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15 Cards in this Set
- Front
- Back
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What are the 5 steps with Maslow's Hierarchy, starting at the bottom to top?
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Physiosocial, saftey, love and beloging, self esteem, self actualization.
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Before caring for the paitent the nurse should do what?
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Introduce self, and identify paitent.
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When assessing the paitent you should check for?
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allergies(check armband and paitent records)
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Who is at greater risk for falls?
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elderly
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Why are elderly at greater risk for falls?
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decreased strenght, impaired mobility and balance, decreased visual ability, generalized weakness, urinary frequancy, cognitive dysfunction, medications with side effects of orthostatic hypotension or drowsiness.
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What are the nursing respnsibilities?
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A fall assessment upon admission, and throughout stay. Other responsiblities are give pt. non skid footwear, keeping floor clutter free, providing adequate lighting(including night lights), orienting pt to the surrounding and make sure paitent understands how to use assistive devices,answer the call light promptley, bed rails up, wheels should be locked, bed/chair alarms on.
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What is sudden onset and violent tonic- clonic movements that results in injury?
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seizure
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What are some seizure precautions?
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assess frequancy of seizure activity, type and date of last seizure, Medications, triggures of trends seizures.
Nursing responsibilities are: ensure rescue equipment at bedside including: oxygen, oral airway. suction equipment. |
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If a seizure occurs what should you do?
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place patient on floor or bed, Protect head, move items that may harm patient (furniture), Provide privacy, Loosen clothing.
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nursing responsibilities after a seizure?
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Edu. paitent and family about what has happened, provide comfort and quite enviorment.
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What is the acronym RACE stand for?
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Rescue
Alarm Contain Extinguish |
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What are the classes of extinguishers?
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class A,B,and C
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What does class A do?
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extinguishes paper, wood, trash, upholstery, and rags (hint, you can find it in an apartment)
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What does class B do?
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extinguishes liquids and gases ( hint you can find it in a barrel)
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What does class C do?
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extinguishes electrical fires ( hint, its a Current)
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