Personal Care
How would you define a red area near the sacrum that has scratch marks on the skin but the skin is intact?
Excoriation
What are the effects of both local cold and heat?
Decreased pain and relaxation
What can you do if your patient is complaining of pain but it is not time for another dose of pain medication?
Nonpharmacological nursing interventions like repositioning and performing massage
This nonpharmacological action may be beneficial for a patient in need of restorative sleep.
Dim the lights and close the door
How should a patient receiving a tube feeding be positioned?
Head of bed should be elevated
What type of bath would best suit a patient who is unable to tolerate standing for long periods?
Bed bath
What should you assess before applying a warm pack?
Assess the skin for edema and color
A patient is prescribed a PCA pump while hospitalized. This important piece of information should be included in the plan of care.
The prescription dosage is programmed into the PCA pump
A sleeping patient is difficult to arouse. Which stage of sleep is this patient in?
Stage III
This nursing intervention may decrease a patient's anxiety concerning an injection.
Start a conversation with the patient (example ask them what activities they like to do or what their hobbies are)
Maceration
Patients using heating pads should be taught to remove the heating pad at this point to prevent rebound phenomenon.
25 to 30 minutes
This is an example of a nonpharmacological pain relief method that includes the patient visualizing they are in their "happy place."
Guided imagery
Ingestion of this substance can cause patients to wake during the night.
Alcohol
What type of pain would you consider if a patient's vital signs are stable and the patient is angry that no one can help?
Chronic pain
How would you categorize a patient who can do some ADLs but requires assistance with others?
Partial assist with ADLs
A patient presents with right lower quadrant abdominal pain. What is contraindicated for this patient?
Warm compress/application of heat
A patient with a chronic joint disorder will likely experience this type of pain.
Deep somatic
What would cause a patient to become lightheaded and dizzy when taking a shower?
Hypotension
What are four ADLs that can be delegated to a CNA?
Shaving a patient, showering a patient, dressing a patient, denture care
How would you describe the effects of cold therapy?
Decreases swelling and pressure on nearby nerves
How can massage reduce pain?
Massage stimulates the release of endorphins, which are thought to block pain transmission.
A patient should be in this position after a cardiac catheterization.
Reverse trendelenburg