Nutrition/Hydration
Water is the major constituent of the body, making up 45%-(?) of the total body weight of an adult.
75%
What is communication?
Communication is the transmission of an idea or feeling so that the sender and receiver share the same understanding.
Which of the following is NOT true about the use of alarms?
a. Using an alarm never impacts a resident’s quality of life.
b. The efficacy of alarms to prevent falls has not been proven, and therefore should not be the sole intervention in a resident’s care plan.
c. The use of an alarm does not eliminate the need for adequate supervision.
d. There are circumstance when an alarm may meet the definition of a restraint.
a. Using an alarm never impacts a resident’s quality of life.
When leaving the med cart, what should the nurse do?
Lock med cart and ensure privacy screen is on and not left open to patient information.
What should you do before entering a patients room?
ALWAYS knock and introduce yourself.
List at least 3 signs of fluid retention/overload
-Rapid Weight Gain
-Noticeable swelling in arms, legs, and face
-Swelling in abdomen
-Cramping, headache, and stomach bloating
-Shortness of breath
-High blood Pressure
In order to effectively communicate you must do this 2x better than talking.
Listening
___________ refers to any medication that is used for discipline or staff convenience, and not required to treat medical symptoms.
Chemical Restraint
What do you do if you suspect resident abuse or neglect?
Immediately intervene to stop the abuse, ensure the resident is safe, and report it directly to the Administrator or DON.
How long should you wash your hands for?
AT LEAST 20 seconds
List at least 3 signs of fluid loss/hypovalemia
-Rapid heartbeat
-Quick, shallow breathing
-Feeling Weak or tired
-Confusion
-Little or no urine output
-Low blood pressure
-Cool, clammy skin
_____% of workplace issues are communication related
80%
How do alarms impact a resident's quality of life?
a. Use of a position change alarm to monitor resident movement causes the resident to be afraid to move to avoid setting off the alarm.
b. A bed pad alarm creates sleep disturbances for the resident.
c. Overall infringement on a resident's freedom of movement, dignity, and privacy.
d. All of the above
d. all of the above
True or False
Dirty cups or treys can be placed on the same cart as those with the ice chest and water sitting on it?
False
This is considered cross contamination
True or False
Portable Oxygen tanks can be placed on the ground as long as it is sitting upright.
False
Should never be placed on the ground.
Name at least 3 consequences of dehydration
- Electrolyte imbalance
-Urinary tract infection
-Pneumonia
-Pressure injuries or skin infections
-Confusion, disorientation, or delirium
- Seizures
- Hospital readmission
When communicating, what are three common things that can impact how our message is perceived?
Words/Verbal
Body Language
Tone
- 7% of the message is conveyed through word choices. 38% of the message is conveyed through voice tone. 55% of the message is conveyed through body language. Only 7% of your message is through words! Think about how much your tone and body language is communicating. Your tone can make or break the conversation.
Tucking in a sheet tightly so that the resident cannot get out of bed is a form of what?
Physical restraint
Patients should be offered hand hygiene when? Name at least 3.
•Before meals/eating food
•Before touching eyes, nose, mouth/face
•After using restroom
•After blowing nose, coughing, or sneezing
•Coming in and out of room.
In order to place side rails on a patients bed, what do we need to have completed first?
A signed consent
Name at least 2 consequences of malnutrition
-Loss of strength and function
-Increased risk of falls
-Depression
-Lethargy
-Immune dysfunction/increased risk of infection
-Loss of digestive function
-Pressure injuries or poor wound healing
-Increased chance of hospital admission or readmission
Name 4 out of the 8 barriers to communication
1. Psychological Barriers
2. Linguistic Barriers
3. Physical Barriers
4. Emotional Barriers
5. Cultural Barriers
6. Attitude Barriers
7. Physiological Barriers
8. Technological Barriers
Name two effects that restraints and alarms can have on residents.
-agitation
-feelings of shame
-social withdrawal
-dehumanization
-Panic
-Feelings of imprisonment
Once eye drops, TB vial, or insulin has been opened, how long can we continue to use it before it should be discarded?
28 days
When giving Insulin, how long should the needle stay in the skin?
6-10 Seconds