MB9 73-81
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Nursing activities that can be involved in the Implementation phase of the nursing process - examples | -Assisting with ADL's (baths, oral care)
-Promoting comfort
-Supporting respiratory and elimination functions
-Ensuring that patient has adequate nutrition, help feed as necessary
-Provide education for self-help
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| Define Evaluation | Determining the client's response to the interventions implemented. Final step but can lead right back to assessment.
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| How do we evaluate? | Standards - values that the nursing plan should work toward (?? I need to find this in the book)
Criteria - Values that are used to determine if the intervention is effective
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| Variables that can influence the effectiveness of the nursing plan - Controllable (C) or Uncontrollable (U) | Altered mental states (U)
Medication Error (C)
Refusal to be treated (U)
Not performing in a timely manner (U & C)
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| Common hazards encountered in the HCA include | -Medication errors
-Fall risks from equipment in halls
-Combative clients due to altered mental states
-Injuries from not using proper body mechanics.
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| Common interventions to prevent falls: | -clutter free floor
-secure locks on beds, chairs, etc.
-place freq. needed items within reach
-skid free socks - enough lighting
-bed rails up
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| Assessment tool for Risk for Falls | John Hopkins tool in book. 6 points is a moderate risk. We were given cards with Morse Scale questions on it. There are 6 assessment questions. Do not know the scale score though. Edit if you have it.
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Marshall3
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