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dorsal recumbent position
the back-lying or supine position
Fowler's position
sitting position 30 to 90 degrees
lateral position
the person lies on one side or the other; side-lying position
prone position
lying face down with the head turned to one side
semi-prone side position
another name for Sims' position
Sims position
the patient is lying on the left side with the right knee and thigh drawn up with the left arm placed along the back
supine position
The back lying or dorsal recumbent position
MSD
Musculoskeletal disorder
Good body mechanics involve
Having an upright posture
Good alignment means
Having the head, trunk, arms, and legs aligned with one another
Leaning over a raised bed rail to give care shows
Poor body mechanics
You need to move a large chair in a resident's room. You should
Push or slide the chair
The purpose of ergonomics is to
Reduce stress on the worker's body
Risk of MSDs (musculoskeletal disorder) decreases with
Bending your hips and knees to lift
Pain when assuming normal posture is a symptom of
A back injury
Re-positioning prevents
Pressure ulcers and contractures
You position a resident in the lateral position. Where do you place the call light?
On the side of the bed facing the person's front side
Patients and residents are re-positioned at least every
2 hours
The back lying position is called
The supine position
For Fowler's position
head of bed is raised 45-60 degrees
A pillow is placed against the person's back in
Lateral position
When in a chair the person's feet
Must be on the floor
aspiration
Breathing fluid, food, vomitus, or an object into the lungs
diaphoresis
excessive sweating
early morning care (AM care)
Routine care given before breakfast
evening care
Care given in the evening at bedtime; PM care
morning care
Care given after breakfast; hygiene measures are more thorough at this time
C
Centigrade
F
Fahrenheit
The patients hands and feet are washed by placing
In a wash basin on the bed
Complete bed baths are done for
Unconscious
Paralyzed
Weak from illness or surgery
In cast or traction
The patients back and arms are washed with
Long firm strockes
partial bath
The face, hands, underarms, back, buttocks and perineal area are washed
Wipe the eye
From the inner to the outer
Sits bath
The perineal and rectal areas are immersed in warm water or hot water.
Are common for hemorrhoids after rectal or female pelvic surgeries and after childbirth
Sitz baths are used to
Clean perineal and anal wounds
Promote healing
Relieve pain and soreness
Increase circulation
Stimulate voiding
Water temperature for a complete bath is between
110 to 115
Water temperature for perineal care is between
105 to 109
When shaving a person's face with a safety razor
Hold the skin taut
A person is nicked during shaving. Your first action is to
Apply direct pressure
Fingernails are cut with
nail clippers
Fingernails are filed
After soaking
Garments are applied
weak side first
When changing the gown on a person with an IV
Have a nurse check the flow rate afterward
A closed bed
Is not in use. Is ready for a new patient or resident. Made for residents who are up during the day
An open bed
In use; the top linens are folded back so that the person can get into bed
An occupied bed
Is made with the person in it.
A surgical bed
Is made to transfer a person from a stretcher to bed. This includes an ambulance stretcher
Electric beds
Controls are on side panel, bed rail or foot board
Some controls are hand held.
Manual beds
Have cranks at the foot of the bed.
Cranks are pulled up for use. Keep them down at all times.
Beds are raised horizontally to
prevent bending and reaching when giving care
The head of the bed is raised 30 degrees. This is called
Semi-Fowler's position
Bed safety involves
monitoring older and confused persons closely for entrapment
The over bed table is not used
For the urinal
The bedpan is stored
bedside stand
Call lights are answered
promptly
You will transfer a person from a stretcher to the bed. Which bed should you make?
surgical bed
When handling linens
Hold linens away from your body and uniform
A resident is out of the bed most of the day. Which bed should you make?
closed bed
A complete linen change is done when
The bed is made for a new person
When making an occupied bed
explain that the person will roll over a "bump" of linens
A surgical bed is kept
In the highest position
The information recorded on the EKG represents
The hearts electrical activity
Contraction of the myocardium
Heart's rate and rhythm
What leads are unipolar.
aVR, aVL, aVF
V1, V2, V3, V4, V5, V6
What are bipolar leads?
Limb leads 1, 2 & 3
What leads record electricity activity in the frontal plane of the heart?
The standard limb leads and the augmented leads
What are the standard leads?
Limb leads
What leads are positive and record the heart's electricity in the horizontal plane?
Precordial chest leads
The left arm (LA) is positive and the right arm (RA) is negative
Lead 1
The left leg (LL) is positive and the right arm (RA) is negative
Lead 2
The left leg (LL) is positive and the left arm (LA) is positive
Lead 3
The right leg electrode is used a a
Ground
These leads (magnify) the voltage up to 50% compared to standard leads
Augmented leads (AV)
AV stands for
Augmented voltage
The right arm (RA) is positive and all other limbs are negative
aVR
The left arm (LA) is positive and all other limbs are negative
aVL
The left leg (LL) or foot is positive and all other limbs are negative
aVF
V1
4th intercostal space to the right of the sternum
V2
4th intercostal space to the left of the sternum
V3
Equidistant between V2 and V4.
V4
5th intercostal space, left midclavicular line
V5
5th intercostal space, left anterior axillary line
V6
5th intercostal space, left mid-axillary line
AVR, AVL, AVF are the augmented (or unipolar) ___________ leads
Limb
Leads 1 and AVL are called the lateral leads (left lateral) because each has a _____________ electrode positioned laterally on the left arm.
Positive
Leads 2, 3, aVF are called inferior leads because each of these leads has a positive electrode positioned inferiorly on the
Left foot
Lead 1, aVL each has a positive electrode positioned on the left arm
Lateral leads
Lead 1, 2 & AVF each has a positive electrode positioned on the left foot
Inferior leads
A positive left arm electrode is used to record:
"LATERAL LEADS"
>> I & AVL
A positive left foot electrode is used to record:
Inferior leads, II, III, and AVF
What standard bipolar limb lead has no negative waves (no Q &S)
Lead 1
What standard bipolar limb lead has the longest R wave.
Lead 2
What standard bipolar limb lead has the smallest R wave.
Lead 3
The imaginary line that shows the direction of electrical pulses ( head is always (+) and tail is always (-))
Vector
What leads make up the triangle of Eindhoven.
The standard bipolar limb leads
plane of chest leads
Horizontal
If leads V1 through V6 are imagined to be the spokes of a wheel, the center of the wheel is the ____.
AV node
In lead ______ the patient's back is considered negative
V2 it describes a straight line directly from the front to the back of the pt.
Leads V1 and V2 are called
The right chest leads
Leads V5 and V6 are called
The left chest leads