| Question | Answer |
| Making rounds | You visit each resident BRIEFLY to see if they have IMMEDIATE needs. |
| Planning involves | -what you are going to do.
-How you are going to do it.
-When you are going to do it. |
| Procrastination | Putting off doing something till some other time. |
| Objective Observation | FACTS observed |
| Subjective Observation | JUDGMENTS based on personal feelings. |
| Principles of Charting | -All entries signed 1st initial last name & title.
-When a error is made a single line may be drawn through the entry. |
| 2.2 pounds in each? | Kilogram |
| TPR | Temperature, Pulse & Resporation |
| Normal body Temperature | 98.6 F |
| Individualized Health car plan is a | Legal requirment |
| Factors that increase the body temperature | -Infections
-Shivering
-physical activity & exercise
-warm external environment
-dehydration |
| Factors the decrease the body temperature | -stroke
-Colder external environment
-Age
-Drugs such as asperion or acetaminophen |
| Medical lift to weigh a resident make sure | the open part of the hook is away from the resident |
| Oral | in the mouth |
| Rectal | In the rectum |
| Before taking temperature | -ask if they had anything to drink
-ask if they smoked
-if so wait 20 min |
| When taking temperature you must remain in the mouth for | 2-3min |
| When taking rectal temperature | -Glove
-Lubricate & insert 1 in
-hold 3 min
-Never leave alone |
| Axillary | Armpit |
| When taking temperature axillary | -Dry arm pit
-hold 10min |
| Normal Oral temperature | 98.6 Degrees F |
| Normal Rectal Temperature | 99.6 degrees F |
| Normal Axillary Temperature | 97.6 degrees F |
| Not normal Oral Temperature | 100 degrees F |
| Not normal Rectal Temperature | 101 degrees F |
| Not normal Axillary | 99 degrees F |
| Pulse | how fast the heart is beating |
| The radial pulse is found | in the wrist |
| Report to charge nurse if beats are below in above | below 60 above 90 |
| Normal pulse for different ages | -Childhood 80-115
-Adult 72-80
-Later 60-70 |
| Apical Pulse | measurement of the heart beats at the apex of the heart. |
| Never use what when taking a pulse | your thumb |
| Respiration | the process of inhaling and exhaling. breathing in and out once |
| Normal adult breath at what rate? | 16-20 times per min |
| Cheyene-Stroke | -breathing is slow & shallow
-Respiration becomes faster & deeper
-slows & becomes shallow again
-breathing may stop completely for 10 sec & begin the same pattern again. |
| Steps for measuring respiration | -hold wrist as if you were talking the pulse.
-One rise & fall in one count
-If you can't see the chest rise & fall, cross the arms over the chest & feel it rise & fall
-Count for 1 min |
| Systolic Pressure | Pressure when the heart is contracting. |
| Diastolic pressure | Pressure when the heart is relaxed |
| Hypertension | High blood pressure |
| Sphygmanometer | Formal name for blood pressure cuff |
| Blood pressure cuff | wrap snug & smoothly around the arm about 1 in above the elbow with the arrows pointing at the brachial pulse |
| 120/80=systolic/diastolic= | work/rest or relax=100-140/60-90 |
| Anatomical position | the left side is always your right. it will always be opposite for you. |
| Metastasize | Spread to other parts of the body through blood and lymphatic vessels |
| Cancers 7 warning signs (Caution) | -Change in bowel or badder habits
-a sore that doesn't heal
-unusual bleeding or discharge
-thickening or lump in breast or elsewhere
-Indigestion or difficult swallowing
-Obvious changes in wart or mole
-Nagging cough or hoarseness |
| The sensory system consists of (TEENS) | T-tongue E-eyes E-Ears N-Nose S-Skin |
| Presbyopia | Small print at arms length. Cure is Glasses |
| Contaract | the lens becomes cloudy to the point of complete blindness. The only cure is surgery. Looking through glasses covered with Vaseline |
| Glaucoma | Pressure within eyes. Symptoms are pain over the eyes at night. Usually treated with eye drops. Individuals describe "halos" around lights & tunnel vision |
