Maegan's Test #5 - Sleep/Exercise Flashcards Preview

Nursing > Maegan's Test #5 - Sleep/Exercise > Flashcards

Flashcards in Maegan's Test #5 - Sleep/Exercise Deck (21):
1

How often do you turn a client who is immobile?

Every 2 hours

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2

If a client is immobile what type of exercise would you suggest to prevent osteoporosis?

Weight Bearing Exercises

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3

What is the definition of sleep?

An altered state of consciousness

 

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4

What are some S-System Specific Assessment's for Sleep?

5 of them

 

Usual routine vs. interruptions in sleep/wake cycle

LOC

Naps

Fatigue

Insomnia

5

What are some S-System Specific Assessments of Sleep Deprivation?

5 of them

Decreased Attention Span

Irritability

Slowed Reactions

Sensitivity to Pain

Impaired ability to perform ADL's

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6

What are some S-System Specific Assessments for CONTINUED sleep deprivation?

5 of them

Impaired Cognitive Function

Decreased Emotional Control

Hand Tremors

Difficulty Speaking

Develops Suspicion and Confusion

7

What is the average time that the average adult needs to sleep each night?

7-9 Hours

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8

What are some S-System Specific Assessments of items that would effect their Sleep?

(What are 4 things people do in their sleep)

Sleep Walking

Enuresis

Sleep Apnea

Narcolepsy

 

9

What are some herbs used to help with sleep?

Valerian
(Nature's valium - Don't take with other sedatives)

Lavendar

Kava
(Increases effects of sedatives, may cause liver failure

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10

What are some S-System Specific Assessments you would ask the client?

Anxiety Level
(It hinders sleep - "What are they stressed about?)

How many hours do they actually sleep each night?

What kind of med/sleep meds are they on?

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11

What are some items you look at when E-Evaluating Pharmacolgy for Hypnotics?

Side Effects

Client Teaching

 

12

What are some things to look at when E-Evaluating Pharmacology for Sleep?

Are they getting adequate sleep after taking sedatives/hypnotics

How alert is the pt the next day

Are they sleeping during the day

13

What are some common sleep meds?

Zolpidem - Ambien

Zaleplon - Sonata

Ramelteon - Rozerem

Eszopiclone - Lunesta

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14

What can you do to Y-Cover your Assets when charting about client and sleeping?

DO NOT CHART CLIENT SLEEPING

Ex Note: Client resting w/eyes closed, resp 18 even and unlabored

15

What are some S-System Specific Assessments for Exercise?

** USE OF ASSISTIVE DEVICES **

Activity Level vs usual activity level

Injuries affecting activity Level
(Sprains, strains, fractures)

Use of assistive devices

Paralysis

Pressure Ulcers

Posture/Alignment/Balance

Pressure Ulcers

Labs

Pain Level

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16

What are some things you would check for A-Accuracy of orders/Assignments for Exercise?

Is the activity level appropriate?

What do you do when the condition changes after activity orders are in place?

YOU CAN DELEGATE AMBULATION
(Except for Initial Ambulation and Assessing/Teaching)

17

What is our F-First priority when it comes to exercise?

SAFETY

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18

Skeletal Muscle Relaxants can be used for Exercise, when E-Evaluating Pharmacology what are some of the common meds?

Baclofen - Lioresal

Carisoprodol - Soma

Cyclobenzaprine - Flexeril

Metaxalone - Skelaxin

Tizanidine - Zanaflex

19

When E-Evaluating Pharmacology NSAID's for Exercise what are some teachings?

Take with food

Teach about GI Bleeding

Monitor for toxicity

Stop5-7 days before surgery

No more than 800mg Ibuprofen/Day

No more than 1000mg Aleve/Day

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20

What are some common NSAID's used for Exercise?

Ibuprofen - Motrin/Advil

Oxaprozin - Daypro

Aspirin - Ecotrin, ASA

Flurbiprofen - Ansaid

Ketoprofen - Orudis

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21

When relating to Exercise what are some things you can do to Y-Cover your Assets?

Proper Positioning

Prevent Contractures

Prevent Falls

Proper use of Assistive Devices