Palpation: Feeling for very sensitive touch
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Palmar surface of hands or fingertips
Considerations when assisting a patient with feeding:
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Be aware of environment
Toilet before meal
Provide pain med prn
Involve the pt
Sit at eye level
Encourage conversation
Place napkin/bib for clothing protection
Dentures, hearing aids, glasses
Set up tray
Feed with pt preference in mind
Considerations with bedbaths
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-Privacy (only expose one part of body at at time then recover and move
on to another part)
-Comfort
-Use time for assessment and rapport development
Tachycardia
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, Fast heart rate
>100 bpm
Ventricle does not have neough time to fill and therefore the stroke volume
is less..
Seen in those with low BP ,and high temp and any condition with poor
oxygenation of blood, while exercising, etc.
The nurse is visiting a client at home who is recovering from a bowel resection. The
client reports constant pain and discomfort and displays signs of depression. When
assessing this client for pain, what should be the nurse's focal point?
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The nurse's focal point should be on reviewing and revising the pain
management treatment plan presently in place. The client is status-post
bowel resection, so administering a placebo is not the correction option,
and could be ethically wrong. The nurse would possibly do a depression
assessment, but if the client is reporting constant pain, the pain
management plan must be reviewed and revised. The question does not
address if the client is taking pain medications, so the option addressing
beginning pain medications before the pain is too severe is not correct.
Contraindications for brachial artery use?
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If a pt has IV's in both arms
if they have a shunt or fistula
Surgery where they have had axillary node dissection or double
mastectomy
, If singular mastectomy, you can use opposite arm if no IV
Factors contributing to falls
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-Older age
-Slowed reaction time (caused by multiple things-not necessarily older
adult)
-Previous history of falls (1/2 of all falls are recurrent falls)
-Impaired vision
-Impaired sense of balance
-Altered gait or posture
-Impaired mobility
-Weakness of physical frailty
-Postural hypotension (change in BP, laying to sitting/standing and BP
plummets. Can happen in older adults and those who are bedridden-even
after laying for just 1-2 days as well as those taking diuretics which already
lowers BP )
-Medication (less aware or can make you dizzy)
-Confusion or disorientation
-Unfamiliar environment
First tier of standard precautions
Give this one a try later!
Give this one a try later!
Palmar surface of hands or fingertips
Considerations when assisting a patient with feeding:
,Give this one a try later!
Be aware of environment
Toilet before meal
Provide pain med prn
Involve the pt
Sit at eye level
Encourage conversation
Place napkin/bib for clothing protection
Dentures, hearing aids, glasses
Set up tray
Feed with pt preference in mind
Considerations with bedbaths
Give this one a try later!
-Privacy (only expose one part of body at at time then recover and move
on to another part)
-Comfort
-Use time for assessment and rapport development
Tachycardia
Give this one a try later!
, Fast heart rate
>100 bpm
Ventricle does not have neough time to fill and therefore the stroke volume
is less..
Seen in those with low BP ,and high temp and any condition with poor
oxygenation of blood, while exercising, etc.
The nurse is visiting a client at home who is recovering from a bowel resection. The
client reports constant pain and discomfort and displays signs of depression. When
assessing this client for pain, what should be the nurse's focal point?
Give this one a try later!
The nurse's focal point should be on reviewing and revising the pain
management treatment plan presently in place. The client is status-post
bowel resection, so administering a placebo is not the correction option,
and could be ethically wrong. The nurse would possibly do a depression
assessment, but if the client is reporting constant pain, the pain
management plan must be reviewed and revised. The question does not
address if the client is taking pain medications, so the option addressing
beginning pain medications before the pain is too severe is not correct.
Contraindications for brachial artery use?
Give this one a try later!
If a pt has IV's in both arms
if they have a shunt or fistula
Surgery where they have had axillary node dissection or double
mastectomy
, If singular mastectomy, you can use opposite arm if no IV
Factors contributing to falls
Give this one a try later!
-Older age
-Slowed reaction time (caused by multiple things-not necessarily older
adult)
-Previous history of falls (1/2 of all falls are recurrent falls)
-Impaired vision
-Impaired sense of balance
-Altered gait or posture
-Impaired mobility
-Weakness of physical frailty
-Postural hypotension (change in BP, laying to sitting/standing and BP
plummets. Can happen in older adults and those who are bedridden-even
after laying for just 1-2 days as well as those taking diuretics which already
lowers BP )
-Medication (less aware or can make you dizzy)
-Confusion or disorientation
-Unfamiliar environment
First tier of standard precautions
Give this one a try later!
