FON 3

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chemical restraints: medications used to control a persons behaviour
Surgical bed: bed made so that a person can easily move onto it from a stretcher
what is restraint: physical or chemical way to restrict voluntary movements or behaviour
how to put dentures in: take out lower jaw denture before upper denture, place upper denture before lower denture
ergonomics: science of designing equipments with the user in mind, it reduces stress on the body
common accidents: falls, cuts, burns, choking, poisoning, failing to ID a resident before performing care or serving food
Disposable equipment: equipment design to be thrown away after one use
how an we show respect to a resident in his room: We show respect to a resident by knocking and wait for permission to enter room and treat personal items with respect and do not move items without resident permission.
supine: position with person lying flat on his/ her back
Occupied bed: a bed made while the patient is in the bed
how do you maintain body allignment: point your feet in the direction you are going, do not twist at your waist
What type of devices can prevent pressure sores?: -heel protectors.-footboard.-hand rolls.-egg crate mattress/flotation pad.-splints(doctors orders) -heel/elbow protectors.-foam, rubber, and sheepskin pads.-bed cradle.-draw sheets
Explain how you would dress and undress the above patient?: Start with the weak side of the arm.do the opposite when removing clothing begin with the stronger side
gingivities: inflamation of the gum
toilet or bedpan which is better: The toilet is better than a urinal or bedpan. The bladder tends to empty more completely when using the toilet or portable commode because of the position of the person over the toilet
how many hours does burn have to declare: 72hours
List some guidelines you should use when bathing a patient?: -wash hands.-Identify yourself and resident.-explain procedure.-provide privacy.-adjust bed and rails for safety, lock wheels.-place bath blanket or lrg towel over patient.-uncover one part at a time.-ask & help patient to participate in washing if able to do so.-allow patient to to do their perineal care if able to do so.-provide deodorant.-chnge patient into clean gown.-make patient comfortable
Why is privacy provided to patients during care?: Privacy provides respect and dignity during a time that may be uncomfortable and difficult for patient.
scalds: bur ns caused by very hot liquid such as tea or coffee
who are the greatest risk for burns: elderly, young, people who have no sensation due to paralysis
who are the highest risk for choking: weak residents, residents with dysphagia, hemiparalysis patient
when should a unit be cleaned and disinfected?: Unit should be cleaned and disinfected when a resident is transferred, discharged or dies.
when to give partial bath: patient has dry, fragile skin
fowler's: position with person lying on his/her back with the head of the bed elevated about 45-60 degrees
which muscles do you use in lifting: largest muscles of upper arms and upper thighs
How can you promote good skin care?: -Regular care to keep skin clean and dry.-massage healthy skin.use care during transfers -Check for skin changes, e.g. redness.-reposition q2h.-frequentand thorough skin care on incontinent clients.do not scratch or irritate skin
when bathing a resident what should you do: gather all supplies before starting, keep residents warm at all times,monitor water temperature
residents using restraints must not wear what type of clothing: synthetic, artificial or man-made fabric, staff must not wear wool clothing or sweaters near the resident
What are mechanical lifts used for?: Mechanical lifts are types of equipments that are used to lift and move residents. They help prevent injury and help protect staff and residents.
what are the 3 things needed for a fire to occur?: heat, fuel, oxygen
Center of gravity: the center of gravity in your body is the point where the most weight is concentrated. The location of this point will depend on the position of the body.When you stand your weight is centered in your pelvis.
partial bath: washing the face, underarms, hands perianal (genitals, anal)
fire safety: stay low to the floor when evacuating, dnt touch hndle of doors, dont use elevators
when dressing residents where do you start from: weaker side first when dressing up, weaker side last when undressing
main pressure areas: spine, behind knees, heel
Elderly are seriously risk for falls: true
parasomnias: sleep disorders caused by anxiety, fear, stress, medications, trouble breathing, noise, hunger, thirst
what does skin bathing allows to oserve?: to inspect skin and report changes
SITTING WITH THE FEET OVER THE SIDE OF THE BED IS CALLED?: DANGLING.
never cut toenails: true
when is body allignment used: sitting, standing, lying down, when lifting or carrying an object
biorhythmology: biorhythms are the natural rhythms or cycles related to body functions that occur due to daily, monthly or yearly changes
when do you check a resident in restraint?: 15 minutes, but 5minutes for a mitt restraint, every 2 hours remove the restraint for 15minutes
when moving resident where do you move first: strong side first
dandruff: shedding of dead skin cells from the scalp
How can you prevent pressure sores?: -Turn every 2 hours or q2h, use turning clock.-keep skin clean. -keep linen wrinkle-free.-keep skin well circulated.-use pressure relief devices
toothettes: used for putting water in mouth, used for absorbing water in the mouth when used dry, used for cleaning the teeth, cheeks and gums, contains toothpaste
can ambulatory residents walk?: they can walk and get out of bed, it helps improve quality and health of skin, circulation, strength, sleep, relaxation, apetite, elimination, oxygen level
how should patients be positioned during meals: 45 to 90 degrees when eating, residents should be sitting up straight whether in bed or chair when eating
what is RACE: r-remove/recue, a-activate 911/alert, c-contain, e-extinguish or evacuate
how do you gather linen for bedmaking: you take the matress pab first, then all sheets, blankets, bedspreads, pilowcases
when should oral care be given?: twice minimum, includes brushing, flossing, tongue, dentures
WHY DO WE TALK TO UNCONSCIOUS PATIENTS, AND EXPLAIN PROCEDURES?: WE MUST TALK TO THE PATIENTS BECAUSE THEY MAY STILL BE ABLE TO HEAR WHAT IS HAPPENING AROUND THEM.THEY HAVE BEEN KNOWN TO REGAIN CONSCIOUSNESS AND RELATE TO A LOT OF THE THINGS THAT THEY WERE ABLE TO HEAR WHILE THEY WHERE UNCONSCIOUS. LIMIT YOUR DISCUSSIONS AS WELL EXPLAIN WHAT YOU WILL BE DOING EACH TIME YOU PROVIDE ANY KIND OF NURSING CARE.TEAT THEM AS YOU WOULD IF THEY WHERE ANY OTHER RESIDENT.
when should a patients ID band be checked: Patients ID should be checked before providing care or serving food. Every interaction with the resident
Your patient has had a stroke with right arm paralysis.How would you refer to the arm when speaking to the patient: Weaker right arm.
plaque: substance that forms in a brief period of time if oral care is not done regularl
oral care on the unconscious patient: use as little liquid as possible, position residents for drainage, turn resident side to side prior to performing oral care to avoid drainage, keep HOB 30 to 45 degree or keep flat and to one side to prevent aspiratiion
how do you assist an ambulatory client?: with transfer belt, walk slightly behind and to one side of the resident, if the resident has a weaker side, stand on the weaker side and ask the resident to look forward and not down
HOW OFTEN ARE BEDBOUND PATIENTS REPOSITIONED AND WHY?: PATIENTS SHOULD BE TURNED EVERY TWO HOURS AND THEY MUST CHECK FOR INCONTINENCE. IF THEY WEAR BRIEFS THAT WOULD BE A GOOD TIME TO CHANGE THEM AND MAKE SURE THAT THE PATIENT IS LYING ON A DRY SURFACE CHECK FOR ANY RED SPOTS OR SKIN TEARS EACH TIME THAT THEY ARE BEING REPOSITIONED KEEP TRACK OF THE TURNING TIMES TO PREVENT PRESSURE SOARS. IF THEY HAVE OXYGEN YOU MUST CHECK THEIR EARS AND NOSE AS WELL FOR ANY KINDS OF SKIN BREAKDOWNS.
which gives a greater base of support: something that has a wider base of support, standing with your feet wide apart gives a greater base of support, a low center of gravity gives a greater base of support
if oral care is not done regularly what happens: poor appetite, weight loss, gum disease
prone: position with person lying on his/her stomach
why is proper bedmaking important?: Unit should be cleaned and disinfected when a resident is transferred, discharged or dies.
Closed bed: bed completely made with the bed spread and blankets in place, made for a resident who will be out all day.
Falls are not life threatening: false
reverse trendelenburg: used for a patient who needs a fast emptying of the stomach due to a digestive problem, the head of the bed is elevated above the leg of the bed
pass: p-pull, a- aim at the base of fire, s-squeeze the handle, s- sweep back and forth at base of the fire
when can restraint be applied: when patient has a potential for harming self and others, when the doctor gives a P&P that must be followed carefully and fully documented
What are some causes of sleep disorders? List some ways to provide a better sleep environment: *environment - change in surroundings, sleeping arrangements, mattress, furnishings, etc.Listen to patient's needs and be compassionate, provide extra blankets and pillows for comfort. * noise/lighting - each patient has his her/own preference of lighting.Try to keep equipment noise levels down, adjust lighting as requested. Keep light controls within the patient's reach.*odors/ventilation - incontinence, wounds, diseases, etc. produce foul odors.Cut down on odors by providing personal care often, keep equipment clean, change linens, use spray deodorizer.*temperature - each patient has his/her own preference.If possible, adjust temperature and layer clothing and blankets for warmth.*anxiety - uneasiness, fear about illness, condition, new environment, etc.Offer back rub, use touch and soothing words, sit with patient and listen to concerns.*illness - pain or discomfort may prevent sleep.Provide personal care and backrub so that patient is clean and relaxed. Medication may be given.*aging - sleep patterns change with age, patient may nap during the day and sleep less at night, get up frequently in the night to use the restroom.Assist patient w/ bathroom just before sleep, honor fluid restrictions, use music or reading to help fall asleep, encourage exercise during day.*diet - caffeine may prevent sleep, heavy meals can cause discomfort, sugar may cause excitement. Limits these items near bedtime.*medication, alcohol, cigarettes - some may cause fatigue and others stimulate .Monitor behavior, medications or dosages may need to be changed. Discourage alcohol and cigarettes.
logrolling: moving the patient as a unit while keeping the spine, head, neck, shoulders, hips and legs in allignment
RACE: its an acronym which outlines what to do in case of a fire. R-remove residents from danger, A-activate alarm (or call 911), C-contain the fire by closing all doors and windows, if possible, E-extinguish the fire, or fire department will extinguish. Evacuate if instructed to do so.
What complications can occur if regular oral care is not done?: plaque,tartar,gingivitis.
what can an NA do during Oxygen administration: an NA cant administer oxygen but can only bag a patient during a code under the supervision of the nurse code team if the NA is certified for CPR
what are guidelines for proper bedmaking?: *bed must be change when its wet, soiled or when too wrinkle for comfort.*wash hands.*wear glove to remove soiled linen.*Order of placement for clean linen: mattress pad, sheets, blankets, bedspreads and pillowcase.*carry clean linen away from uniform.*flip stack making the mattress pad on top.*never pick up linen from one room and transfer to another room.*place linen in a facility spot, not on the floor.*look for personal items before removing linen.*roll dirty linen away from you.*don't shake linen.*place soiled linen in proper container .*use proper mechanics start one side and then do the other side.*keep bed wrinkle-free and free of all crumbs.*wash hands.
denture care: do not use hot water, wear gloves, dont put your hands in residents mouth
examples of poisonous items: glue, soap, perfume, paints, medication
How can you prevent aspiration when providing oral care to an unconcious patient?: turning unconscious patients on their side before.beginning oral care.use swabs soaked in tiny amounts of fluid should be used to clean the mouth,drying with towel, remove privacy, and gloves, put call light, wash your hands
how do you wash the genitals: wash from cleanest to dirty
why do facilities use disposable equipment?: Facilities used disposable equipment to prevent the spread of infection.
What increases the risk for pressure sore development?: -patient who remains in same position without pressure relief.-Patients especially at risk are chronically ill, debilitated, older, disabled, incontinent, spinal cord injury, limited mobility and overall poor nutrition.-incontinent patient skin is at increaded risk because of contact with urine/feces which irritate skin and leaves it more susceptible to pressure sores.-obese patients have more pressure on bony areas. -underweight patients have less cushion for bony areas.-patients with conditions that cause decreased oxygen and nutrition to cells( e.g. anemia, atherosclerosis, or edema) and causes skin impairment.- friction & shearing force when moving patient
trendelenburg position: used for a resident who has gone into shock and has poor blood flow, the leg of the bed is elevated above the head of the bed
For a resident to be able to use a toilet, he must be able to bear some weight on his legs.: true
factors affecting residents sleep: environment, noise level/lightening, temperature,illness, aging changes, dietary habits, medications, alcohol, cigarettes,
circadian rhythm: 24 hour day night cycle
restraint alternatives: creative ideas that helps avoid the use of restraints
Why is it important to prevent pressure sores?: -Pressure sores are painful & difficult to heal.-they can lead to life threatening infection. -becomes bigger & deeper, affecting more areas.-prevention is key
draw sheet: its a turning sheet, an extra sheet placed on top of the bottom sheet , used for turning, lifting or moving residents up in bed, it prevents skin damage caused by shearing
who can use mechanical lifts: staffs who have been trained to use it.
what can lack of sleep cause: Lack of sleep can cause decrease mental function: reduced reaction time: decreased immune system function: and irritability
which liquids are easier to swallow: thickened liquids
What are guidelines to follow when providing nail care?: identify yourself..identify the resident..wash your hands..explain procedure to resident..speak clearly,slowly,directly..maintain face to face..encourage resident to assist.provide privacy(close curtain)..good body mechanics if the resident is in bed,adjust bed to safe.lock bed wheels..lowers the side of the rail.use basin halfway with warm water no more than 105f..put soap in the basin and soak all 10 fingers for 5 minutes..remove hands wich soapy wascloth ,rinse,pat beetween fingers..put gloves.put resident hand in a towel.use orangewood to remove dirt under nail.groom nails with emery board in curve.finish with nail smooth.apply lotion from fingertips to wrist.low position and raised ensure resident safety .rail up.remove privacy.empty rinse,wipe basin put it back.dispose of soiles .remove gloves.call light within resident reach.wash your hands.be courteous and respectful.report any change to the nurse.document procedure
what temperature is hot beverage served at?: 160-180F, but it only takes 5seconds at 140F to burn someone
Open bed: bed made with linen folded down to the foot of the bed
shearing: friction and pressure on the skin from rubbing or dragging it across surfaces
how long should warm or cold water be applied to a resident: for only 20minutes at a time
lateral: position with person lying on his/her side
what is the propr use of a gait belt?: Gait belt is a belt made of canvas or other heavy material used to help residents walk. It is also used to transfer residents who are weak, unsteady, or uncoordinated. Its also called a transfer belt.
how to give back rubs: after bath, use warm lotion, warm your hands,gentle massage bony areas, avoid suspected pressure sores, dry off extra lotion, assist resident with dressing
Circadian rhythm: pattern based on a 24 hour cycle, especially the repetition of certain physiological phenomena, such as sleeping and eating
Serving hot liquids to a resident.: Make sure the drink has cooled before encouraging the resident to drink.Serve only when resident is seated.Tell resident when you are about to pour or set hot liquids down.Use lids on hot liquids if possible.Pour hot liquids away from resident.Keep away from the edge of tables.
what are some alternatives to restraints: answering call light promptly, assisting resident to bahroom, redirection, actvities, repititive task
ambulation: walking
Insomnia: the inability to fall asleep or remain asleep
Parasomnias: sleeping disorders
Sims': position with person lying on his/her left side with one leg drawn up
Ways to prevent falls are,: a) Identify residents who maybe at risk and guard against fall. Report resident who seems unsteady to nurse.b) Know which medication cause unsteadiness or problems moving about.c) Respond to call light promptly.d) Wipe up spills immediately.e) Remove clutter f) When in doubt get help to move a resident.g) Lock bed wheels before giving care h) Lock wheel chair before helping resident in and out of them.i) If side rails are ordered, check to make sure they are raise before leaving the room.j) Use non-skid mats and rugs to prevent slipping.k) Offer traps to the bathroom frequently.l) Keep call light in reach of resident
what do you do when going down a ramp with the resident in the chair?: go down ramp backwards, with the resident facing the top of the ramp
restraint free care: restraint are ot kept or used for any reason instead they may use alternatives
what are dentures: artificial teeth, they are expensive to replace and each set required a labelled container
what is an MSDS and what does it contain?: material safety data sheet, its used for dangerous chemicals, it contains chemical ingredient of the product, dangers, protective items to wear when using the product, correct method of using and leaning up chemical, emergency response actions to be taken, safe handling procedures for the product
lithotomy: position with the person on her back with her hips at the edge of the exam table, legs are flexed and feet are in padded stirrups, its used to examine the vagina
pediculous: infestation of lice, they bite into skin and live off blood eg body lice, hair lice, pubic/crab lice
majority of falls are caused by: unsafe environment, loss of abilities, disease, medications
conditions that put a person at risk of falling: problems with walking, poor vision, disorientation(confusion about person, place or time), clutter, exposed items on floor, post signs for wet/slipery fall, poor lighting, call light not within reach, call light not answered within appropriate time, medications, poor vision
what can falls lead to?: life treatening fractures, prevention and awareness of surrounding is important
What area of the body should be washed at least daily?: face, hands, underarms, perineum(includes genitalia and area in between)
When is nail care provided?: Prevents contamination of microorganisms.prevent scratch their skin.prevent transmit infection
Alignment: Alignment is based on the word "line". When you stand up straight, a avertical line could be drawn right through the center of your body and your center of gravity.
dysphagia: difficulty swallowing or eating
types of ID bands: white patient ID band, red band (allergies), green band (fall precaution), blue (full code, DNI,DNR or no code),
Encouraging a patient to do as much as possible for themselves, encourages what?: Promotes dignity & independence
Lever: simple machine used to lift weight by exerting a large force over a small distance.
if a client starts to fall, what should you do?: staffs who have been trained to use it.
ddesrcribe proper body mechanics: Good proper mechanics are when muscles are used correctly to push, pull and lift objects or people, it reduces the risk of injury. Examples include raising beds to safe working level before making them, standing close to the object, standing with a wide base of support, pushing, sliding or pulling objects rather than lifting them, using the large muscles of your upper arms and thighs to lift.
tartar: filled with bacteria and may cause gum disease and loose teeth if not removed by a dentist
How often should oral care be done?: At least twice a day.
when do you replace sharps container: when its 3/4 full
hygiene: describe ways to keep your body clean and healthy
describe physical restraints: are also called postural support or protective devices which are devices that maintains good posture eg vest (posey), belt, wrist/ankle, mitt, side rails, special chairs, geriartric chair, pelvic,,leather, locking tray covers
whats the proper water temperature for bathing a client: should not be more than 105C
hoarding: collecting and putting things away in a guarded manner
what are bedside staands and overhead tables used for?: Bedside stands are used for storing equipment like emesis basins, bath basins, urinals and bedpans. Items are placed in a plastic bag to promote infection control. Overbed tables are used for resident's meals or for personal care. Must keep clean and free of clutter. Don't place urinals, bedpans or soiled linens on overbed tables
Mental status does not affect ones risk for falling: false
corect order for washng the body: eyes, face, ears, ears, neck, arms, axilla, hands, chest, abdomen, legs, feet, perianal area, buttocks
When providing hair care,why do we need to be careful whith elderly hair?: Their hair are thin and fragile
What are the functions of sleep?: Sleep is essential for physical and mental health. Sleep is a natural period of rest for the mind and body during which energy is restored to cells and organs. Dreams help the brain sort out situations it has been dealing with during the day.
How do you care for your patients dentures?: provide privacy.wash your hands .put gloves.handle dentadures carefully wash with cool water,use toopaste and toothbrush ,brush all.surface(inner and out),rinse place in their dentadures cup cover with the lid,remove gloves.leave call light within resident.wash your hand.report any change.document procedure
base of support: the foundation that supports an object (feet)
what are some dietary habits that can improve sleep: Dietary habits that can improve sleep are to limit caffeine intake, avoid serving heavy meals and serve meals earlier in the evening, not late at night.
what do you do when assisting an ambulatory visually impaired resident: walk beside and slightly in front, allow resident to rest his hand on your elbow, let them know before turning a corner, let them know when to step up or down
ASPIRATION: inhalation of food or fluid into the lungs, it causes pneumonia or death
what should the water temperature be?: not more than 110F
how often should bedbound patiets be repositioned?: every 2 hours
HOW CAN YOU PREVENT ASPIRATION WHEN PROVIDING ORAL CARE TO AN UNCONSCIOUS PATIENT?: ASPIRATION CAN BE AVOIDED BY KEEPING THE HEAD OF THE BED AT 30-45 DEGREES AND KEEPING THE UNCONSCIOUS PATIENT FLAT ON HIS OR HER SIDE. USE VERY LITTLE AMOUNTS OF LIQUIDS WHEN PERFORMING ORAL CARE, KEEP SUCTION READILY AVAILABLE,GATHER ALL OF YOUR EQUIPMENT, AND NEVER PLACE YOUR HANDS IN ANOTHER PERSON'S MOUTH.MAKE SURE THEY ARE PROPERLY POSITIONED,ALWAYS TREAT RESIDENT AS IF THEY CAN HEAR YOU AND EXPLAIN WHAT YOU ARE GOING TO DO.

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Deck Info

Number of cards 144