VN 15 Test 4 Study Guide-DONE Flashcards
- What are isometric exercises, what is its purpose and give examples. (Pg.527)
Consists of stationary exercises. Involves working to hold a position still. Promotes muscle mass
-planks
-wall sit
-squat
-holding weights in a steady position.
-Contracting and relaxing muscles.
- Describe passive exercise and when the VN would utilize it.(pg.529)
therapeutic activity that the client performs w/ assistance and is provided when a client cannot move one or more parts of the body.
-for clients who are comatose or paralyzed from stroke, or spinal injury.
- What type of activity is therapeutic activity?(therapeutic pp slide 11 & Pg.529)
-Isotonic(can be active or passive exercise)
-Isometric
- Define the following terms and give examples:
a. Abduction (pg.529)
Moving away from the midline
-Raising your arms to the side
-kicking legs to the side
-moving knees apart
4b. Flexion(pg.529)
Bending to decrease the angle between 2 adjoining bones
-bicep curls
-leg curls
-crunches
4c. Adduction(pg.529)
Moving toward the midline
-hip adduction
4 d. Extension(pg.529)
Straightening to increase the angle between adjoining bones up to 180 degrees
- What are nursing considerations for the older adult in relation to exercise?(therapeutic exercise pp slide15 & 16)
-Balance physical activity w/rest
-Eliminate intake of caffeinated or alcoholic beverages before or during physical activity
-Encourage to join organizations, social clubs
-short exercise sessions
-safe shoes w/nonskid shoes
-avoid exercising that is stressful on the joints
- List client education for an ECG stress test (slide 6 ch.24 pp)
-report chest pain, dizziness or dysnea
-no smoking 2-3 hrs before
-no caffeine the day of
- When providing client teaching explain techniques to check for understanding (pg.107)
Teach back method:asking client to repeat info in their own words.
- Define: A. Cognitive domain (pg.104)
Style of processing info by listening or reading facts & descriptions.
8 b. Affective domain(pg.104)
Style of processing info that appeals to a person’s feeling, beliefs or values
8c. Psychomotor domain(pg. 104)
Style of processing info that focuses on learning by doing
8 d. Interpersonal domain
Focuses on ability to interact w/others & w/the greater community.
- List barriers to client education(client teaching pp. Slide14 &15, pg.107)
-illiteracy
-Sensory deficits (older adults) - visual deficits, -auditory deficits
-Cultural variances- language barriers
-Attention & concentration
-Pain
-lack of motivation & readiness
- What are nursing considerations for the older adult in relation to client education (pg.106 & slide 19 client teaching pp)
-use accommodations
-make presentations elder- friendly
-use teaching methods that consider impairments in the sensory, psychomotor, cognitive & affective learning domains
-respond to frequent feedback, family encouragement
-attention affected by low energy level, fatigue & anxiety
- List general rules of confidentiality in patient care(pg.120 &121)
-whiteboards must be free of info linking a client w/a diagnosis, procedure or treatment
-computer screens must be oriented away from public view
-convos regarding clients must take place in private places where they can’t be overheard.
-documentation must be kept of those who have accessed a clients record.
-names of clients on charts can’t be visible to the public
- What information is included when documenting incidents? (Slide 22 documentation pp)
Only document FACT (factual, accurate, complete & timely) information.
*not opinions
*not judgements
- Why is good documentation necessary?(pg.121& documentation pp)
-provide evidence during malpractice suits
-should provide clear understanding and picture of the client
-serves as permanent health record
-ensures client safety & continuity of care
-for investigation of care purposes
-compliance w/national accreditation standards
-promote reimbursement from insurance companies
-facilitate health education & research
-Allows the interprofessional team to communicate w/each other
- Understand the difference between tolerance, addiction, and withdrawal
-tolerance: amount of pain a person endures.
-addiction: craving, compulsive use despite harmful consequences, inability to control impulses regarding consumptions of a substance, dysfunctional behaviors.
-withdrawal: physical and mental symptoms that occur after stopping a drug or reducing intake.
- Understand the various pain assessment tools and when they are appropriate (pg.427)
Tools include: numeric scale, word scale, linear scale, visual analogue(picture) scale.
Pain is appropriately assessed when:
-client is admitted
-whenever vital signs are taken
-once per shift when pain is problem focused or a risk
-when the client is at rest & when involved in a nursing activity
-after each potentially painful procedure or treatment
-before implementing pain management intervention like administering analgesic(pain relieving drug) & again 30 mins later
What are client education points that the nurse should discuss regarding pain control? (pg.434)
-take pain-relieving drugs when pain begins or before an activity that causes pain.
-Set a pain control goal such as having no pain worse than 4 on a scale of 0 to 10
-Inform the doctor and nurses if the pain medication is not working.
-Perform simple techniques such as abdominal breathing and jaw relaxation to increase comfort.
-Consult with the doctor or nurses about using cold or hot packs or other nondrug techniques to enhance pain control.
