ANSWERS (100% CORRECT) | LATEST EXAM UPDATE shift
Evaluation
To measure and assess the clients progress toward meeting goals that are
outlined in the care plan
Care planning 5 steps
Objective data
Assessment, nursing, diagnosis, planning, implementation, evaluation
information that is seen, heard, felt, or smelled by an observer; signs
Nursing diagnosis
Subjective data
describes a health problem that can be treated by nursing measures; a step
in the nursing process things a person tells you about that you cannot observe through your
senses; symptoms
medical diagnosis
Graphic sheets
the identification of a disease or condition by a doctor
are used to record measurements and observations made daily, every shift ,
Planning involves...
or 3-4 times a day
Setting priorities and goals and developing measures or actions to help the
Kardex
client meet these goals
A type of card file that summarizes information found in the medical
Intervention
record-drugs, treatments, diagnoses, routine care measures, equipment,
Action or measure taken by the nursing team to help the client reach a goal and special needs
ADL Charts
activities of daily living A written account of the clients condition, illness, the care and treatment
BDL given to a client and the clients response to care
Behaviours of daily living SOAP
CCL subjective, objective, assessment, plan
Continency care level ( size of depends) PIE
Cognitive level Problem, intervention, evaluation
Memory and orientation Restorative care
CCAC Maintaining the current level of functioning while preventing decline
Community Care Access Centre, arrange for community in home supports Rehabilitation
as well as admission into LTC facilities Restore function to former levels
Care plan ABI
acquired brain injury
, Acute care Electronic thermometers
Hospital, less than 6 months Battery operated, measure in 20-50 seconds
Transition Digital thermometers
Moving a client from one area to another Used more in home care than facilities
Admission Dot matrix thermometer
The official entry of a client into any health care facility where the client Used only once, used for oral or axillary temperatures, within 3 minutes
will be staying for any period of time, from overnight to indefinitely
Temperature sensitive tape
Discharge
Changes colour in response to body heat, forehead or abdomen
The official departure of a client from a hospital or other health care
Pulse
facility
Best of the heart is felt at an artery as a wave of blood passes through the
Lithotomy
artery
Feet up in stirups
Which site used most often
Preoperative period
Radial
Time period before surgery
Which pulse uses a stethoscope
Anaesthesia
Apical pulse
Loss of feeling or sensation produced by a medication
Pulse rate
3 types of anaesthesia
Number of heartbeats or pulses felt in 1 minute
General, regional, local
Adult pulse rate
4 vital signs
60-100
temperature, pulse, respiration, blood pressure
Tachycardia
Body temperature
rapid heart rate
Amount of heat in the body
Bradycardia
Tympanic temperature
slow heart rate
Temperature taken in the ear
dysrhythmia
Axillary temperature
Abnormal heart rhythm
Underarm
What's a radial pulse used for
Rectal temperature
Taking routine vital signs
Rectum , rarely used
Respiration