Nursing Care Chapter 20 Flashcards

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Questions and Answers

What does 'entrapment' refer to in a healthcare setting?

Method for cleaning

Having full visual privacy

Getting caught in furniture (correct)

Having a semi-sitting position

What position involves raising the head of the bed 45 to 60 degrees?

Fowler's position

What is meant by 'full visual privacy'?

Having the means to be completely free from public view while in bed.

What is high-Fowler's position?

A semi-sitting position where the head of the bed is raised 60 to 90 degrees. Signup and view all the answers

What does the hospital bed system consist of?

The bed frame and its parts including the mattress, bed rails, head- and foot-boards, and attachments. Signup and view all the answers

What is the meaning of 'person's unit'?

The personal space, furniture, and equipment provided for the person by the agency. Signup and view all the answers

What is reverse Trendelenburg's position characterized by?

The head of the bed is raised and the foot of the bed is lowered. Signup and view all the answers

What is semi-Fowler's position?

The head of the bed is raised 30 degrees. Signup and view all the answers

What does Trendelenburg's position involve?

The head of the bed is lowered and the foot of the bed is raised. Signup and view all the answers

What are the three things the person's unit is designed to provide?

Privacy Signup and view all the answers

What should you keep the person's unit?

Clean Signup and view all the answers

Most people are comfortable with a room temperature between and degrees Fahrenheit.

68, 74 Signup and view all the answers

Persons who are older or ill may need ____________ temperatures for comfort.

higher Signup and view all the answers

List the three good practices for preventing odors.

Good nursing care, ventilation, good housekeeping practices. Signup and view all the answers

What is a comfortable sound level according to CMS?

Does not interfere with a person's hearing, promotes privacy, allows participation in social activities. Signup and view all the answers

List four practices to decrease noise levels.

Control your voice, handle equipment carefully, keep equipment in good working order, answer phones and call lights promptly. Signup and view all the answers

List the two aging-related reasons why older persons are more sensitive to cold.

Poor circulation, loss of the skin's fatty tissue. Signup and view all the answers

For persons with dementia, ___________ is adjusted to help control agitated and aggressive behaviors.

lighting Signup and view all the answers

What does comfortable lighting do according to the CMS?

Lessens glare, lets the person control light, helps visually impaired persons maintain independence. Signup and view all the answers

For persons with poor vision, bright light is most important at and _____.

mealtime, when moving about the room and agency Signup and view all the answers

What position of bed cranks poses safety hazards?

Up Signup and view all the answers

When may beds be locked?

For persons with confusion or dementia Signup and view all the answers

What is the common bed position for sleeping used after spinal cord injury or surgery?

Flat Signup and view all the answers

List the two bed positions that must be ordered by a doctor.

Trendelenburg's position, reverse Trendelenburg's position. Signup and view all the answers

What bed position is most likely to prevent sliding down?

Semi-Fowler's position with knees raised 15 degrees. Signup and view all the answers

How can you prevent entrapment in cribs?

The mattress and crib must be the same size. Signup and view all the answers

Hospital systems have ___ entrapment zones.

7 Signup and view all the answers

List persons that are at greater risk for entrapment.

Older, frail, confused or disoriented, restless, have uncontrolled body movements, have poor muscle control, small in size, restrained. Signup and view all the answers

Define entrapment zone 1.

Within the rail. Signup and view all the answers

Define entrapment zone 2.

Between the top of the compressed mattress and the bottom of the rail, between the supports. Signup and view all the answers

Define entrapment zone 3.

Between the rail and the mattress. Signup and view all the answers

Define entrapment zone 4.

Between the top of the compressed mattress and the bottom of the rail, at the end of the rail. Signup and view all the answers

Define entrapment zone 5.

Between the split bed rails. Signup and view all the answers

Define entrapment zone 6.

Between the end of the rail and the side edge of the head-board or foot-board. Signup and view all the answers

Define entrapments zone 7.

Between the head-board or foot-board and the mattress end. Signup and view all the answers

What does 'egress' mean?

To go out, to leave. Signup and view all the answers

List items you NEVER place on an over bed table or bedside stand.

Bedpans, urinals, soiled linen. Signup and view all the answers

A person's unit will have at least ____ chair(s).

1 Signup and view all the answers

In regards to privacy curtains, what must you always do before giving care?

Pull curtains completely around the bed. Signup and view all the answers

Where should the call light always be kept?

Within the person's reach. Signup and view all the answers

List the general rules for call system safety.

Keep call light within reach, place it on the person's strong side, remind them to signal when help is needed, answer call lights promptly. Signup and view all the answers

Staff can inspect a person's closet or drawers if hoarding is suspected.

True Signup and view all the answers

You do NOT need the person's permission to open or search closets or drawers.

False Signup and view all the answers

When inspecting a person's closet, what must be present?

The person must be present and a co-worker should serve as a witness. Signup and view all the answers

When helping the person choose the best places for items, ensure their choices are...

Safe, will not cause accidents or falls, does not interfere with the rights of others. Signup and view all the answers

Study Notes

Entrapment and Bed Positions

Entrapment: Refers to getting caught or trapped in spaces created by bed components (rails, mattress, frames).
Fowler's Position: Semi-sitting position with the head of the bed raised between 45 to 60 degrees.
High-Fowler's Position: Bed angle raised to 60-90 degrees for improved sitting posture.
Semi-Fowler's Position: Bed angled at 30 degrees, with an option to raise knee portion 15 degrees.
Reverse Trendelenburg's Position: Head of the bed raised while the foot end is lowered.
Trendelenburg's Position: Foot of the bed is raised while the head end is lowered; requires doctor's order.
Flat Position: Common sleeping position, used after certain medical procedures like spinal cord surgeries.

Safety and Comfort in the Person's Unit

Person's Unit: Consists of personal space, furniture, and equipment to ensure comfort, safety, and privacy for the individual.
Cleanliness: It’s essential to maintain a clean, neat, andSafe environment within the person's unit.
Ideal Room Temperature: Comfort achieved between 68 to 74 degrees Fahrenheit; older or ill individuals may require higher temperatures.

Noise and Lighting Management

Managing Odors: Good nursing care, proper ventilation, and housekeeping practices are vital for odor control.
Sound Level: Comfortable sounds that do not interfere with hearing, allowing privacy and social interaction.
Reducing Noise: Involves careful handling of equipment, controlling voices, and responding promptly to calls.
Lighting for Dementia Patients: Adjusted lighting to minimize agitation and aggression; comfortable lighting lessens glare and improves independence for visually impaired persons.

Entrapment Risks and Zones

Entrapment Risk Factors: Older, frail, confused, restless individuals with poor muscle control or who are restrained are at greater risk.
Entrapment Zones in Hospital Beds: Seven specific zones where entrapment can occur, including spaces within rails and around mattress edges.

Accessibility and Safety Protocols

Egress: Defined as the action of going out or leaving.
Over-Bed Table Restrictions: Bedpans, urinals, and soiled linens must never be placed on overbed tables.
Privacy Measures: Always pull privacy curtains completely around the bed before providing care.
Call Light Protocol: Keep call lights within reach and on the strong side; respond promptly to all call signals.

Personal Belonging Inspection

Inspection Protocol: Staff can inspect a person's closet with the individual present and a witness for transparency.
Choice and Safety: Assist individuals in organizing their belongings in a way that ensures safety and respects their rights.

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Description

Test your knowledge with these flashcards from Chapter 20 of Nursing Care. Each card covers essential terms and definitions related to patient care, including positioning and entrapment. Use these to enhance your understanding and preparation for nursing assessments.