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Use of restraints

Vital SignsMobility &Immobility

10 Point

20 Points

30 Points

40 Points

50 Points

10 Point 10 Point 10 Point 10 Point

20 Points 20 Points 20 Points 20 Points

30 Points

40 Points

50 Points

30 Points 30 Points 30 Points

40 Points 40 Points 40 Points

50 Points 50 Points 50 Points

Nursing Process

Med-TermSuffixes

Inflammation

Surgical removal

Abnormal Condition

-rrhage

Pain

Used for fall prevention and

client injury

Restrains pt while sitting in chair

How often a physician order is

required for restraint application

Skin assessment, toileting needs,

nutrition offered.

Companionship, orientation, change of environment and

a sitter.

ADPIE

Type of diagnosis of existing nursing

problem

Step where the plan is enacted

“I have a head ache over this study-guide” is an example of this

type of data

Type of data collected from a patient’s significant other

Double Jeopardy!

When the ventricles are at rest

Heart rate of 120 beats per minute

The percentage of hemoglobin occupied by

oxygen

The volume of blood pumped by

the heart per minute

Without fever

Must be removed when using a walker

Range of Motion, gait, and exercise

Kind and amount of exercise or activity a

person is able to perform

The extent an extremity can move or a preventative measure

Intervention to prevent break in

skin integrity

Make your wager

Physical Assessment

Patty

Takes

Morphine

Aunt

The “real names” and landmarks for the above structures

What is -itis?

What is -ectomy?

What is -osis?

What is excessive flow?

What is -algia?

What are restraints?

What is a vest or posey restraint?

What is every 24 hours?

What are 15 minute checks?

What are alternatives to

restraints?

What is assessment, diagnosis, intervention (implementation) and

evaluation

What is actual?

What is implementation?

What is subjective?

What is secondary?

What is diastole?

What is tachycardia?

What is oxygen saturation (SpO2)?

What is cardiac output?

What is afebrile?

What is loose carpeting or area

rugs?

What is assessment of mobility?

What is activity tolerance?

What is range of motion (ROM)?

What is reposition patient every two

hours?

Aortic Valve - 2nd ICS, RSB

Pulmonary Valve - 2nd ICS, LSB

Tricuspid Valve - 4th ICS, LSB

Mitral Valve - 5th ICS, midclavicular