| Basic Nursing | Care of the Elderly patient | Care of the Terminal Patient | Patient and Nursing Assistant Safety | |
|---|---|---|---|---|
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					  Name 2 patient identifiers, which should be used to properly identify our patients.					 
					
					 -Ask the patients name 
					-Ask the patients birthdate  | 
				
				
						
					 
					  Name the serious condition wht at affects many elderly patients when they develop an infection in the blood.					 
					
					 -Sepsis 
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					  What is it called when cancer spreads to another part of the body through the blood or lymph system?					 
					
					 -Metastasis 
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					  Why do hospitalized patients wear TED stockings of SCDs?					 
					
					 -Prevention of blood clots (dvt) 
					 | 
				
				
						
					 
					  What is the most common form of dementia, primarily affecting the geriatric population?					 
					
					 -Alzheimers Disease 
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| 
						
					 
					  Which cultures use traditional medication such as herb and accupunture, as well as mind-body practices such as tai chi and meditation to achieve balance and wellness?					 
					
					 -Asian 
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					  Dry mouth, sunken eyes, dark urine and weakness are all signs of what condition in the elderly?					 
					
					 -Dehydration 
					 | 
				
				
						
					 
					  What is the name of the document allowing the patient to express wishes for his/her care?					 
					
					 -Advanced Directive 
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					  You are required to red bag all items containing blood or body fluids that are  ______,______,______, and ______					 
					
					 -Pourable, drippable, squeezable, and flakable 
					 | 
				
				
						
					 
					  What is confusion and restlessness occurring in the late afternoon or early evening?					 
					
					 -Sundowners 
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| 
						
					 
					  Foot boot devices are worn in bed for what 2 purposes?					 
					
					 -To keep feet in proper alignment/dorsiflexion 
					-To protect the heels and ankle areas from skin breakdown.  | 
				
				
						
					 
					  Your patient has right sided hemiplegia after a CVA.  What does this mean?					 
					
					 -Right sided weakness after having a stroke 
					 | 
				
				
						
					 
					  What is the irregular breathing pattern often seen in terminal patients prior to their death?					 
					
					 -Cheyne-Stokes breathing 
					 | 
				
				
						
					 
					  What piece of mechanical lift equipment should be used to assist the caregiver and patient if your patient had a CVA, has left sided weakness and requires assist of 2-3 for a transfer into a chair?					 
					
					 -Encore/Sara plus (sit to stand) 
					 | 
				
				
						
					 
					  Your patient has large numbers on his calendar and phone, large print in his books, blinds open, and a radio/TV on much of the time.  What is the name for this technique to assist patients?					 
					
					 -Reality Orientation 
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| 
						
					 
					  What is the accidental entry of food into the trachea?					 
					
					 -Aspiration 
					 | 
				
				
						
					 
					  Name 3 physical changes of the integumentary system that take place as a person ages					 
					
					 -Hair loses color, becomes thinner 
					-skin becomes dry, fragile, and tears easily -fingernails and toenails thicken -increased sensitivity to cold -easy bruising  | 
				
				
						
					 
					  What is the name for a low white blood count, often causing lowered immunity in patients undergoing chemotherapy?					 
					
					 -Neutropenia 
					 | 
				
				
						
					 
					  When responding to a fire, remember RACE which stands for:					 
					
					 -Rescue (remove persons from danger) 
					-Alert (activate nearest fire alarm) -Confine or contain fire to smallest area -Extinguish  | 
				
				
						
					 
					  Name a device used in the hospital or long term care facility to help mange patients wander activity					 
					
					 -Bed Check or Wanderguard 
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| 
						
					 
					  Your patient is experiencing stroke like symptoms.  Name 3 symptoms.					 
					
					 -sudden headache with no known cause 
					-sudden weakness of face are leg, esp. on 1 side -sudden trouble walking, dizzy, balance, coordination -sudden confusion, trouble speaking or understanding speech ***BEFAST (balance, eyes, face, arm, speech, time, terrible headache)  | 
				
				
						
					 
					  Your patient has expressive aphasia. What does this mean?					 
					
					 -Difficulty producing language, speaking, or writing 
					(although comprehension generally remains intact  | 
				
				
						
					 
					  You've been told your patient is terminal.  Name 3 physical signs of approaching death in your patient.					 
					
					 -Change in breathing pattern 
					-sleeping more -decrease in oral intake -decrease in urine -incontinence -mottling, coolness of extremities -restlessness  | 
				
				
						
					 
					  You answer the call light of a person who is lying in bed with O2 per nasal cannula.  She asks you to help her to the bathroom.  Name 3 important safety measures you take before ambulating her to the bathroom					 
					
					 -Add extension tubing to the O2 
					-Place nonskid footwear -Apply gait belt -Lock brakes to bed  | 
				
				
						
					 
					  Name 5 alternatives to restraints when caring for a confused elderly patient.					 
					
					 Diversion Activities, movies, music, companions, sitters, mini-teams, family visits, foot and back massage, bed and chair alarms, frequent observation 
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