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27 Cards in this Set
- Front
- Back
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What might changes in vital signs indicate |
Residents condition is worsening |
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Changes that should be reported immediately |
Fever Rapid/slow pulse or respiratory rate BP changes Worsened pain |
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When should temp not be taken orally |
Have smoked recently Eaten food/drank fluid recently Chewed gum Exercised in last 10-20 minutes |
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How long do digital thermometers take to display temp |
2 to 60 seconds |
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Where is apical pulse located |
On the left side of the chest, just below nipple |
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mmHg |
Millimeters of mercury |
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Questions asked when resident c/o pain |
Where? when? What makes is better or worse? how long/how often? How severe? Where were you when pain started? |
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Sterile dressings |
Cover open or draining wounds |
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Non-sterile dressings |
Applied to dry and closed wounds |
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Observing/reporting sterile dressings |
Change in skin color Scabs Bleeding Swelling Odor Drainage |
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How far should a rectal thermometer be inserted |
1/2 to 1 inch into the rectum |
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When checking tympatic temperature |
Straighten the ear canal by gently pulling up and back on outside edge of ear |
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Sitz bath |
May feel weak or dizzy after Stimulates voiding Circulation to perineal area is increased |
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Cheyne-strokes |
Periods of slow irregular breathing and fast shallow breathing along with periods if apnea |
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Radial pulse |
Located on thumb side |
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Pain is a normal part of aging(true or false) |
False |
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Sustained pain may lead to |
Withdrawal Depression Isolation |
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What should an NA do is resident is worried or have questions about pain medications |
Report to the nurse |
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Observing/reporting pain |
Sweating Tightening the jaw/grinding teeth Sighing Rocking Pacing Groaning Heavy breathing Squeezing eyes shut |
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Oxygen therapy |
Administration of oxygen to increase supply to the lungs; NAs should never stop, adjust or administer oxygen |
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Nasal cannula |
Plastic tubing secured by strap that goes over ears and around head to administer oxygen through the nose |
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Oxygen concentrator |
Box-like device that puts more oxygen into air of a room |
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Residents who only need oxygen occasionally may use |
A face mask |
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Most common site for measuring pulse |
Inside of wrist |
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Why should respirations be counted immediately after measuring pulse rate |
Residents are more likely to breathe quicker if they know they are being observed |
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Normal respirations for adults |
12 to 20 breaths per minute |
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Normal respirations for infants |
30 to 40 respirations per minute |
