Podcast
Questions and Answers
Which breathing pattern is characterized by deep, rapid, and regular breaths and is often associated with diabetic ketoacidosis?
Which breathing pattern is characterized by deep, rapid, and regular breaths and is often associated with diabetic ketoacidosis?
- Apnea
- Eupnea
- Cheyne-Stokes
- Kussmaul's (correct)
What is the normal range for oxygen saturation?
What is the normal range for oxygen saturation?
- 90% - 95%
- 95% or higher (correct)
- 85% - 90%
- 100%
What is the difference between active and passive range of motion?
What is the difference between active and passive range of motion?
- Active range of motion is performed by the healthcare professional, passive range of motion is performed by the patient.
- Active range of motion is performed by the patient with assistance from the healthcare professional, passive range of motion is performed by the healthcare professional.
- There is no difference between active and passive range of motion.
- Active range of motion is performed by the patient, passive range of motion is performed by the healthcare professional. (correct)
Which of the following is NOT a location where peripheral pulses are typically assessed?
Which of the following is NOT a location where peripheral pulses are typically assessed?
Which of the following is NOT a recommended intervention for a low oxygen saturation level?
Which of the following is NOT a recommended intervention for a low oxygen saturation level?
Which of the following interventions is NOT recommended for a patient with constipation?
Which of the following interventions is NOT recommended for a patient with constipation?
Which movement pair describes the following action: bending the elbow?
Which movement pair describes the following action: bending the elbow?
Which intervention is specifically recommended for managing a patient with urinary retention?
Which intervention is specifically recommended for managing a patient with urinary retention?
Which of the following is NOT a type of movement pair?
Which of the following is NOT a type of movement pair?
Which intervention is specifically important for patients with potential foot drop?
Which intervention is specifically important for patients with potential foot drop?
Which of the following are examples of diagnoses that would require Contact Precautions?
Which of the following are examples of diagnoses that would require Contact Precautions?
What is the minimum PPE required for a caregiver entering a room with a patient on Droplet Precautions?
What is the minimum PPE required for a caregiver entering a room with a patient on Droplet Precautions?
Which of the following are examples of Healthcare-Associated Infections (HAIs)? (Select all that apply)
Which of the following are examples of Healthcare-Associated Infections (HAIs)? (Select all that apply)
What is the normal range for blood pressure?
What is the normal range for blood pressure?
Which of the following are considered appropriate interventions for falls risk assessment? (Select all that apply)
Which of the following are considered appropriate interventions for falls risk assessment? (Select all that apply)
Which of these is NOT a nursing intervention for someone in restraints?
Which of these is NOT a nursing intervention for someone in restraints?
Which of the following are valid reasons for using restraints? (Select all that apply)
Which of the following are valid reasons for using restraints? (Select all that apply)
What is the correct sequence of steps for using a fire extinguisher?
What is the correct sequence of steps for using a fire extinguisher?
When should hand hygiene be performed? (Select all that apply)
When should hand hygiene be performed? (Select all that apply)
What is the first step in the RACE acronym for fire safety?
What is the first step in the RACE acronym for fire safety?
Which of the following are considered necessary for preventing needlestick injuries? (Select all that apply)
Which of the following are considered necessary for preventing needlestick injuries? (Select all that apply)
Which of the following are signs of infection? (Select all that apply)
Which of the following are signs of infection? (Select all that apply)
What is the correct definition of Stage 2 hypertension?
What is the correct definition of Stage 2 hypertension?
Which of the following is NOT a client safety goal?
Which of the following is NOT a client safety goal?
What is the correct intervention for orthostatic hypotension?
What is the correct intervention for orthostatic hypotension?
What is the definition of orthostatic hypotension?
What is the definition of orthostatic hypotension?
Which bed position is most appropriate for a patient experiencing difficulty breathing?
Which bed position is most appropriate for a patient experiencing difficulty breathing?
When assisting a client with ambulation, which gait pattern involves using crutches with a 2-point gait?
When assisting a client with ambulation, which gait pattern involves using crutches with a 2-point gait?
Which of the following is a potential cardiovascular complication associated with immobility?
Which of the following is a potential cardiovascular complication associated with immobility?
Which assistive device would be most appropriate for a client who can bear no weight when transferring from bed to a chair?
Which assistive device would be most appropriate for a client who can bear no weight when transferring from bed to a chair?
Which intervention is specifically designed to prevent atelectasis in an immobile client?
Which intervention is specifically designed to prevent atelectasis in an immobile client?
Which of the following interventions helps to prevent shearing and friction in an immobile client?
Which of the following interventions helps to prevent shearing and friction in an immobile client?
What is the proper crutch placement in relation to the axilla?
What is the proper crutch placement in relation to the axilla?
Which of the following is not an effect of immobility on the gastrointestinal system?
Which of the following is not an effect of immobility on the gastrointestinal system?
Flashcards
Constipation Interventions
Constipation Interventions
Assess abdomen for discomfort; elevate HOB after meals.
Urinary Retention Interventions
Urinary Retention Interventions
Encourage fluids and activities to prevent renal calculi.
Psychosocial Support
Psychosocial Support
Monitor emotional status; encourage family interaction.
Flexion
Flexion
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Abduction vs Adduction
Abduction vs Adduction
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Apical Pulse
Apical Pulse
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Respiratory Patterns
Respiratory Patterns
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Oxygen Saturation
Oxygen Saturation
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Passive Range of Motion
Passive Range of Motion
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Temperature Sites
Temperature Sites
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Supine Position
Supine Position
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Prone Position
Prone Position
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Fowler's Position
Fowler's Position
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Trendelenburg Position
Trendelenburg Position
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Antiembolism Stockings
Antiembolism Stockings
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Complications of Immobility
Complications of Immobility
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Cardiovascular Effects
Cardiovascular Effects
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Respiratory Interventions
Respiratory Interventions
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Types of Isolation Precautions
Types of Isolation Precautions
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Contact Isolation
Contact Isolation
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Droplet Isolation
Droplet Isolation
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Respiratory Isolation
Respiratory Isolation
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When to wear gloves?
When to wear gloves?
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Hand Hygiene Importance
Hand Hygiene Importance
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Healthcare Associated Infections
Healthcare Associated Infections
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Needlestick Injury Prevention
Needlestick Injury Prevention
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Restraint Care
Restraint Care
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Fire Rescue Protocol
Fire Rescue Protocol
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Seizure Precautions
Seizure Precautions
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Normal Blood Pressure
Normal Blood Pressure
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Stages of Hypertension
Stages of Hypertension
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Orthostatic Hypotension Diagnosis
Orthostatic Hypotension Diagnosis
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Vital Signs Monitoring
Vital Signs Monitoring
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Client Identification
Client Identification
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Study Notes
Infection Control and Isolation
- Assigning rooms for clients with infections involves considering the type of infection and appropriate personal protective equipment (PPE) for caregivers and visitors.
- Isolation precautions vary based on the type of infection (contact, droplet, respiratory, protective).
- Contact precautions require gowns and gloves, droplet precautions use surgical masks, respiratory precautions require N95 or higher masks, and protective isolation may involve masks for when leaving the room.
- Gloves should be worn when handling contaminated materials, mucous membranes, non-intact skin, and contaminated equipment.
- Protective eyewear should be worn during exposure to body fluids, infectious viruses, and bacteria.
- Hand hygiene is crucial before and after treating each patient, touching surfaces, and changing gloves. Hygiene is critical for preventing the spread of Clostridium difficile.
- Healthcare-associated infections (HAIs) can arise due to various factors and are a concern because of their potential impact on patient safety.
- Signs of infection include fever, abdominal pain, coughing, chills, burning pain, and shortness of breath. Inflammation presents as swelling.
- Breaking the infection chain involves hand hygiene, vaccinations, covering coughs/sneezes, and proper equipment usage.
Safety
- Falls risk assessment and interventions involve bed height adjustments, brake locks, ensuring patient access to items, and use of appropriate bed rails.
- Restraints should only be used when the client is aggressive, combative, or a danger to themselves or others. Restraints should not be unnecessary or unwanted.
- Restraint application should be correct in terms of how they are applied to the bed and how tight they are applied. Proper application prevents harm to clients.
- Client care in restraints requires careful monitoring of range of motion, food and fluids, circulatory and respiratory function, and skin. Frequent assessments are critical.
- Complication prevention is important in restraint use. Monitoring is necessary in cases of fire.
- Rescue, alarm, contain, extinguish procedures should be followed in a fire emergency.
Vital Signs
- Blood pressure should follow proper technique, position, and cuff application to provide accurate readings.
- Normal blood pressure is 120/80 mmHg, and hypertension stages are defined by systolic and diastolic pressure levels.
- Risk factors and interventions/changes in position should be taken into consideration in cases of hypertension and hypotension.
- Orthostatic hypotension is a drop in blood pressure with changes in position, and causes need to be diagnosed. This includes interventions, such as position change and medication review.
- Apical pulse measurement should follow appropriate technique regarding time and location.
- Respiratory rate (12-20 breaths/minute) should be assessed. Breathing patterns (eupnea, apnea, Cheyne-Stokes, Kussmaul's) vary by cause and should be noted.
- Peripheral pulse locations and documentation of strength are essential.
- Oxygen saturation evaluation (normal >95%) and interventions for low oxygen levels are critical.
- Temperature taking is necessary for patient health monitoring.
Mobility
- Range of motion involves active and passive movement, with differences in client participation, assessment, and application.
- Various bed positions facilitate specific procedures or patient needs.
- Proper crutch fit prevents risks during movement.
- Applying anti-embolism stockings and assisting clients with ambulation should be done as needed according to specific assessments, as well as moving a client in bed.
- Transferring clients depends on their weight-bearing status; assessments should be performed.
- Immobility complications include cardiovascular, integumentary, respiratory, and gastrointestinal issues. Psychosocial factors influence an individual’s health and well-being.
- Different types of movement include flexion, extension, abduction, adduction, and their implications on the body structure.
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