Questions
Methods of Fall Prevention - ANS✔✔ Orient patient to environment
Remove rugs or secure to the floor
Remove clutter and furniture from walkways
Provide adequate lighting
Wear nonslip socks or shoes
Install handrails
Nonslip mats in shower
Bed locked and in lowest position
Proper use of assistive devices
Order of Bathing A Client - ANS✔✔ Face/Neck/Ears
Chest/Abdomen
Hands/Arms
Leg/Feet
Perineal Area
Back
Oral/Denture Care - ANS✔✔ Removes food particles and secretions
Promotes appetite
Brush all surfaces of teeth/dentures for 2 minutes
Place a washcloth in the bottom of the sink when brushing dentures
Keep dentures covered in water when they are not being worn
Store dentures in a closed and labeled cup on patient's bedside table
,Care of a Client With Restraints - ANS✔✔ Must have an order
Cannot be used PRN and must be renewed every 24 hours
Two fingers should be able to fit between the device and client
Use quick release knots and tie to the bed (not side rails)
Assess skin integrity every 2 hours
Monitor vital signs
Perform ROM exercises
Pad bony prominences
Never leave patient unattended
Client Education Methods - ANS✔✔ Cognitive (knowledge, comprehension, application,
analysis, synthesis, evaluation)
Affective (learning through emotion or feeling)
Psychomotor (assess patient's abilities)
Normal BP - ANS✔✔ 120/80 mmHg
Normal Pulse - ANS✔✔ 60-100 bpm
Normal Temperature - ANS✔✔ 96.8-100.4 F (36-38 C)
Normal Respiratory Rate - ANS✔✔ 12-20 breaths per minute
Normal O2 saturation - ANS✔✔ 95-100%
, Care of a Client With Communication Impairment - ANS✔✔ Expressive aphasia: cannot name
object or express words
Receptive aphasia: cannot understand written or spoken words
Provide alternate ways of communicating (ex. pen and paper, white board, sign language)
Pay attention to non-verbal cues
Use close ended questions
Care of a Client With Vision Impairment - ANS✔✔ Orient patient to environment
Provide assistive devices
Remove clutter
Verbal communication is very important
Care of a Client With Hearing Impairment - ANS✔✔ Speak slowly and clearly
Face client when speaking
Proper care of hearing aids
Seven rights of medication administration - ANS✔✔ 1. Right medication
2. Right dose
3. Right patient
4. Right route
5. Right time
6. Right documentation
7. Right indication
Intradermal Injection - ANS✔✔ 25-27 G
1/2-5/8''