Podcast
Questions and Answers
What is subacute care, and where is it usually provided?
What is subacute care, and where is it usually provided?
Care for people who need more care than long term facilities can provide. It happens in hospitals and long term care facilities.
What conditions might require subacute care?
What conditions might require subacute care?
Chronic illness, cardiac surgery, recent stroke.
A pulse oximeter measures a person's blood oxygen level and pulse rate.
A pulse oximeter measures a person's blood oxygen level and pulse rate.
True (A)
A normal blood oxygen level is approximately 84%.
A normal blood oxygen level is approximately 84%.
Diseases such as chronic obstructive pulmonary disease can lower a person's blood oxygen level.
Diseases such as chronic obstructive pulmonary disease can lower a person's blood oxygen level.
If the alarm on the pulse oximeter sounds, the nursing assistant should turn it off.
If the alarm on the pulse oximeter sounds, the nursing assistant should turn it off.
The nursing assistant should report cyanotic skin or mucous membranes.
The nursing assistant should report cyanotic skin or mucous membranes.
Telemetry is the application of a ________________ monitoring device.
Telemetry is the application of a ________________ monitoring device.
The telemetry unit transmits information about the heart's _________________ and __________________.
The telemetry unit transmits information about the heart's _________________ and __________________.
A portable telemetry unit attaches to a resident's _______________.
A portable telemetry unit attaches to a resident's _______________.
The nursing assistant should monitor _______________________ carefully as ordered.
The nursing assistant should monitor _______________________ carefully as ordered.
The nursing assistant should report if pads become _________________
The nursing assistant should report if pads become _________________
An artificial airway may be needed in order to facilitate?
An artificial airway may be needed in order to facilitate?
A surgically created opening in the neck into the trachea is called?
A surgically created opening in the neck into the trachea is called?
When assisting a resident with an artificial airway, the nursing assistant should?
When assisting a resident with an artificial airway, the nursing assistant should?
A nursing assistant should provide this for the site around the tracheostomy.
A nursing assistant should provide this for the site around the tracheostomy.
One position that a resident may need to be in when he has a tracheostomy is?
One position that a resident may need to be in when he has a tracheostomy is?
A cuffless tracheostomy tube is often used if the resident has a low risk for this.
A cuffless tracheostomy tube is often used if the resident has a low risk for this.
One reason why a tracheostomy may be necessary is?
One reason why a tracheostomy may be necessary is?
A person with a tracheostomy may not be able to do this.
A person with a tracheostomy may not be able to do this.
Another name for the opening for the tracheostomy is?
Another name for the opening for the tracheostomy is?
A ventilator performs the process of breathing for a person who cannot breathe on his own.
A ventilator performs the process of breathing for a person who cannot breathe on his own.
A resident using a mechanical ventilator is usually able to speak, although his voice will be weaker.
A resident using a mechanical ventilator is usually able to speak, although his voice will be weaker.
A resident using a mechanical ventilator will prefer to be left alone as much as possible.
A resident using a mechanical ventilator will prefer to be left alone as much as possible.
A resident using a mechanical ventilator is often sedated.
A resident using a mechanical ventilator is often sedated.
A resident using a mechanical ventilator needs to be positioned flat on his back at all times.
A resident using a mechanical ventilator needs to be positioned flat on his back at all times.
The nursing assistant should reposition a resident using a mechanical ventilator at least every two hours.
The nursing assistant should reposition a resident using a mechanical ventilator at least every two hours.
Residents using mechanical ventilators will require one-on-one care during a power failure.
Residents using mechanical ventilators will require one-on-one care during a power failure.
Most residents using mechanical ventilators will show nervousness or anxiety, so it is not necessary for the nursing assistant to notify the nurse if this occurs.
Most residents using mechanical ventilators will show nervousness or anxiety, so it is not necessary for the nursing assistant to notify the nurse if this occurs.
When is suctioning needed?
When is suctioning needed?
What are signs of respiratory distress?
What are signs of respiratory distress?
What are some guidelines of suctioning?
What are some guidelines of suctioning?
Chest tubes are inserted during what type of procedure?
Chest tubes are inserted during what type of procedure?
Chest tubes drain air, blood, or fluid from what?
Chest tubes drain air, blood, or fluid from what?
Chest tubes may be required for?
Chest tubes may be required for?
A drainage system must be?
A drainage system must be?
The drainage system must be kept _____________ the level of the resident's chest.
The drainage system must be kept _____________ the level of the resident's chest.
What is a central venous line?
What is a central venous line?
What is gastric suctioning?
What is gastric suctioning?
What is a gastrostomy?
What is a gastrostomy?
What is a nasogastric tube?
What is a nasogastric tube?
What is a percutaneous endoscopic gastrostomy (PEG) tube?
What is a percutaneous endoscopic gastrostomy (PEG) tube?
What is total parenteral nutrition (TPN)?
What is total parenteral nutrition (TPN)?
What is kidney dialysis and why is it used?
What is kidney dialysis and why is it used?
What sort of things should a nursing assistant report to the nurse about dialysis?
What sort of things should a nursing assistant report to the nurse about dialysis?
Study Notes
Subacute Care Overview
- Subacute care provides more intensive treatment than long-term care facilities.
- Typical settings include hospitals and long-term care facilities.
Conditions Requiring Subacute Care
- Chronic illnesses
- Cardiac surgery recovery
- Recent stroke recovery
Pulse Oximetry
- A pulse oximeter measures blood oxygen levels and pulse rate.
- Normal blood oxygen levels are not approximately 84%; they are generally around 95-100%.
- Chronic obstructive pulmonary disease can lead to decreased blood oxygen levels.
- Nursing assistants must respond to alarm sounds from pulse oximeters rather than turning them off.
- Cyanotic skin or mucous membranes should always be reported to a nurse.
Telemetry Monitoring
- Telemetry involves cardiac monitoring through specialized devices.
- The telemetry unit transmits heart rhythm and rate information.
- A portable telemetry unit is attached to the resident's chest.
Vital Signs and Monitoring
- Nursing assistants should carefully monitor vital signs as ordered.
- Loose pads on telemetry devices must be reported.
Tracheostomy Care
- Tracheostomy: a surgical opening in the neck leading to the trachea, facilitating ventilation.
- Assist residents with artificial airways using alternative communication methods if they cannot speak.
- Skin care around the tracheostomy site is essential.
- Residents may need to be positioned in Fowler's position for comfort and breathing ease.
Tracheostomy Details
- Cuffless tracheostomy tubes reduce aspiration risk.
- Tracheostomies may be necessary due to conditions like cancer.
- Individuals with tracheostomies may lose the ability to speak.
- The stoma refers to the opening created by the tracheostomy.
Mechanical Ventilation
- A ventilator aids those unable to breathe independently.
- Residents using mechanical ventilators cannot typically speak.
- Mechanical ventilator patients may prefer companionship and may often be sedated.
- Regular repositioning every two hours is necessary for comfort.
- One-on-one care is crucial during power outages for ventilator-dependent residents.
- Anxiety or nervousness in ventilator users must be reported to nurses.
Suctioning and Respiratory Care
- Suctioning is needed for individuals unable to expel secretions.
- Signs of respiratory distress include gurgling, elevated respiratory rates, shortness of breath, and cyanosis.
- Guidelines for suctioning involve observing skin color and providing support during difficult breathing.
Chest Tubes and Drainage
- Chest tubes are inserted in sterile procedures to drain air, blood, or fluid from the pleural cavity.
- A drainage system must be airtight and maintained below chest level.
Nutritional and Renal Support
- A central venous line is used for long-term total parenteral nutrition.
- Gastric suctioning is a method for removing materials from the body.
- Gastrostomy involves creating an opening in the abdomen for a PEG tube.
- Nasogastric tubes are inserted through the nose to the stomach.
- Total parenteral nutrition (TPN) delivers nutrients intravenously, bypassing the digestive system.
- Kidney dialysis cleanses waste due to chronic renal failure.
Reporting During Dialysis
- Nursing assistants should report symptoms such as itchy skin, changes in intake/output, swelling, pain, respiratory distress, or vital sign changes to nursing staff.
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Description
Test your knowledge on subacute care through this flashcard quiz. Learn about the definitions, conditions that require subacute care, and key concepts within this important nursing topic. It's essential for nurses to understand this area to provide better patient care.
