d What covers the lungs? - visceral pleura (outer surface of each lung)
Parietal pleura (lining chest wall)
what increases thoracic volume? - As you breath in, external intercostal muscles contract, the rib cage
moves up and out, the diaphragm goes down and contracts and the thoracic volume increases while the
lung pressure decreases and air flows in the lungs
Muscle group at thigh - hamstrings are located on the back of each thigh
specimen collection for culture and sensitivity - urine same with straight catheter= sterile specimen
container
Therapeutic communication - -It an exchange of info that facilitates the formation of a positive nurse/
patient relationship and actively involves patients in all areas of care.
-Be sure to address what the client is worried about
Objective Signs of Pain - -increased heart rate
-increased pulse
-increased blood pressure
-aspiration (sweat)
Signs of hypoxia: - -insufficient saturation of oxygen
-tachycardic
-cyanosis
-delirium
Nursing Intervention for Ng Tube before feeding: - - Check pH level of gastric juice, residual, tube
placement
-High Fowlers
, Nursing interventions in patient with dysphagia: - -Instruct patients to tilt head forward chin down when
swallowing
-High fowlers
Plan of care for dementia: - 1. Provide daily routine
2. Mental stimulation
Passive Range of Motion (ROM): - - Passive range of motion is carried out by physiotherapist
-usually used to help paralyzed patients
Active Range of Motion: - - Active range of motions is carried out by the patient himself
- Cannot be used to help paralyzed patients
The apical pulse is located? - Apical pulse auscultated at left 5th intercostal space
What law standard is used to judge a nurses mistakes? - Nurse Practice Act
SBAR - S: Situation
B: Background
A: Assessment
R: Recommendation
Mechanically altered diet - -check trays
-soft foods
-pureed foods
-ground meat
-thickened liquid's
i.e. scrmbled eggs, cottage cheese, sliced bananas
CANT have toast unless pureed
normal blood pressure - 120/80
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