Chapter 6
Which statement is considered to be a sign?
which statement is considered to be a symptom?
A. "My head hurts, it feels like a throbbing pain"
B. Mr. Jones temperature is 101.1
C. Larry let the room for a test
D. The patient has the tv remote at bedside
Communication is a two - way process. What must be present to have successful communication? What are the two ways we can communicate?
A sender and receiver - verbal and non verbal
What does SBAR stand for? When and why do we use it?
What are two things that can disrupt a patient's sleep?
noises and pain
What is the difference between chronic and acute diseases?
Acute happens more suddenly and chronic progresses overtime when the patient experiences periods of signs and symptoms
Mrs. Jones is hard of hearing and refuses to put in her hearing aides. What can you do as a nursing assistant to ensure that Mrs. Jones understands what you are saying?
Use pictures or writing the information down. speak in slow sentences and enunciate your words in case she can lip read.
Name the 5 steps of the nursing process?
Assessment, problem identification, planning, implementation, and evaluation
Faces and verbal pain scale from 1-10
What are some signs of inflammation?
Redness, swelling, heat, loss of function, decrease sensation, pain
Elizabeth speaks Italian as her first language. She does speak English for small conversation and her family is at bedside. You need to collect a urine sample from her and need to explain the proper way to obtain the sample. What should the nursing assistant do?
Grab a certified interpreter
Medical diagnosis handles the disease process and nursing diagnosis handles the patient care regarding the disease process
Name a sign of sleep deprivation? How can we help we sleep deprivation in elderly patients?
fatigue, confusion, irritability
turn the lights on, keep them awake during the day so they sleep at night, occupy their mind with activities
Name two acute diseases and two chronic diseases
Infection and injuries
COPD and CHF
What information should be documented by the nursing assistant?
ADLs and vital signs
Charting guidelines: A patient's medical record is?
A legal document that can be used as evidence
Name 3 non medicated ways we can reduce pain?
Ice/heat
distractions
mobility/reposition
deep breathing exercises
What are the most common samples that we collect for testing?
Blood, urine, sputum, cultures, gastric secretions, and stool
no because it is out of our scope of practice.
What information do you include in your handoff report to the upcoming shift?
Code status, vital sign frequency, mobility status, nurses plan of care, and any family dynamics
Why is phantom pain different?
it is different between it is nerve pain and it is related to a loss of a limb