every 2 hrs
Good high(quality) protein diet
Meticulous skin care of client
DYSPHAGIA, WHAT ARE SOME RESPONSIBILITIES WHEN FEEDING CLIENT?
Semi fowlers or fowlers position for feeding
Suctioning equipment by bedside
Verify client is able to swallow and has correct type of feeding diet