Management of Care
ADL's (bathing, grooming, dressing, toileting, ambulating, feeding, and positioning), and routine tasks (bed making, specimen collection, intake and output and vital signs)
What are examples of tasks that nurses may delegate to AP's (Assistive personnel)?
The absence of illness-producing micro-organisms
What is asepsis?
Required every year between age 50 and 75 for high-sensitivity fecal occult blood testing, or flexible sigmoidoscopy every 5 years, or colonoscopy every 10 years
Performing a DRE (digital rectal examination) by positioning the client on the left side with knees flexed and monitor for signs and symptoms of response.
How to assess for fecal impaction?
Essential component in the care of clients who have diabetes mellitus
What is blood glucose monitoring?
Protecting the client by informed consent, refusal of treatment, advance directives, confidentiality, and information security.
What are clients' rights?
The use of muscles to maintain balance, posture, and body alignment when performing tasks. Nurses do this when providing care to clients by lifting, bending, and assisting clients with activity of daily living
What is proper body mechanics?
Should be performed once a month in front of a mirror and palpated during showering.
What is a breast examination?
Stress, Urge, Overflow, Reflex, Functional and Total
What are types of urinary incontinence?
Age, overall wellness, decreased leukocyte count, some medications, malnourished clients, tissue perfusion, low Hgb levels, obesity, chronic diseases, smoking and wound stress
What are factors affecting wound healing?
Spiritual support staff, registered dietitian, laboratory technician, occupational therapist, pharmacist, physical therapist, provider, radiology technologist, respiratory therapist, social worker, speech-language pathologist
What is the Interprofessional team in nursing?
MRSA (Methicillin-resistant Stasphylococcus aureus and VRSA (Vancomycin-resistant Staphylococcus aureus
What are multi-drug resistant infections?
Bronchial, bronchovesicular and vesicular
What are expected lung sounds?
The inability to move freely and independently at will. The risk of complications increases with the degree of limitation.
What is immobility?
Placing your hands on the client's shoulders and ask to shrug their shoulders against resistance; then turn head against resistance of your hand
How do you assess cranial nerve X?
What is HIPPA?
Airborne, droplet, contact and protective equipment
What are transmission precautions?
Someone who is able to interpret a clients needs when they speak a different language
What is an interpreter?
Identify clients at risk, turn every 1 to 2 hours, teach client to turn every 15 minutes, limit sitting in a chair to 1 hour, use a therapeutic bed or mattress, monitor nutritional intake and provide skin and perineal care
What is standards for discharge education?
Can be either physical (devices that restrict movement such as vest, belt, mitt or limb), or chemical, such as sedatives and neuroleptic or psychotropic medications
What are restraints?
Attempts to meet the client's physical, spiritual, emotional and psychosocial needs.
What is palliative or end of life care?
Cognitive-behavior measures, cutaneous stimulation, distraction, relaxation, imagery, acupuncture and acupressure, reduction of pain stimuli and elevation of edematous extremities
What are nonpharmalogical pain management strategies?
Inspection, auscultation, percussion and palpation
What is the correct sequence of assessment of the abdomen?