VN15 Test 4 Flashcards
What are isometric exercises?
Consists of stationary exercise during which there is no change in length of contracting muscles
Examples : holding weights , using elastic band or stationary ball
Describe passive exercise and when the VN would utilize it
Therapeutic activity that the client performs with assistance and is provided when a client cannot move one or more parts of the body
Clients who are comatose or paralyzed from a stroke or spinal injury , maintain muscle tone and flexible joints
What type of activity is therapeutic activity?
Active , the client performs independently
Abduction
Moving away from midline
Flexion
Bending so as to decrease the angle between the adjoining bones
Adduction
Moving toward midline
Extension
Straightening so as to increase the angle between two adjoining bones up to 180 degrees
What are nursing considerations for the older adults in relation to exercise?
Prevent muscle atrophy and disuse syndrome
List client education for an ECG stress test
Avoid caffeine for 24 hours
No smoke or tobacco
Stop certain prescription medications
Wear light clothing and sturdy walking shoes
Teach back method
Confirms a client has understood what has been taught by having them repeat in their own words
Pedagogy
teaching children or those with cognitive abilities comparable to that of children
Andragogy
Encompasses the principles of teaching adult learners
Geragogy
Enhance learning among older adults
Cognitive domain
Processing information by listening or reading facts and descriptions
Affective domain
Processing information that appeals to a persons beliefs , values , or feelings
Psychomotor domain
Processing information that focuses on learning by doing
Interpersonal domain
Focuses on student ability to interact with others and with the greater community
List barriers to client education
Illiteracy Sensory deficits Cultural differences Shortened attention span Lack or motivation of readiness
What are nursing considerations for the older adults in relation to client education
Older adults tend to have visual and auditory deficits
List general rules of confidentiality in patient care
- Ask consent to share information
- Consider safeguarding when sharing information
- Be aware of information You have and if it’s confidential
- Keep records
- Be up to date on laws and rules surrounding confidentiality
What information is included when documenting incidents
~when incident occurred ~where it happened ~who was involved ~what happened ~what actions were taken
Why is good documentation necessary
Documentation demonstrates the planned care has been implemented and provides information about the clients progress
Tolerance
Diminished effect on something
Addiction
Chronic , relapsing , treatable disease.
Pain assessment tools
Numeric scale , word scale , linear scale , visual analogue scale
Client education points , nurse should discuss regarding pain control
Imagery Meditation Relaxation Distraction Heat and cold Hypnosis Transcutaneous electrical nerve stimulation Acupuncture or acupressure Percutaneous nerve stimulation Bio feedback