-
What are the FIVE rights of teaching?
- Right time: pain free willing to learn, sufficient time for learning
- Right context: environment free of distractions: quiet private, soothing or stimulatingRight goal: client readiness and commitment to behavioral change, all necessary parties are present, objectives realistic and valued
- Right content: appropriate for needs, new or reinforced info, level of learner, related to other life experiences
- Right method: teaching strategies match learning style, learning ability, use of varied strategies integral to learning
-
What are the THREE learning domains?
- cognitive
- affective
- psychomotor
-
How would you teach toddlers?
parallel play and imitation
-
How do you teach preschoolers?
role play and imitation
-
What are a few things to keep in mind when teaching the elderly?
- Use verbal and oral means, accounting for sensory deprivation due to possible visual and hearing impairments
- Labeled categories increase focus and recall
- Allow client to have maximum control
- Don’t talk to them like they’re idiots, babies, or crazy
-
What do you document re: patient education?
- Learning needs
- objectives
- topics covered
- resources provided
- outcomes…always measure!
-
What types of patient need a foley?
- Pre-op
- Critically ill
- Not good for incontinent patient unless has pressure ulcer
- Don’t put in for convenience
- Women who have had an epideral
-
What are some interventions you can take to help with incontinence?
- Bladder retraining – this is critical!
- Pelvic muscle exercise such as Kegel – for women.
- Biofeedback
- Scheduled toileting – this is critical!
- Drug Therapy
-
What is normal specific gravity?
1.010-1.030
-
What is normal urine pH?
4.6-8
-
What are some possible nursing diagnoses related to bladder health?
- Altered urinary elimination
- Urinary retention
- Incontinence (urge, stress, functional)
- Body image disturbance
- Anxiety or pain r/t to GU exam
- Health seeking behaviors r/t deficit of knowledge
-
What do you need to do to prepare for a foley insertion?
- Same sex chaperone
- Provide privacy, privacy, privacy
- Expose only parts that are to be examined
-
What are you looking for in the female when inserting a foley?
- hair growth and distribution
- size and shape of labia
- edema
- discharge
- inflammation or excoriation
- genital piercing
-
What do you need to look for in a male when inserting a foley?
- skin color
- intactness
- edema and inflammation
- genital piercing
-
What is standard protocol with changing a foley and emptying the bag?
- Most facilities say take out every 72 hours
- Empty bag every 8 hours
- Keep foley in for 5 days with statlock
-
What are the SEVEN components of a drug order?
- Name of the client
- Date the drug was ordered
- Name of the drug
- Dosage
- Route of administration and any rules of administration
- Time and frequency drug should be given
- Person who ordered medication
-
What are the SIX rights of drug administration?
- Right drug/medication
- Right patient
- Right dose
- Right route
- Right time
- Right documentation
-
What's the difference between STAT, Standard written, and NOW?
- Standard Written: These are carried out as written or until the prescriber alters or discontinues an order.
- STAT…emergent…high priority…obtain and administer
- NOW…slightly lower priority…complete within an hour.
-
What is the gauge and size of a subQ needle.
25-27 Gauge needle; ¼ - 5/8 inch in length
-
What is the gauge and size of an IM needle?
21-25 gauge needle Needle ½ - 3 inches in length, dependent on amount of adipose tissue and patient size
-
What is nociceptive?
receptor that responds to potential pain, sends to spinal cord
-
What is neuroopathic pain?
Neuropathic pain-i.e. shingles (from nerves)
-
What are the FOUR phases of therapeutic communication?
- Stage 1: Preinteraction Phase
- Stage 2: Orientation Phase
- Meeting the client; introductions; establishing rapport and trust
- Stage 3: Working Phase
- Use of techniques germane to therapeutic communication
- Active part of the relationship
- Client clarifies feelings and concerns through verbal and nonverbal communication
- Stage 4: Termination Phase
- Conclusion of the relationship
-
What is urge incontinence?
Involuntary loss of urine with a strong sensation of urgency, even when the bladder is not full
-
What is stress incontinence?
Involuntarybloss of urine during routine physical stress
-
What is mixed incontinence?
Stress & Urge incontinence
-
What is overflow incontinence?
- Due to acontractile or contractility impaired detrusor which causes bladder overdistention
- Frequent or constant dribbling of urine
-
Where can you insert an IM injection?
deltoid, vastus lateralis or ventral gluteal
|
|
