Exam (elaborations)
PNC 100 test 1 set 2 Questions and Answers with complete actual solution
- Course
- Institution
PNC 100 test 1 set 2 Questions and Answers with complete actual solution
[Show more]
Seller
Follow
ACTUALSTUDY
Reviews received
Content preview
PNC 100 test 1 set 2✅✅-any food the pt is requesting
A regular diet includes -
accidents that may happen to a patient - ✅✅-falls; burns; cuts
administering an enema - ✅✅-left sims
slow deep breaths
lubricate tip
insert 3-4 inches
container 12-18 inches above rectum
administer 1000mL over 5-10 mins
alternative SRD's - ✅✅ -reality orientation
family visits
1:1 staffing
assign room near nurse station
provide visual / auditory stimuli (activities / jobs)
eliminate unnecessary treatments
use relaxation techniques
evaluate medications
work with PT's and OT's
basic guidelines for SRD's - ✅✅ -use only when needed
attach to moveable part of bed frame
never attach to side rail
quick release knot
asses frequently
discontinue use ASAP
before administering an enema... - ✅✅-1.
2.
3.
4. have a BSC
Braden Scale - ✅✅-assess the pt's risk for skin breakdown; score of 14 or less indicates a
risk
carminative enema - ✅✅-help expel flatus from the rectum
catheter care - ✅✅-The cleansing and care of catheter site.clean 4 inches from the
insertion
Cleansing emema - ✅✅-water or saline
Clear liquid diet includes - ✅✅-Gelatin, popsicles, team, ginger ale, fruit juice without pulp,
bouillon. Milk and juice with pulp are prohibited.
, complete bath - ✅✅-Total body area washed. Usually refers to bed bath.
cool water bath - ✅✅-Water is tepid 98.6 F; relieves tension or lowers body temperature.
deep tissue pressure injury - ✅✅-Intact or non-intact skin with localized area of persistent
non-blanchable deep red, maroon, purple discoloration or epidermal separation revealing a
dark wound bed or blood filled blister.
ear care -✅✅-cleanse outside only with washcloth of cotton swab
eye care - ✅✅-plain, clear water; cleanse from inner to outer eye using a separate
washcloth for each eye
female perineal care - ✅✅ -clean front to back
assess for drainage, irritation, skin, odor, pain
✅✅
Full liquid diet includes - -milk, yogurt, custard, ice cream, pureed meats and veggies,
veggie juice, cooked refined cereals, pudding
hair care -✅✅-combing, brushing, shampooing
hand, foot and nail care - ✅✅--Hands and feet often require special attention to prevent
infection, odors and injury
Assessment:
-Examine all skin surfaces
-Carefully assess between toes
-Observe for adequate circulation
✅✅-used to relieve muscle soreness or spasms; 113-115 F
hot water bath -
how do pressure sores develop? - ✅✅-pressure on the skin causes blood vessels to
break; decrease in blood flow (ischemia); cell necrosis
is a nurse allowed to cur fingernails? - ✅✅-a nurse is never allowed to cut fingernails.
if needed an order needs to be put in
key terms of body mechanical and patient positions - ✅✅-base of support
center of gravity
dorsal/surpine
dorsal recument
fowlers
semi fowlers
semi fowlers
orthopneic
sims
prone
knee-chest
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACTUALSTUDY. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80202 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now