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Nurs 160 Exam #5

Nurs 160

QuestionAnswer
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?
Created by: sasorge
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