Measuring temp
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Can be done orally, rectally, tympanic, temporal, axillary. Patient should not
have had anything hot or cold within 30 minutes of oral measurement and
ears should be checked for excess wax or hearing aids prior to taking
tympanic.
,Promoting oxygenation in post op patients
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-Turning, coughing, and deep breathing
-Incentive spirometer
-Positioning
What are droplet precautions?
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Droplets larger than 5 m. Droplets are generated by a person coughing,
sneezing, or talking and can invade the the hosts nasal mucosa,
conjunctiva, or mouth. Examples: flu, pneumonia, meningitis.
Hand washing.
PPE: face mask while in the room, goggles, gown, gloves.
What are nursing interventions for fall risk?
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Educating patient on call light, making sure items are within patient reach,
helping them with toileting, keeping assistive devices nearby, keeping
patient environment clutter free, keeping bed in lowest position, placing
clients near nurses station, etc.
Measuring respiration's
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Watching pt's chest movement, do not tell them you are counting
respirations
Types of diets
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Clear Liquid- broth, coffee, tea, carbonated beverages, clear fruit juices,
gelatin, popsicles
Full Liquid: dairy products like ice cream, cream soups, custards, vegetable
juice, puréed veggies, all fruit juice, puddings, froyo
Thickened Liquid/Puréed: scrambled eggs, puréed meats, veggies, mashed
potatoes and gravy
Mechanical Soft: ground or diced meats, cooked or canned fruits, fish,
cottage cheese, rice, pancakes, potatoes
Soft/Low Residue: pastas, casseroles, moist meats, canned cooked fruits
and veggies, desserts, cakes, cookies w out nuts or coconut
High Fiber: fresh uncooked fruit, vegetables, bean, oatmeal
Low Sodium: 4-g, 2-g, 1-g or 500 mg sodium restriction
Diabetic: balanced intake of carbs, fat, protein
How often do patients with restraints need to be assessed?
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Violent patients must be reassessed every 15 minutes, otherwise, for
nonviolent patients, every 2 hours.
Give this one a try later!
Can be done orally, rectally, tympanic, temporal, axillary. Patient should not
have had anything hot or cold within 30 minutes of oral measurement and
ears should be checked for excess wax or hearing aids prior to taking
tympanic.
,Promoting oxygenation in post op patients
Give this one a try later!
-Turning, coughing, and deep breathing
-Incentive spirometer
-Positioning
What are droplet precautions?
Give this one a try later!
Droplets larger than 5 m. Droplets are generated by a person coughing,
sneezing, or talking and can invade the the hosts nasal mucosa,
conjunctiva, or mouth. Examples: flu, pneumonia, meningitis.
Hand washing.
PPE: face mask while in the room, goggles, gown, gloves.
What are nursing interventions for fall risk?
Give this one a try later!
Educating patient on call light, making sure items are within patient reach,
helping them with toileting, keeping assistive devices nearby, keeping
patient environment clutter free, keeping bed in lowest position, placing
clients near nurses station, etc.
Measuring respiration's
, Give this one a try later!
Watching pt's chest movement, do not tell them you are counting
respirations
Types of diets
Give this one a try later!
Clear Liquid- broth, coffee, tea, carbonated beverages, clear fruit juices,
gelatin, popsicles
Full Liquid: dairy products like ice cream, cream soups, custards, vegetable
juice, puréed veggies, all fruit juice, puddings, froyo
Thickened Liquid/Puréed: scrambled eggs, puréed meats, veggies, mashed
potatoes and gravy
Mechanical Soft: ground or diced meats, cooked or canned fruits, fish,
cottage cheese, rice, pancakes, potatoes
Soft/Low Residue: pastas, casseroles, moist meats, canned cooked fruits
and veggies, desserts, cakes, cookies w out nuts or coconut
High Fiber: fresh uncooked fruit, vegetables, bean, oatmeal
Low Sodium: 4-g, 2-g, 1-g or 500 mg sodium restriction
Diabetic: balanced intake of carbs, fat, protein
How often do patients with restraints need to be assessed?
Give this one a try later!
Violent patients must be reassessed every 15 minutes, otherwise, for
nonviolent patients, every 2 hours.
