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)
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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
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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
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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
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What is the irregular breathing pattern often seen in terminal patients prior to their death?
-Cheyne-Stokes breathing
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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)
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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
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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
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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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