Basic Nursing Skills 1
What is high blood pressure called?
HTN/ Hypertension
normal range for heart rate (pulse)
60-100
How often should a resident be repositioned?
At least every two hours
ISDH regulations regarding a full bath? how often
2 times per week
who cuts a diabetics fingernails?
nurse or physician
What is low blood pressure called?
Hypotension
What is the acronym when taking pulse?
RRF (rate, rhythm, force)
68, regular, strong
what is lateral position?
resident lying on his/her side
oral care should be performed at least....
once a day
Complete bedding changes should be done at least
weekly
A sudden drop in BP when a person quickly rises.
Orthostatic hypotension
Normal respiratory rate
12-20
Semi-Fowler's position
head of bed 30-45 degrees with legs straight
as much as possible for themselves
Residents with a tube feeding should not lie flat. How much should the head of the bed be elevated?
at least 30 degrees
The process of inhalation and exhalation
respiration
Acronym when taken respirations
RRC ( rate, rhythm, character) or RRS
(rate, rhythm, sound)
What is a partial bath?
washing the resident's face, hands, underarms, and perineal area
MLTT
mouth , lips, tongue, teeth
Scale used by the nurse to assess a resident's level of risk for pressure ulcers
Braden scale
The pulse found on the inner aspect of the wrist on the thumb side.
radial pulse
If a resident has a history of mastectomy or a dialysis access, what does this mean when obtaining a BP?
Blood pressure is NOT to be taken on the side of mastectomy or dialysis access
How often should a resident get a partial bath?
at least daily
Never use electric razor around?
POW
pacemaker, oxygen and water
For good fluid balance how many cc's or ml are needed daily?
2000-2500