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Foundations Final Review 2024 complete update

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Foundations Final Review 2024 complete update When should you wash your hands -When you arrive in the unit -When you leave the unit -before and after restroom -before and after client contact -before and after contact with client belongings What are the hand washing guid...

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  • January 29, 2024
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Foundations Final Review 2024
complete update




When should you wash your hands -When you arrive in the unit
-When you leave the unit
-before and after restroom
-before and after client contact
-before and after contact with client belongings

What are the hand washing guidelines -Wash for at least 20 sec in nonsurgical setting, 2-6
mins in surgical setting
-remove jewelry and clean under fingernails
-use bactericidal solution or use water if hands are visibly soiled
-use warm water, apply soap to wt hands, use friction, rinse soap, towel or hand dry

PPE for contact precautions clean gown and glove

PPE for droplet precautions clean gloves and gown
add a surgical mask and eye protection if going within 3ft of client

PPE for airborne precautions clean gloves and gown
N-95
surgical mask for patient to wear during transport
googles

PPE for protective precaution ppe to protect the patient
mask
nurse not assigned to other patients with infection

What are examples of non-pharmacological measures for pain management Acupuncture +
Acupressure
Massage
Hot/Cold therapy
Transcutaneous electrical nerve stimulation
Contralateral stimulation
Oral sucrose
Immobilization

, Unrelieved pain- Endocrine system can increase/decrease the release of hormones
Inflammatory response

Unrelieved pain- Cardiovascular Increase HR and BP
hyper coagulation that leads to heart attack

Unrelieved pain- musculoskeletal prevent ADLs, muscle atrophy, immobile, pressure injuries

Unrelieved pain-respiratory Increased respiratory rate that could lead to respiratory acidosis

Unrelieved pain- Genitourinary Acute renal injury
Fluid overload

Unrelieved pain- gastrointestinal diarrhea

Types of transfer devices Transfer board (helps reduce risk)
Mechanical Lift (mostly for homecare and obese or immoblie pts)
Transfer belt

Isometric exercise Muscle contraction w/o motion
ex: pressing hands against wall

Isotonic Exercsie Movement of joint during contraction
ex: weight training with free weights

Isokinetic Exercise Preformed with special apparatus that provides variable resistance to
movement
ex: isometrics with weight training

Aerobic Exercise Requires energy from metabolic pathways that use O2
ex: jogging

Anaerobic Exercise rapid and intense, o2 into body does not meet required amount to preform
activity
ex: lifting heavy object

Exercise and older adults older adults do the least amount of exercise.
Exercise lowers risk for heart disease, stroke, diabetes, hypertension, hyperlipidemia, metabolic
syndrome, colon/breast cancers and depression

Fall preventions in home Nonskid shoes, tidy clothes, proper lighting, grab bars/rails, no
scatter rugs

Fall preventions in Healthcare facility Fall risk assessment, environmental safety, clean
dry floors, client education

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