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Exam #8

Chapters 18, 20, 31, & 39

QuestionAnswer
What is the most common injury for healthcare workers? -back strain
Why does the older adult have a higher risk for pressure injuries? -decreased muscle mass -decreased connective tissues -decreased elastin/collagen fibers -less moisture in skin
What do you assess for in the sitting patient? -body/weight symmetry
What do you assess for in the lying patient? -body alignment and correct positioning
What are variations of the supine position? -fowler, semi-fowler, and low fowler -dorsal recumbent and lithotomy
What are variations of the side-lying position? -sims
What are variations of the prone position? -knee-chest position
What should room temperature be kept at for the older adult? 68-74 F
What environmental factors must be controlled? -temperature, ventilation, humidity, lighting, odor, and noise
What is the difference between a positive and negative airflow? -positive airflow maintains airflow into the room -negative airflow maintains airflow out of the room
What range of humidity is normally comfortable? Why is low humidity undesirable? -30-50% -dries skin and respiratory passages
What is the ideal lighting for patient rooms? -bright enough to see without glare and avoid eyestrain, and soft/diffuse to prevent sharp shadows
What effects can noise have on a patient? -can interrupt sleep, and may increase blood pressure and interfere with healing
What are two things nurses can do to prevent odors? -do not dispose of odorous trash in patient room -do not wear scented lotions/perfumes in patient care setting
When cleaning the patient's room, what should be included? -straightening up bed -removing old dishes & unused equipment
What is important about bed safety? -ensure bed is locked unless it is being moved
When is an occupied bed made? -only when the patient cannot leave the bed/bed rest
What are the three most common factors that predispose a person to falls? -impaired physical mobility -altered mental status -sensory/motor deficiencies
What patients are at a higher risk for burns? -diabetes, impaired circulation, paralysis -taking medications that alter mental awareness
what does the acronym PASS mean? how to use fire extinguisher -Pull the pin -Aim at the base of the fire -Squeeze the trigger -Sweep side to side
What does the acronym RACE mean? -Rescue patients in immediate danger -Activate fire alarm -Contain fire by closing doors/open windows -Extinguish flames or Evacuate
What are Material Safety Data Sheets (MSDS) for? consulted for recommended methods of storage, labeling, handling, spills, and disposal.
What are the symptoms of Acute Radiation Sickness? (ARS) -initial symptoms: nausea, vomiting, diarrhea -possible later effects: loss of appetite, fatigue, fever, skin damage, hair loss, potentially seizures, coma, death
How are patients triaged? according to priority of care: immediate, delayed, minimal, or expectant
What are the characteristics of each level of triage? -immediate: require life-saving care -delayed: major or prolonged care -minimal: minor injuries -expectant: severe life-threatening injuries who probably will not survive even with medical care
When reporting a known or suspected poisoning, report the following: -name of product -patient age -amount of product involved -symptoms/complaints
Using protective devices as punishment or discipline for a patient is: illegal, unethical, unacceptable, constitutes malpractice
What two situations are restraints okay to be used? -behavioral or nonbehavioral indications
What should be documented about patient pain? -nature (sharp, dull, burning, aching, squeezing, deep, pressing, gnawing) -intensity (mild, moderate, severe) -location -onset (sudden, slowly, gradually build up in intensity)
Created by: ahoyyitbeaddi
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