when is cold therapy recommended for an injury - ANSWER-first 24 to
48 hours
whose responsibility is it to evaluate proper application, adverse
signs and symptoms and is also responsible for the patient's safety -
ANSWER-LPN
where should you not apply a cold pack to - ANSWER-red or blue
areas
how often should you check the skin of a patient who is using an
electrical cooling device or an electrical heating device – ANSWER-
every 5 minutes
what are common symptoms when using an electrical cooling device
- ANSWER-numbness and tingling
How long should you leave a cooling device in place - ANSWER-15 to
20 minutes
what are some adverse skin reactions when using a cooling device -
,ANSWER-mottling, redness, burning, blistering and numbness
what should you record when using a cooling device or heating
device - ANSWER-what device you used, location, duration, patient
response, patient teaching and patients response to teaching
when should you immediately stop application of a cooling device -
ANSWER-areas become mottled, red or blue/purple, or if the patient Is
complaining of pain/numbness
when should you immediately stop application of a heating device -
ANSWER-skin becomes reddened and sensitive to touch, extreme
warmth noted at the area, and body part becomes painful to move
How long should you leave the heating device in place - ANSWER-20
to 30 minutes or as prescribed
A reddened area of the skin that is intact and non-blanchable -
ANSWER-Stage I pressure ulcer
Reddened, blanchable area of the skin. - ANSWER-Stage 0 pressure
ulcer
The top layer of skin is no longer intact and there may be serous fluid
at the site. - ANSWER-Stage II pressure ulcer
,A wound that the nurse can see muscle and bone. There may be
tunneling and mining as well. - ANSWER-Stage IV pressure ulcer
A wound where the nurse can see as far down as the subcutaneous
issue. It may contain tunneling and or mining. - ANSWER-Stage III
Pressure Ulcer
What is the normal range of gastric content pH? - ANSWER-pH 0 - 4
What type of bath is used to reduce pain and inflammation of the
perineal area? - ANSWER-Sitz Bath
What are the 2 basic categories of functional ability? – ANSWER-
ADL's and IADL's.
The nurse would check the pulse here if in a routine situation such as
in a physicians office. - ANSWER-Radial Pulse
What is the sequence for doffing PPE? - ANSWER-Gloves, goggles,
gown. mask.
Physician's order needs to include what three things? - ANSWER-1.
The medication 2. The dose 3. The route
A thin plastic tube through the nostril, down the esophagus, and into
the stomach that a physician or nurse inserts. Once this tube is in
, place, it can be used to keep the stomach and intestines empty to
heal, or to administer food and medicine to the patient - ANSWER-
Nasogastric Tube
Who can insert a nasogastric tube? - ANSWER-Physician and Nurse
This diet is "pudding" consistency; includes hot cereals, mashed
potatoes; certain meats, vegetables, and pasta in a "pudding"
consistency. - ANSWER-Pureed
This diet includes all foods except hard, sticky, crunchy foods.
Includes foods such as moist breads, well moistened cereal, tender
sliced meats, baked potatoe. - ANSWER-Mechanical Soft
This diet includes moist and soft foods, such as cooked cereals,
canned fruit (except pineapple), and well cooked noodles in sauce. -
ANSWER-Dysphagia advanced
What color do you expect to see when you aspirate NG tube content?
- ANSWER-green, brown, or tan
Immediately; takes priority - ANSWER-STAT
Once - ANSWER-ONE-TIME
As needed - ANSWER-PRN
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