SOLUTIONS ALL VERIFIED BY
AN EXPERT A+ GRADED
(LATEST)
,UAP delegation tasks? Name examples... - ANS - vital signs rouitine STABLE PT
- IN & OUT of food and f/c
- ADL'S shower, grooming, shaving etc.
- toileting and walking (not post op who has never walked)
- feeding without aspiration precautions
- positioning
K
Can a UAP measure the drainage of a Hemovac or Jackson-Pratt? - ANS yes measure the
amount of fluid cant assess the drainage system.
C
Can a UAP collect specimens? - ANS yes!!! stool and urine
Can a UAP empty a colostomy bag ? - ANS yes ! not the wafer.
LO
end of life care - ANS the support and care given during the time surrounding death =
HOSPICE
hospice care - ANS comfort measures in the last phases of life
YC
hospice care and family - ANS - private room
- encourage the client and family to express feelings
- provide support and advocancy
- provide privacy
- LET THEM TOUCH THE CLIENT AS MUCH AS THEY WANT !
D
PRIORITY QUESTIONS use what formula? - ANS SPEC
U
SPEC stands for ? - ANS S= stable vs non stable
P= potential vs real
E= expected vs unexpected
ST
C= chronic vs acute
priority patients are? - ANS - neuro changes ex: GCS LOW 8
- very low values labs ex: DM with 50 BS
- client returning form invasive procedures and a comlication happens ex: eviceration
- ABC's airway problems and there acid base inbalanced
- client with chest pain and syncope not ecpected
- pt w/ 2-3 rd degree burns
- client with new onset of infectious disease = TB
- any unexpected events= MI, STROKE, HHS, DKA, ADDISONS CRISIS, THYROID STORM,
MYXEDEMA COMA, HTN CRISIS, PREECLAMPSIA, STROKE...
, Maslow's Hierarchy of Needs - ANS physiological, safety, love/belonging, esteem,
self-actualization
physiological needs? 1ST NEED - ANS AIRWAY
RESPIRATORY EFFORT
HR, RHYTHM, CONTRACTIONS STRENGTH
NUTRITION
ELIMINATION
K
SAFETY AND SECURITY = 2N NEED - ANS - PROTECT FROM INJURY
- PROMOTE FEELING OF SECURITY
- TRUST IN NURSE CLIENT RELATIONSHIP
C
TRIAGE RED TAG EXAMPLES? CLASS 1 - ANS EMERGENT THREAT TO LIFE EX:
CARDIAC TEMPONADE
LO
STROKE
SHOCK
AIRWAY OBSTRUCITON
YELLOW TAG CLASS 2 - ANS Urgent within 30 min to 2 hours- can wait a little
YC
- OPEN FRACTURES W DISTAL PULSES
- LARGE WOUNDS
GREEN TAG CLASS 3 - ANS the walking wounded
- CLOSED FRACTURES
- SPRAINS
D
- ABRASIONS
- CONTUSION
U
BLACK TAG CLASS 4 - ANS EXPECTED TO DIE!
- MASSIVE HEAD TRAUMA
- FULL THICK BURNS TO WHOLE BODY
ST
- HIGH CERVICAL SPINE INJURY REQUIRING MECHANICAL VENTILATION
ABGS NORMAL VALUES - ANS PH = 7.35- 7.45
CO2= 35- 45
HCO3= 21- 28
respiratory acidosis - ANS low pH, high CO2
if you have respiratory acidosis what organ has the problem? - ANS LUNGS =
HYPOVENTILATION
THINK AIRWAY OBSTRUCTION
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 Studyclock. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
