Show:
Restraints
Dressings
Nursing Assessment
Immobility Intervents
Exercise
100
Equipment or device that prevents an ambulatory client from rising
What is a restraint
100
Thick/absorbent gauze (ABD)
What is wound with copious drainage.
100
Assessment data needed to use the PUSH Tool.
What is length, width (size of wound); amount of exudate; tissue type.
100
Gastrointestinal System
What is fluid intake, stool softeners, high fiber diet
100
Isotonic Activities
What is walking, running, ROM
200
Three alternatives to restraints.
What is: Exercise, ambulation, toileting Frequent cueing Redirection of behavior Offer alternate activities, favorite things Family teaching, involvement Bed or chair alarm, chair belt alarm, floor mat, motion alarm, low bed Move the resident to a location near the nurse’s station.
200
Antimicrobials (Silvasorb)
What is wounds that heal slowly. Used to promote healing on a slow healing wound.
200
Data needed to use the RYB Tool.
What is color of the wound.
200
Pulmonary System
What is Turn q2, maintain adequate intake, cough and deep breath q2, sit up as able.
200
Isometric activity
What is holding yoga poise, gluteal setting, lifting weights
300
Should be included in healthcare provider's order prescribing the use of a restraint.
What is Type of restraint & Duration of use
300
Transparent films
What is IV sites, wounds that need to be readily visualized. Cannot have drainage.
300
Tool used to assess wound depth and tunneling.
What is qtip applicator (sterile, moistened).
300
Cardiovascular System
What is adequate fluid intake, SCD's, compression stockings, anticoagulant therapy (Heparin)
300
aerobic activites
What is high or low impact aerobics
400
Frequency at which a restraint should be removed to allow for skin assessment and range of motion
What is every two hours
400
Hydrogels, Alginates
What is wounds that require autolytic debridement. (necrotic tissue present)
400
Therapeutic Effect of Bedrest
What is decreases oxygen needs of cells.
400
Musculoskeletal System
What is Turn q 2 hours; ROM (ideally active); weight bearing activities is possible; foot board, boots, hand rolls, positioning
400
Activities of Daily Living
What is housework, childcare, climbing stairs
500
Three factors that must be monitored for a client who is restrained.
What is: Monitor circulation. Monitor skin condition. Monitor safety and comfort.
500
Foams (Mepilex)
What is wounds that require padding. Use to prevent pressure ulcers.
500
Four factors that increase risk for falls.
What are history of falls, certain medications, urinary or bowel incontinence, pt care equipment that tethers, cognitive or gait abnormalities, loose rugs, inadequate lighting.
500
Psychosocial
What is self care a possible, choices as possible
500
Amount of exercise/week recommended for Adults
What is at least 150 minutes (2 hours and 30 minutes) a week of moderate-intensity aerobic physical activity