Unit 7 Flashcards
(18 cards)
The RN correctly teaches pt to rise from
A chair using crutches by
Having the strong leg closest to the chair
A pt with compromised cardiopulmonary system has diminished capacity for exercises due to
Decreased tissue perfusion and diminished respiratory capacity
When teaching a pt about effects of immobility. Which statement needs further education?
“I will gain weight”, “ I won’t have any lung problems”, “I can become very weak”
The RN knows that these items must be included in documentation on a pt with fall precautions
Hx of falls, falls risk assessment scores, pt and family education, use of assist devices, any fall or reported fall
The RN knows that orthostatic hypotension is
A decreased in diastolic blood pressure by 10 mm Hg & an increase in systolic blood pressure by 20mm Hg.
CNAS can properly
Reposition a patient, provide range-of-motion exercises and ambulate the pt in the hallway.
The rn correctly demonstrates the use of a transfer belt when
Belt is secure, leaving enough room for the nurse to grasp the belt. The nurse stands on the weaker side.
The RN identifies that knee-high SCD sleeves are correctly placed on the pt when which conditions are met?
Both sleeves are connected to the SCD device, no kinks in the tubbing & cooling control is on.
An abrasion
It’s considered an open wound
Norton scale. A score of 14 is
Considered moderate risk for pressure injury. For Branden and Norton scales, the lower the score, the higher the overall risk.
Alginates dressing
Avoided in dry wounds.
Abdominal binders use?
Intended for single use. Do not discard after each use.
For surgical sutures. Which action should the RN take?
Cut suture as close to the skin as possible.
Correct use of walker
Walker is move 6-8 inches forward. The walker is moved forward first for support and then the pt moves R foot forward
Incentive spirometer
Pt inhales slowly with the mouth on the mouthplace. Inhale as much as possible and hold for 3-5 seconds. Remove the mouth peace and exhale slowly. Repeat 5-12 times during the day. End with two controlled coughs. Every 1-2 hours.
Dyspnea and suspected hypoxemia, what blood test will confirm hypoxemia?
Arterial blood gases (ABG)
Displacement
Transferring emotional energy away from an actual source of stress to an unrelated person or object
Biofeedback
Uses electrical sensors to provide real-time information about physiological functions, enabling the client to learn how to control these functions to reduce anxiety
