Blues Clues
First impressions include mobility, level of consciousness, posture/gait, dress, hygiene, behavior, body movements and speech.
What is General Survey
Giving someone vitamins stops this link in the chain of infection
Susceptible Host
Activities of daily living
Hygeine
Linen change
Documenting input/output
Positioning
What are things the LPN can delegate to the UAP
Things you can do to help the client meet the goals.
What are interventions
Provide an interpreter in cases of language barriers
What is culturally competent care?
Clues include vital signs, palpation findings, percussion findings, auscultation findings.
What is physical assessment
Saliva
Tears
Skin
Mucus
Stomach acid for example
What is first line of defense
Encourage fluids and rest, avoid multiple blankets, apply a cool cloth to head and neck, oxygen if needed, cooling blanket if needed.
What is the treatment for fever?
Data from nursing interview
Data from physical examination
Data from diagnostic testing
What is needed to create a Care Plan
Stays on the client for the entire hospital stay
What is an arm band
Name and date of birth for example
What are patient identifiers
Airborne
Droplet
Contact
What is transmission-based precautions
Midclavicular line in the 5th intercostal space
Where do you assess the Apical pulse/PMI?
Need for water over-rides need for respect.
What is Maslow's hierarchy of needs?
Full name
Social security number
Residential address
Next of kin
Religion
What is demographic information?
Person
Place
Time
Situation
What are the four spheres of consciousness
SPIDERMAN
What is the acronym for diseases to put in Droplet precautions?
What is capillary refill?
NANDA list
Related to
As Evidence By
What are the 3 parts to a nursing diagnosis
Client leaves without physician authorization
What is AMA against medical advise?
Able to focus on my finger touching his nose and able to focus on my finger far away.
What is Accommodation
These will prevent the feelings of social isolation for clients in isolation
What is books, magazines, movies, games
Used to hear bowel sounds
What is the diaphragm of the stethoscope.
Almost met goals
What is evaluation of Care plan - partially met
Medications
Environment
Treatments
Health Teaching
Outpatient referrals Diet
What is the METHOD discharge guide?