A
Culturally congruent care is another term for
transcultural care
Water heaters should be set at a limit of what for older populations
120 F
The crutch pad should be placed _____ from the axilla.
2 in
Which crutch gait maximizes stability?
4-point gait
Which gait is for patients bearing all their weight on one foot?
3-point gait
3 points of support must always be on the ground for which type of crutch gaits?
4-point gait
After how many years of discontinuing oral birth control will increased breast cancer risk cease to exist?
10 yrs
A drop in distal pulse for a person in restraints indicates that
the restraint is too tight
Social isolation is ____ times as harmful to health as obesity
2
For patients with paraplegia wearing weight-supporting braces, which crutch gait is best?
swing through gait
Prophylactic oophorectomy is a preventative measure for breast and ovarian cancer that is recommended for people with which type(s) of genetic mutation?
BRCA 1 and/or BRCA 2 mutation
The decision point for whether a patient that has been in bed for a few days should be ambulated is if dizziness last more than _____ or systolic BP drops by _____ mmHg. If the patient does exceed one or both of these, you should _____.
The axillae should never be allowed to bear weight, because _____
pressure on the axillae can cause partial arm paralysis.
The health risks of social isolation are similar to those for smoking _____ cigarettes a day or having _____ disorder
15; alcohol abuse
What is an immediate result of tobacco cessation?
Decrease in catecholamine levels
Skin cancer risk factors are:
- skin characteristics: fair skin/red or blonde hair, less melanin
- sun exposure: outdoor sunbathing, high altitudes/near equator, outdoor occupation, outdoor recreation activities, chronic uv exposure
- artificial uv sources: indoor tanning, sun lamps
- medical history: family or personal history of skin cancer, history of dysplastic nevi, treatment with oral methoxsalen (psoralen) and PUVA, immunosuppressive drug use
- environmental factors: lifetime of environmental trauma to skin, sun exposure and cigarette smoking
- age-related: skin thinning, decreased elasticity, loss of subcutaneous cushioning, slower cell replacement and delayed wound healing
- social factors: limited financial resources, poor nutrition, increasingly sedentary lifestyle
- special populations: for darker skinned individuals, melanomas tend to occur in areas with less melanin
The fire rescue acronym is
RACE: rescue, alarm, confine, extinguish and evacuate
Rate the following practice theories from broadest to most specific:
- grand
- meta
- practice
- middle range
- meta
- grand
- middle range
- practice
During the dangling position of safe patient handling (of a patient being ambulated after being in bed for several days), the nurse should observe for symptoms of _____, and BP and pulse should be measured within _____ minutes of position change. The next step after dangling position is _____.
orthostatic hypotension; 3; decision point
The baseline assessment when ambulating a patient after being in bed for several days is completed with the patient in _____ position; _____ should be obtained at this stage.
supine; initial vitals (BP and pulse)
Who should be tested for the BRCA1 and BRCA2 genes?
- personal history of breast cancer, especially if diagnosed at 45 yrs or older
- second breast cancer at any age
- Ashkenazi Jewish ancestry
- males of any age of breast cancer
- 1 or more close relative with breast, ovarian, pancreatic, or high grade prostate cancer
SPHM (Safe patient-handling and mobility) assessment planning includes the following 4 steps:
1. Assess the patient:
Determine the patient's weight and ability to assist
Evaluate individual patient characteristics and conditions
Identify any tubes, devices, or medical equipment that may complicate movement
2. Determine equipment needs
Use safe patient-handling algorithms to guide your decision
Select appropriate transfer devices or mechanical lifts based on assessment
Common options include ceiling-mounted lifts, floor-based lifts, slide sheets, and transfer boards
3. Get Help
Never attempt to manually lift or reposition a patient alone
Delegate appropriately to assistive personnel (AP) when the patient's condition is stable
Follow facility weight restrictions for team lifting
Many facilities have special patient lift teams
4. Standing position:
Use a gait belt around patient's waist for safety
Assist patient to stand
Reassess BP and pulse after standing for 3 minutes
Continue monitoring for symptoms
Modifiable risk for coronary heart disease:
- sedentary lifestyle
- smoking
- atherogenic diet
- high cholesterol
- obesity
- hypertension
Non-modifiable risk for coronary heart disease:
- 80 yrs old and above
- Post-menopausal women
- Men
- Genetics
The crutch gait that is similar to normal arm movement during walking is _____; this gait also requires partial weight bearing on _____ foot. On the other hand, the _____ requires partial weight bearing on both feet.
2-point gait; each; swing-through gait