Hypothermia - answer-A body temperature less than a person's normal temperature
v v v v v v v v v v
Cyanosis - answer-Bluish ski color
v v v v
Constrict - answer-To narrowv v v
5 factors of bowel elmination - answer-Age,diet,fluid intake,medications,activity
v v v v v v v
Be aware of bowel elimination - answer-
v v v v v v
Color,amount,consistency,shape,odor,frequency,pain or discomfort v v
Agency standard reguarding use of restraints - answer-The joint comission, the centers for
v v v v v v v v v v v v
medicare and medicaid, and dept of health and senior seevices
v v v v v v v v v v
Reasons pt nd restraints - answer-NG-tube foley IV safety for themselves and others
v v v v v v v v v v v v
Prevent pressure ulcers on restrained pt - answer-Exercise every 2 hours keeppt dry
v v v v v v v v v v v v
Makesure there is 2 finger space between restraints
v v v v v v v
6 reasons why pt may be fall risk - answer-History of fall
v v v v v v v v v v v
Medications that affect mental ability v v v v
Medications for heart disease and swelling v v v v v
Age over 65 v v
Taking 3 or 4 medications daily
v v v v v
Problems with bladder and bowelsv v v v
, 4 risk factors a pt may have in developing pressure ulcer - answer-Being elderly
v v v v v v v v v v v v v
Limitation of physical activity v v v
Inability to feel and respond to pressure v v v v v v
Poor nutrition or lack of hydration
v v v v v
Prevent pressure ulcers - answer-Support surfaces
v v v v v
Initiate turning and repositioning v v v v
Moisture and incontinence protection v v v
Proper nutrition v
Look for warning signs
v v v
Ear and device skin protection shift wait every 15-60 minutes
v v v v v v v v v
Scd's - answer-"Sequential comprission devices" promotes bloodflow and drers
v v v v v v v v
thrombosis
v
Ted's - answer-Anti-embolism stockings-help prevent deep vein thrombosis and
v v v v v v v v
pulmonary embolism by compressing superficial leg veins
v v v v v v v
Is - answer-Incentive spirometry involves using device while providing feed back on
v v v v v v v v v v v
respiratory effort
v v
Pt's retuning for surg - answer-O2 tank
v v v v v v
Preventing respirtory v
Assist pt with his or her needs
v v v v v v
Tissue,bp cuff v
Breathing therapy v
Preoperative phase - answer-Time before sugery is actually performedv v v v v v v v
Intraoperarive phase - answer-Time during which surgery is being performed v v v v v v v v v
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