quality/safety/hygiene
What is the recommended first action when evacuating patients during a fire?
move patient laterally
What is mobility?
What cardiovascular complication involves a drop in blood pressure with position change?
orthostatic hypotension
What does NPO mean?
nothing by mouth
What is the most accurate general description of pain?
subjetive pain
Which are examples of restraint alternatives?
companionship, legos, folding towels, music, art, on-to-one sitter, answers vary
Why should the nurse face the direction of movement during a transfer?
prevents spinal twisting
On which side should a patient hold a cane?
unaffected side
What nursing diagnosis is associated with impaired swallowing?
What does PRN dosing mean?
as needed
which factors contribute to falls?
sleep deprivation, new environment, age, med changes, decreased strength, answers vary
How long should a patient dangle the legs before walking? And why?
1-2 mins, to prevent dizziness and falls (drop in blood pressure)
What respiratory complication may result from immobility?
explain the difference between hyperglycemia and hypoglycemia
hyper: manifest as thirst, increase urination, and headache
hypo: manifest as sweating, shaking, confusion, loss of c
Which are physiological responses to pain?
Increased heart rate
Increased blood pressure
Nausea or vomiting
Answers vary
What characteristics must a restraint order have?
clinical justification, face-to-face assessment, detailed instruction, current status of the patient
What elbow flexion is recommended when fitting crutches?
15-30 degrees
What metabolic change may result from decreased appetite during immobility?
negative nitrogen balance
Which findings may indicate difficulty swallowing?
Coughing during eating
Voice changes
Delayed swallowing
Regurgitation
Which factors can influence pain expression?
Culture
Previous experience
Coping style
Meaning of pain
name each fall-risk tool with its intended population or threshold.
2. Humpty Dumpty scale -> peds
3. hendrich II model -> more than 5 indicates high risk (male gender only)
4. John hopkins -> 60+
Which are assistive devices listed for mobility?
crutches, canes, walkers, wheelchairs
Hypostatic pneumonia may develop after what situation?
Which symptoms should be monitored during enteral feeding?
Nausea
Vomiting
Cramping
Diarrhea
Order the stages of pain physiology from initial stimulus to analgesic modulation.
1.Transduction
2.Transmission
3.Perception
4.Modulation