PCA exam questions
co worker safety tips for one on one
stay alert
sit facing the patient
no cell phone usage
use the restrictive restraints for managing the patients behavior if ordered
validation therapy
when you try to understand what is "real" for the person with dementia and respond...
pca exam questions co worker safety tips for one o
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PCA exam questions
co worker safety tips for one on one
stay alert
sit facing the patient
no cell phone usage
use the restrictive restraints for managing the patients behavior if ordered
validation therapy
when you try to understand what is "real" for the person with dementia and respond accordingly.
six factors that could affect a persons vital signs
injury or illness
exercise
emotions
medical conditions
age
gender
normal BP
systolic: 90-140
diastolic: 60-90
Normal oral temperature
97.6-99.6
Normal axillary temperature
96.6-98.6
axillary temperature is taken where
armpit
normal rectal temperature
98.6-100.6
Normal pulse range
66-100 beats per minute
Normal respiration range
12-20 per minute
normal pulse oximetry
> or equal to 95%
report vital sign measurements immediately to the nurse if they are abnormally _____ or _____.
, High/Low
besides the rate when taking a pulse, what do you need to be aware of?
Rhythm and Quality
6 reasons a patient may be at risk to fall
history of a fall
aged over 65
taking 3-4 medications daily
problems with the bladder or bowel
poor mobility
sensory imparement
male gender
what is the number one reason patients fall?
They need to use the restroom
what agency issues the standards reguarding the use of restraints?
The joint commission and CMS
Name a reason a patient may need to be restrained.
if they are at risk for harming themselves or others.
pneumonia, urine retention/constipation, and sensory deprivation can be caused by long periods of
what?
immobility
what can you as a PCA do to prevent pressure ulcers on the restrained patient?
reposition the patient every 2 hours
massage or pad the bony area prominences and other vulnerable areas.
what is a communicable disease?
an infection that can be passed from one person to another
what type of environment do pathogens prefer?
warm, moist, dark, and areas that have low oxygen
you must wash your hands if a patient has what disease and why can you not use the alcohol foam?
C-Diff and because the alcohol foam doesn't kill spores.
what are some risk factors for getting an infection?
age(young and elderly) poor general health, stress, fatigue, and indwelling medical devices.
list 5 signs or symptoms of infection that need to be reported to the nurse
increased pulse and respiration's
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