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Nurs 160 Exam #5
Nurs 160
Question | Answer |
---|---|
What are five effective ways to communicate? | -Exchange of information-Use familiar words-Be brief/concise-Logical/orderly information-Give facts/be specific |
What is one JACHO guideline? | Improve communication between shifts |
What 5 things are mandatory in a persons Medical Record? | -Admission Sheet -Health History -Graphic Sheet-Progress Notes-Flow Sheets |
What does Reporting consist of? | Verbal account of care and observationsGiven to oncoming shiftReceived from previous shift |
What does Recording Consist of? | Written record of observations and careWhat you observed/what you didADL sheetsEnd of shift Report |
What are the ABC's of Observation? | AppearanceBehaviorCommunication |
What are a few Obersrvations of Residents? | Skin color/temperatureMood/mental statusBehaviorUnusual odorsAbility to respondAppetitePerformance of ADLPain/discomfort |
What are objective observations, | Observable Signs Measurable/Factual Signs |
What are Subjective Observations | What the resident tells you/ symptoms reported by resident |
What is a Nursing Care Plan | Guides CNA’s on how to deliver care |
What are the Legal Issues of Charting | Record is a legal document must be kept confidential info should be accurate objective truthful |
Charting Descriptions | Location-where is it, Size, Color, Drainage, Smell, Reporting status-what has been reported and to who, Pain |
Anterior | towards the front of the body |
Posterior | back of the body |
Medial, | near the midline/middle |
Distal | farthest from the center |
Lateral | side of the body |
Proximal | nearest to the center/point of origin |
Elective surgery | scheduled in advance |
Urgent surgery | needed for your health/ needed to prevent further damage |
Emergency surgery | Saves lives/functions |
Anesthesia | Loss of feeling or sensation by medication |
What are the two types of Anesthesia | General and Local |
What is a preventive care for Post-op complications | TED stockings |
What is the abbreviation of Oxygen | O2 |
What does oxygen do | Blood carries 02 to the cells and removes C02 |
What is Hypoxia | Cells do not have enough O2 |
What are 2 characteristics of Oxygen | Tasteless and Odorless |
What are the signs on Hypoxia | Restlessness/dizziness ,Confusion/disorientation , Increased pulse/respiratory rate, Dyspnea/orthopnea, Cyanosis |
Three ways to improve oxygenation | Position: semi-fowlers; orthopneic, Coughing and deep breathing, Incentive spirometer |
What are four oxygen supplied sources | wall outlet, oxygen tanks, oxygen concentrators, Liquid oxygen systems |
How many liters of oxygen do you give a patient | depends on the care plan but anywhere from 2-15 liters/per minute |
Hypothermia | Low Body Temperature |
Hyperthermia | High Body Temperature |
What are the purpose of Heat Applications? | Relieves Pain, Relax Pain, Promotes Healing, Reduces Tissue Swelling, Decreases Joint Swelling |
What are complications of Heat Applications? | Burns, Pains, Excessive Redness, BlistersWhat are the purpose of Cold Applications? |