GUARANTEE A+
✔✔Shock position - ✔✔Head down with feet elevated
✔✔Drainage tubing - ✔✔Secured to bottom sheets
✔✔Catheter - ✔✔Secured to upper thigh
✔✔Best position to breathe - ✔✔Semi Fowler's
✔✔Oral hygiene w/ resident on NPO - ✔✔Preform at least every 2 hours
✔✔OBRA room temperature - ✔✔To residence comfort (71-81) *if the resident is cold
and room is outside range tell the nurse*
✔✔Reality orientation - ✔✔Remind the person that you are not her daughter
✔✔Validation therapy - ✔✔Ask the residents about their daughter
✔✔Rehab - ✔✔Focus on abilities
✔✔Hyperglycemia - ✔✔Hunger, excessive thirst and urination, unexplained weight loss,
dry mouth, flushed face, and sweet breath older
✔✔Hypoglycemia - ✔✔Fatigue, weakness, dizziness, shaky hands, cold skin and
clammy, confusion, sweating & rapid pulse, and shallow respirations
✔✔Vital signs in elderly - ✔✔Typically lower than normal adult ranges
✔✔Warm soaks - ✔✔Increase blood flow
✔✔Sitz bath observations - ✔✔Must observe residence for lightheadedness, or
dizziness BC the warm water
✔✔topical ointment - ✔✔Barrier cream is a topical ointment bc it is on top of the skin
✔✔Before giving catheter care you should empty the drainage bag - ✔✔False:
you give Pericare first
✔✔Somebody with aspiration precautions should remain upright for how long - ✔✔1-2
hours
, ✔✔Wait how long before taking a residence temperature after they smoked - ✔✔15-20
minutes
✔✔When can you not take oral temp - ✔✔Nausea, Just smoked, under the age of 4,
and when oxygen is in
✔✔When can you not take a rectal temp - ✔✔Diarrhea, Heart disease,
sleeping/unconscious, and confused
✔✔Functional nursing - ✔✔Focuses on tasks and jobs, and each nursing team member
has certain jobs or tasks to do
✔✔Team nursing - ✔✔A team of nursing staff is led by an RN, A team leader delegates
care based on the person's needs
✔✔Primary nursing - ✔✔One person is responsible for persons total care
✔✔Patient focused care - ✔✔Services are moved from departments to the bedside
✔✔Unlawful restraint or restriction of a persons movement is - ✔✔False imprisonment
or involuntary seclusion
✔✔What is a sign/objective? - ✔✔Something that you can see
✔✔What is a symptom/subjective - ✔✔Something the PT tells you
✔✔What does BID, TID, and QID mean - ✔✔DID: 2 times a day
TID: 3 times a day
QID: 4 times a day
✔✔Expressive aphasia relates to problems with using muscles needed for speech -
✔✔False:
It means they have difficulty in sending and expressing thoughts
✔✔When should a gate belt not be used - ✔✔Patient is pregnant, surgery, or they have
a hernia
✔✔What are examples of restraint alternatives - ✔✔Folding towels, coloring, singing,
and anything that occupies a resident
✔✔Where do you tie a restraint - ✔✔bed frame
✔✔Disinfection does what - ✔✔Kills some pathogens