Action Correct Answer - person involved in plan for change -
barriers may be present(approx. six months)
Acute Illness: Correct Answer • Severe - abrupt onset of
intense symptoms
• Reversible - relatively short duration
Administering Oral Medications to an unconscious patient
Correct Answer semi-flowers position with head to the side
ADPIE Correct Answer • Assessment: 1st step, subjective and
objective data
• Diagnosis: analysis, formulation of nursing diagnosis
• Planning: prioritizing problems, determining goals, plan of
care
• Implementation: nursing action (rather than medical action)
• Evaluating: comparing outcomes, communicate and document
findings
Adults (18 years and up) (sleep requirement) Correct Answer 7
to 9 hours
Aerobic bacteria Correct Answer Bacteria that require oxygen
for survival
Airborne precautions Correct Answer - chickenos, TB, measles
- require a specially equipped room with a negative airflow
referred to as an airborne infection isolation room
,- use special mask: N95 (Respirators)
- fit-tested to determine the appropriate size for you
- put on mask before roome entry and after room exiting
Airborne/Aerosol Correct Answer - extremely tiny airborne
bacteria, which may be suspended in the air for an extended
period of time (measles, TB, chicken pox [contact too])
Ampules Correct Answer Is a small bulbous glass or plastic
vessel usually containing a single dose of medication in liquid
form
Is broken at the neck to withdraw the drug
Anaerobic bacteria Correct Answer Bacteria that thrive with
little or no free oxygen
Assessment Correct Answer gather information about the
patients condition
Assessment of Ears Correct Answer
Assessment of Eyes Correct Answer
Assessment of feet, hands, nail Correct Answer look for
common foot and nail problems
- callus, corn, etc ( p. 866, Table 40-4)
Assessment of Genitalia Correct Answer
,Assessment of hair Correct Answer Obtain Objective
Assessment Data -- INSPECT and PALPATE
Inspect
◦ Color of hair
◦ Texture of hair
◦ Scalp
Palpate
◦ Texture of hair
◦ Scalp
Abnormal findings -- Alopecia, Hirsutism; white hair due to
albinism; very coarse, dry hair; very fine hair; Asymmetrical,
bumpy scalp; dandruff; cradle cap (in infants); pediculosis (head
lice)
Assessments When Making a Bed Correct Answer Assess the
patient's preferences regarding linen changes
- Assess for safety and infection control precautions
- Asses for activity or mobility restrictions for the patient
- Check for evidence of body secretions or fluids on the linens
(Appropriate PPE needed)
- Check the bed for patient belongings: Hearing aids, Glasses,
Dentures,Jewelry
, - Note the presence and position of any tubes or drains
asymptomatic Correct Answer Showing no symptoms or signs
of infection
clinical signs and symptoms are not present
Bactericidal Correct Answer A temperature or chemical that
destroys bacteria
Barrel: Correct Answer This is the outer part of the syringe that
holds the medication. The calibrations are printed on the outer
side of the barrel.
Bed making principles Correct Answer Follow medical asepsis
to prevent infection
◦ Wash hands
◦ Carry dirty linen away from your body
◦ Do not place clean linen on a dirty surface such as the floor
◦ Do NOT place dirty linens on the floor - use a hamper!
◦ Never shake linen
◦ Wear gloves if linens are visibly soiled or if there is reason to
suspect that they may be contaminated with blood or body fluids
◦ Safe patient handling
◦ Side rails
◦ Clean, dry and linen without wrinkle
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