Science Medicine Nursing
ATI - Health Assessment Final Exam ?
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Ohio NA Mock Skills introduction to physical assessment... Intravenous therapy
11 terms 143 terms 37 terms
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Terms in this set (244)
, 1. Snellen
- Stand 20 ft away
Eye Charts
2. Rosenbaum
- Stand 14 inches away
- Age
- Mobility
SAFTEY IS BIG ON THIS ATI! - Cognitive and sensory awareness
Factors that affect the patient's ability - Emotional state
to protect themselves - Ability to communicate
- Lifestyle
- Safety Awareness
- Decreased visual acuity
- Generalized weakness
- Urinary frequency
Fall Risk
- Gait and balance problems (Cerebral palsy, MS, Parkinsons)
- Cognitive dysfunction
- Medication side effects
, - Have oxygen, suction, oral airway at bedside
- Padded side rails
- Saline locked IV for immediate access (High risk patients)
- Rapid intervention to maintain airway patency.
- Clutter free environment
Seizure precautions - Make sure everyone (family too) knows that if pt. has a seizure, to not put
anything in their mouth during seizure. *Only thing that would go in mouth
during seizure is airway for status epilepticus.
- During seizure do not restrain pt. Lower pt. to floor or bed and protect
pt. head. Remove nearby furniture. Put patient on side with head flexed
slightly forward if possible and loosen his clothing.
How would you help prevent falls for - Avoid getting up to quickly
a patient with orthostatic - Sit on the side of the bed for a few seconds prior to standing
hypotension? - Stand at the side of the bed a few seconds prior to walking
- When everything else fails (orientation to environment, family member,
Seclusion and Restraints sitter, diversional activities, electronic devices) is when you use restraints.
- Provider must prescribe after seeing the patient face to face
, - Reason for restraints
- Type of restraints
- Location of restraints
Provider prescription for restraints - How long to use restraints
must include what? - Type of behavior that warrants restraints
- Prescription only last 4 hours for an adult. Providers may renew these
prescriptions with a maximum of 24 consecutive hours.
- When there is an immediate risk to the patient or others, nurses may
place restraints on patient.
Restraints in an emergency situation
- The nurse must then obtain a prescription from the provider ASAP,
usually within 1 hour.
ATI - Health Assessment Final Exam ?
Leave the first rating
Save
Students also studied
Ohio NA Mock Skills introduction to physical assessment... Intravenous therapy
11 terms 143 terms 37 terms
kloey_jude Preview CoolCat1718 Preview oliviagrote22 Preview
Terms in this set (244)
, 1. Snellen
- Stand 20 ft away
Eye Charts
2. Rosenbaum
- Stand 14 inches away
- Age
- Mobility
SAFTEY IS BIG ON THIS ATI! - Cognitive and sensory awareness
Factors that affect the patient's ability - Emotional state
to protect themselves - Ability to communicate
- Lifestyle
- Safety Awareness
- Decreased visual acuity
- Generalized weakness
- Urinary frequency
Fall Risk
- Gait and balance problems (Cerebral palsy, MS, Parkinsons)
- Cognitive dysfunction
- Medication side effects
, - Have oxygen, suction, oral airway at bedside
- Padded side rails
- Saline locked IV for immediate access (High risk patients)
- Rapid intervention to maintain airway patency.
- Clutter free environment
Seizure precautions - Make sure everyone (family too) knows that if pt. has a seizure, to not put
anything in their mouth during seizure. *Only thing that would go in mouth
during seizure is airway for status epilepticus.
- During seizure do not restrain pt. Lower pt. to floor or bed and protect
pt. head. Remove nearby furniture. Put patient on side with head flexed
slightly forward if possible and loosen his clothing.
How would you help prevent falls for - Avoid getting up to quickly
a patient with orthostatic - Sit on the side of the bed for a few seconds prior to standing
hypotension? - Stand at the side of the bed a few seconds prior to walking
- When everything else fails (orientation to environment, family member,
Seclusion and Restraints sitter, diversional activities, electronic devices) is when you use restraints.
- Provider must prescribe after seeing the patient face to face
, - Reason for restraints
- Type of restraints
- Location of restraints
Provider prescription for restraints - How long to use restraints
must include what? - Type of behavior that warrants restraints
- Prescription only last 4 hours for an adult. Providers may renew these
prescriptions with a maximum of 24 consecutive hours.
- When there is an immediate risk to the patient or others, nurses may
place restraints on patient.
Restraints in an emergency situation
- The nurse must then obtain a prescription from the provider ASAP,
usually within 1 hour.
