:)
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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| Making rounds | You visit each resident BRIEFLY to see if they have IMMEDIATE needs.
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| Planning involves | -what you are going to do.
-How you are going to do it.
-When you are going to do it.
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| Procrastination | Putting off doing something till some other time.
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| Objective Observation | FACTS observed
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| Subjective Observation | JUDGMENTS based on personal feelings.
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| 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.
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| 2.2 pounds in each? | Kilogram
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| TPR | Temperature, Pulse & Resporation
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| Normal body Temperature | 98.6 F
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| Individualized Health car plan is a | Legal requirment
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| Factors that increase the body temperature | -Infections
-Shivering
-physical activity & exercise
-warm external environment
-dehydration
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| Factors the decrease the body temperature | -stroke
-Colder external environment
-Age
-Drugs such as asperion or acetaminophen
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| Medical lift to weigh a resident make sure | the open part of the hook is away from the resident
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| Oral | in the mouth
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| Rectal | In the rectum
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| Before taking temperature | -ask if they had anything to drink
-ask if they smoked
-if so wait 20 min
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| When taking temperature you must remain in the mouth for | 2-3min
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| When taking rectal temperature | -Glove
-Lubricate & insert 1 in
-hold 3 min
-Never leave alone
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| Axillary | Armpit
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| When taking temperature axillary | -Dry arm pit
-hold 10min
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| Normal Oral temperature | 98.6 Degrees F
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| Normal Rectal Temperature | 99.6 degrees F
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| Normal Axillary Temperature | 97.6 degrees F
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| Not normal Oral Temperature | 100 degrees F
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| Not normal Rectal Temperature | 101 degrees F
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| Not normal Axillary | 99 degrees F
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| Pulse | how fast the heart is beating
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| The radial pulse is found | in the wrist
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| Report to charge nurse if beats are below in above | below 60 above 90
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| Normal pulse for different ages | -Childhood 80-115
-Adult 72-80
-Later 60-70
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| Apical Pulse | measurement of the heart beats at the apex of the heart.
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| Never use what when taking a pulse | your thumb
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| Respiration | the process of inhaling and exhaling. breathing in and out once
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| Normal adult breath at what rate? | 16-20 times per min
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| 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.
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| 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
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| Systolic Pressure | Pressure when the heart is contracting.
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| Diastolic pressure | Pressure when the heart is relaxed
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| Hypertension | High blood pressure
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| Sphygmanometer | Formal name for blood pressure cuff
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| Blood pressure cuff | wrap snug & smoothly around the arm about 1 in above the elbow with the arrows pointing at the brachial pulse
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| 120/80=systolic/diastolic= | work/rest or relax=100-140/60-90
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| Anatomical position | the left side is always your right. it will always be opposite for you.
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| Metastasize | Spread to other parts of the body through blood and lymphatic vessels
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| 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
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| The sensory system consists of (TEENS) | T-tongue E-eyes E-Ears N-Nose S-Skin
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| Presbyopia | Small print at arms length. Cure is Glasses
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| Contaract | the lens becomes cloudy to the point of complete blindness. The only cure is surgery. Looking through glasses covered with Vaseline
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| Glaucoma | Pressure within eyes. Symptoms are pain over the eyes at night. Usually treated with eye drops. Individuals describe "halos" around lights & tunnel vision
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