A client is taking a herbal supplement that helps him with his immune system. What supplement is he taking?
Echinacea
Enhances immunity
A
... [Show More] client is taking a herbal supplement that helps with headaches. What supplement is he taking?
Feverfew
Types of herbal products
Aloe- Wound Healing
Chamomile- Inflammatory, calming
Garlic- Inhibits platelet aggregation
Ginger- Antiemetic
Ginkgo Biloba- Improves memory
Valerian- Promotes sleep, reduces anxiety
A client reports having pain from touching a curling wand. What pain does she have?
Cutaneous Pain
A client reports feeling pins and needles in his legs. He had a back injury in 2004. What pain does he have?
Neuropathic Pain
Pain is considered the 5th vital sign and is subjective?
True
What is a scale used to measure ones pain level?
Number,FACES, FLACC,CRIES
What are some of the characteristics of the pain assessment?
Quality, Location
(PQRST)
Proactive factors: What makes it better/worse
Quality: What does it feel like
Region/Radiation: Where does it hurt
Severity: Can you rate your pain
Timing: When does it hurt, constant/intermittent, Does it hurt worse at certain times
Types of Pain
Cutaneous: pain from skin (burned skin)
Visceral: deep internal disorder (menstrual cramps)
Deep Somatic: ligament, tendon, nerves, bones (fracture bones)
Radiating Pain: starts or origin and extends to other location (pain from sore throat felt in ears)
Referred pain: area distant from site of origin (MI pain felt in left arm)
Neuropathic pain: injury of nerves
Acute Pain: short duration, rapid onset (elevate vitals)
Chronic: Last 6 months or longer (adapts to pain)
What is the best intervention for a fall risk client?
Remove Objects from the floor.
Complete a fall risk assessment, demonstrate call light, fall risk alerts, provide toileting, adequate lighting, orient to setting, place fall risk pt. near nursing stations, hourly rounding, possessions are within need, bed in lowest position and locked, rails up if unconscious, side rails down if trying to get out of bed
Which persons are at risk for falls?
Older adults, Confused patients, Post-Op patients
What does the C mean in the RACE acronym?
Confine the fire
R: rescue and protect clients
A: alarm the fire alarms and update with location and details
C: contain and confine by closing doors and windows and move any 02 or electrical
E: extinguish the fire
What does the A mean in the PASS acronym?
Aim the extinguisher at the base
P: Pull pin
A: Aim at base
S: Squeeze handle
S: Sweep from side to side
Best intervention to take when doing a fire evacuation
Keep patients and families calm
Best fire extinguisher to use for an oxygen fire (because someone lit a cig in the hospital and wasn't caught)
Class C
Types: A (Combustibles), B (flammable liquids), C (electrical fire)
What is a safety concern for an infant
Choking, Body Harm, Ingesting
Poison, Drowning
Aspiration, Suffocation, Falls, Motor Vehicle Injury, Burns,
Best intervention for a infant who is at risk for choking
Avoid giving them small objects to play with
Check toys for loose objects, Do not feed hard/whole foods, Do not supine while feeding,
Best intervention to prevent an infant from drowning
Have them wear a floatie at all times
Fence in swimming pools, Begin swimming lessons early,
Best intervention for an infant who as at risk for ingesting poisonous substances (cleaner, etc)
Place them in a out of reach, locked cabinet
Remove sources of lead, Have poison control number available, Keep medications out of reach,
Best Intervention for a school aged child and body harm
Teach use of helmets when doing activities like biking or sports
Best intervention to prevent middle age adult harm
Avoid drinking and driving
What is a never event?
A event that causes harm in the workplace
If pt was harmed, its a never event and must be reported to state.
Best example of a never event
Wrong blood transfusion
Medication errors, surgical errors
Best intervention to prevent a never event
Double checking high risk medication doses like insulin, Completing hygiene and perineal care daily on a stage 4 wound patient, Marking surgical site multiple times
What is one step of the patient orientation process?
Teaching the client what each machine in the room does
How do you determine patient mental status
Ask about name, place, time and situation to the patient
Big part of an assessment or transferring a patient
Evaluate use of assistive device, Determine ability to bear weight or walk
Best way to use good body mechanics
Bend at the knees when lifting
This organization regulates patient safety goals, consists random visits, and sets protocol for safety
Joint commission
What is something you can do if you feel things aren't being taken care of safety wise?
Be an advocate and speak up
When you are bathing a client, what is one thing that you should do?
Use a different cloth each time you wipe the person
Best way to do eye care
Wipe from the inner cannula to outer cannula
Why is it important to do oral care?
To keep to client daily routines, To improve client self esteem, To check for infection
Best interventions for a unconscious/ intubated patient when giving oral care
Place them up and on their side, Set up suction
If A&O and able to sit up: Provide supplies and encourage to complete independently
If conscious but unable to complete indecently: Lay pt on side
Most important thing when doing oral care /feeding
Check for aspiration/ gag reflex
What is important about doing denture care?
Being careful when doing care as they are expensive and can erode
Do not wash with hot water, Do not place them in a napkin after
Which patient should NOT have foot care done without an order ?
Diabetic patient [Show Less]