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NURS 215 FUNDAMENTALS OF NURSING TEST 1 LECTURE SUMMARY NOTES ARIZONA COLLEGE OF NURSING
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NURS 215 FUNDAMENTALS OF NURSING TEST 1 LECTURE SUMMARY NOTES ARIZONA COLLEGE OF NURSING
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NURS 215 FUNDAMENTALS OF NURSING TEST1 LECTURE SUMMARY NOTES ARIZONA
COLLEGE OF NURSING
Right supervision and evaluation
✔✔Provide supervision, either directly or indirectly (assigning supervision
to another licensed nurse).
Provide clear directions and expectations of the task to be performed (time
frames, what to report).
Monitor performance.
Provide feedback.
Intervene if necessary (unsafe clinical practice).
Evaluate the client and determine if client outcomes
were met.
Evaluate client care tasks and identify needs for quality improvement
activities and/or additional resources.
Semi-Fowler's Position
✔✔-client lies supine with head of bed elevated approx 30 degrees and
knees may be slightly elevated (about 15 degrees)
-position frequently used to prevent regurgitation of tube feedings and
aspiration in clients with difficulty swallowing
Promotes lung expansion for clients w/ dyspnea or getting mechanical
ventilation
,Fowler's Position
✔✔-client lies supine with head of bed elevated approx 45 degrees and
knees may be slightly elevated (about 15 degrees)
-position frequently used during procedures such as NG tube insertion and
suctioning; also allows for better chest expansion & ventilation, as well as
better dependent drainage, after abdominal surgeries
High-Fowler's Position
✔✔-client lies supine with head of bed elevated approx 90 degrees, and
knees may or may not be elevated
-position promotes lung expansion by lowering the diaphragm and used
for clients experiencing severe dyspnea
Helps prevent aspiration during meals
supine or dorsal recumbent position
✔✔-client lies on his back with head and shoulders elevated on a pillow;
client's forearms may be placed on pillows or placed at side; foot support
prevents footdrop and maintains proper alignmentl
Prone Position
✔✔-client lies flat on abdomen with head to one side
-position promotes drainage from the mouth of clients following throat or
oral surgery, but inhibits chest expansion
Helps prevent hip flexion contracture following an amputation
Lateral or side-lying Position
✔✔Client lies on his side with most of his weight on the dependent hip
,and shoulder. His arms should be flexed in front of the body. A pillow is
placed under his head and neck, the upper arm, and under the leg and
thigh to maintain body alignment.
This is a good sleeping position but the client must be turned regularly to
prevent development of pressure ulcers on the dependent areas. A 30
degree lateral position is recommended for clients at risk for pressure
ulcers.
sims' or semi-prone position
✔✔-the client is on *his side halfway between lateral and prone position.*
(weight is on the anterio ileum, humerus, and clavical.) the *lower arm is
behind the client* while the *upper arm is in front.* both *legs are
flexed,* but the *upper leg is flexed at a greater angle* than the lower leg
at the hip as well as the knee.
-this is a *comfortable sleeping position for many clients,* and it
*promotes oral drainage*
Orthopenic position
✔✔Client sits in the bed at the bedside with a pillow on the over bed table
and rests his arms on the over bed table.
Allows for chest expansion for people with COPD
Trendelenburg position
✔✔-entire bed is tilted with head of bed lower than the foot of the bed
-position used during postural drainage, and facilitates venous return
, Reverse Trendelenburg
✔✔-entire bed is tilted with the foot of the bed lower than the head
-position promotes gastric emptying and prevents esophageal reflux
Modified Trendelenburg
✔✔The client remains flat with his legs above the level of his heart. This
position helps prevent and treat hypovolemia and facilitates venous
return.
intrapersonal communication
✔✔communication with oneself
interpersonal communication
✔✔direct, face-to-face communication between two or more people
Public communication
✔✔communication within groups of people
transpersonal communication
✔✔addresses spiritual needs and provides interventions to meet those
needs
Small Group Communication
✔✔communication occurring within small groups of three or more people
often working towards a mutual goal
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