West Coast University: NURS 100 Funds Midterm Study Guide Review 2,100% CORRECT
0 view 0 purchase
Course
NURS 100
Institution
NURS 100
West Coast University: NURS 100Funds Midterm Study Guide Review 2
Funds Lecture Midterm Study Guide
Fall Prevention
- Complete a fallrisk assessment for each patient conducted on admission and routinely until patients discharge.
o Many health care organizations are implementing hourly round...
west coast university nurs 100funds midterm study guide review 2
Written for
NURS 100
All documents for this subject (136)
Seller
Follow
paulhans
Reviews received
Content preview
West Coast University: NURS 100Funds Midterm Study Guide
Review 2
Funds Lecture Midterm Study Guide
Fall Prevention
- Complete a fallrisk assessment for each patient conducted on
admission and routinely until patients discharge.
o Many health care organizations are implementing hourly rounding.
- Apply yellowcolored wristband to patients to communicate that patient is at
risk of falling.
- Be sure patient knows how to use call light and that it is in reach
- Provide regular toileting and orientation of clients who have cognitive
impairments
- Placement of a fall pad on the floor alongside the bed
- Use of bed safety alarms and motion detectors
- Provide adequate lighting
- Be sure patients knows how to use all assistive devices
o Canes, crutches, or walker
o Remember to check condition of aids
- Place patients at risk for falling near nurses’ station
- Keep important/ frequently used items within reach
- Remove excess furniture and equipment
- Make sure patients wear rubbersoled shoes, slippers, or socks
- Keep bed at lowest positions and lock wheels of bed and wheelchair
- Keep side rails up for patients who are unconscious or sedated
- Use gait belts when moving patient
- Keep floor clean, dry, and free of clutter
- Educate patient and family of safety risks
- Chair/bed sensors for patients at risk for getting up without assistance
- Report and document all incidents
Fecal Occult Blood Testing
- Measures microscopic amounts of blood in feces
- Diagnostic screening tool for colon cancer
- Test must be repeated 3 times from 3 different stools, while patients
refrains from ingesting foods (raw veggies, red meat, poultry, fish) and
medications (Vit. C, aspirin, NSAIDS)
,Black stool indications:
- Iron ingestion
- Upper GI bleeding or injury
, Sleep Disorders
Insomnia
- Chronic difficulty sleeping (chronic)
- May be caused by stressful situations (acute)
- Signals underlying physical or psychological disorder
- Associated with poor sleep hygiene
Sleep Apnea: lack of airflow through nose and mouth for periods of 10 seconds or
longer during sleep
- Central Sleep Apnea: CNS dysfunction – brain fails to trigger breathing during
sleep
- Obstructive Sleep Apnea: structures in throat and mouth relax during
sleep and occlude upper airway low oxy sat levels
- Patients frequently experience excessive daytime sleepiness and fatigue
- Rarely achieve deep sleep
Narcolepsy: person falls asleep uncontrollably at inappropriate times
- Excessive daytime sleepiness is the most common complaint
- REM occurs within 15 minutes of falling asleep
- Brief daytime naps no longer than 20 minutes help reduce sleepiness
- Regular exercise and healthy sleeping habits also
help Nursing diagnosis for sleep disorders:
- Anxiety
- Ineffective breathing pattern
- Acute confusion
- Ineffective coping
- Insomnia
- Fatigue
- Disturbed sleep pattern
- obstruction
- Sleep deprivation
- Readiness for enhanced sleep
Vital Signs – Normal ranges
- Blood Pressure: 120/80 mmHg
- Pulse: 60100 beats per minute
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller paulhans. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
