Official entry of a client into a hospital or other health care facility
admission
The loss of feeling or sensation, produced by a medication that blocks pain impulses to the brain
anaesthesia
Official departure of a client from a hospital or other health care facility
discharge
Surgery that is scheduled but nonurgent
elective surgery
An air bubble, blood clot (thrombus), or fat clot that travels through the vascular system until it lodges in a distant vessel.
embolus
Surgery that must be done immediately to save a client's life or prevent permanent disability
emergency surgery
Unconsciousness and the loss of feeling or sensation produced by a medication
general anaesthesia
An instrument used to examine the mouth, teeth, and throat
laryngeal mirror
A back-lying position in which the hips are brought down to the edge of the examination table, the knees are flexed, the hips are externally rotated, and the feet are supported in stirrups
lithotomy position
The loss of sensation in a small area, produced by a medication injected at the specific site or by a topical application
local anaesthesia
An instrument used to examine the inside of the nose
nasal speculum
A lighted instrument used to examine the internal structures of the eye
ophthalmoscope
A lighted instrument used to examine the external ear and the eardrum (tympanic membrane)
otoscope
An instrument used to tap body parts to test reflexes. Also known as reflex hammerx
percussion hammer
After surgery
postoperative
Before surgery
preoperative
The loss of sensation or feeling in a large area of the body, produced by the injection of a medication
regional anaesthesia
A blood clot that forms in a blood vessel, which has the potential to become an embolus
thrombus
An instrument used to test hearing
tuning fork
Surgery that must be done soon to prevent further damage, disability, or disease
urgent surgery
An instrument used to open the vagina so that it and the cervix can be examined
vaginal speculum
You can promote clients' emotional well-being during transitions when
you help them with the
admission, transfer, and discharge processes
The otoscope is used to
Examine the external ear and the eardrum
Mrs. Janz is lying on her back. Her hips are flexed and externally rotated. Her feet are supported in stirrups. She is in the:
Lithotomy position
Postoperatively, Mr. Long's position is changed
Every 2 hours
A waterproof plastic or rubber pad that can be applied to areas of muscle sprain, edema, or mild inflammation in the place of a heating pad or cold pack
aquathermia pad
Warming cabinets designed to heat bed linens
blanket warmers
A commercial or homemade cold application; may be moist or dry
cold pack
A soft pad that is moistened and applied over a body area
compress
A bandage designed to provide pressure to a particular area. Also known as a tensor bandage
compression bandage
To squeeze or make narrow
constrict
To expand or open wider
dilate
A medical condition in which skin and other tissues are damaged by extreme cold
frostbite
A commercially produced hot-and-cold pack designed to keep its temperature over a period
gel pack
RICE
Rest, Ice, Compression, and Elevate
A shallow plastic bathtub, filled with warm water, designed to keep the buttocks and hips immersed while the person is in the sitting position
sitz bath
A type of heating bag that provides dry heat and is heated in a microwave
wheat bag
what type of application do you use when you have muscle cramps, arthritis, and joint stiffness?
Heat application
what type of application do you use for swelling, pain, slows bruising, and itching
cold application
For hot and cold application, how often do you check the client's skin?
every 5 mins
how many minutes do you apply cold application?
15 mins on, 15 mins off
complication for misuse of heat application?
burns, tissue death, circulatory shock
Complications from misuse of cold application
frostbite, tissue death, circulatory shock
Very hot temperature range?
41.1°C to 46.1°C
Hot Temperature Range?
36.6°C to 41.1°C
Warm Temperature Range?
33.8°C to 36.6°C
Tepid Temperature Range
26.6°C to 33.8°C
Cool Temperature Range
18.3°C to 26.6°C
Cold Temperature starts from
10.0°C to 18.3°C
increases blood flow by dilating blood vessels in the area
heat
slows blood flow by constricting blood vessels
cold
The cleaning and organizing of a home
home management
Symbols on garment tags that indicate how to launder or care for specific garments
laundry care symbols
The black discoloration caused by mould
mildew
A microscopic fungal parasite.
mould
The lack or absence of breathing
apnea
slow breathing
bradypnea
A hollow plastic tube surgically inserted into the chest cavity, which allows for the removal of trapped air and the drainage of blood or fluid
chest tube
Respirations that gradually increase in rate and depth and then become shallow and slow; breathing may stop for 10 to 20 seconds.
Cheyne–Stokes
An abnormal condition, evidenced by bluish colour in the skin, lips, mucous membranes, and nail beds caused by a lack of oxygenated blood in the visible tissues.
cyanosis
Sterile and pure water that has been boiled and allowed to cool and condense
distilled water
Normal breathing
eupnea
A mask used to deliver oxygen that covers the client's nose and mouth
face mask
A device that regulates the flow of oxygen to the nasal cannula or face mask
flowmeter
A device that regulates the flow of oxygen to the nasal cannula or face mask
flowmeter
The volume of a substance, such as oxygen or fluids, administered over a prescribed period
flow rate
Bloody sputum
hemoptysis
Oxygen that contains water vapour
humidified oxygen
Respirations that are more rapid and deeper than normal
hyperventilation
Respirations that are slow, shallow, and sometimes irregular
hypoventilation
A deficiency of oxygen in the cells
hypoxia
The process of inserting an artificial airway
intubation
Deep, rapid respiration characteristic of diabetic acidosis or other conditions causing acidosis.
Kussmaul respiration
The use of a ventilator to move air into and out of the lungs.
mechanical ventilator
A flexible tube inserted into the nares of the nose to deliver oxygen
nasal cannula
Shortness of breath when lying in a flat or supine position; ability to breathe comfortably only when sitting or standing
orthopnea
Sitting up and leaning over a table to breathe.
orthopneic position
Devices that help reduce oxygen wastage
oxygen-conserving devices
A harmful chemical or substance in air or water
pollutant
Stoppage of breathing
respiratory arrest
Slow, weak respirations at a rate of fewer than 12 per minute; respirations are not deep enough to bring enough air into the lungs
respiratory depression
Mucus from the respiratory system that is expectorated (expelled) through the mouth
sputum
The process of withdrawing or sucking up fluid (secretions)
suctioning
rapid breathing
tachypnea
A surgically created opening through the neck into the trachea
tracheostomy
A machine used to provide airflow into and out of the lungs.
ventilator
When a client is confined to bed for long periods, it is important that the person changes positions frequently, at least every
2 hours
inserted through the mouth and into the pharynx
Oro-pharyngeal airway
inserted through a nostril and into the pharynx
Naso-pharyngeal airway
inserted through the mouth or nose and into the trachea
Endo-tracheal (ET) tube
inserted through a surgical incision into the trachea
Tracheostomy tube
useful for deep breathing
Incentive spirometer
An early sign of hypoxia is:
Restlessness
The best time to collect sputum is:
On awakening
Chest tubes:
Remove trapped air from the chest cavity
Mr. Long requires mechanical ventilation.
He has an endo-tracheal (ET) tube or a tracheostomy tube.
A client has a pneumothorax, which is the collection of:
Air in the pleural space
The client can eat and talk with the cannula in place. what type of cannula is used?
nasal cannula
The mask has small holes on the sides through which room air enters during inhalation and CO2 escapes during exhalation.
simple face mask
a bag is added to the simple face mask to collect exhaled air.
Special colour-coded plastic adaptors that fit into the mask are connected to the source of oxygen
venturi mask
allowable time for suctioning?
10 to 15 seconds
Partial or complete loss of speech and language skills caused by brain injury.
aphasia
Inability to correctly move the muscles used to speak. Apraxia is usually caused by a brain injury.
apraxia of speech
Difficulty speaking clearly, caused by weakness or paralysis in the muscles used for speech.
dysarthria
Difficulty speaking or writing
expressive aphasia
Difficulty speaking and understanding language. Also known as global aphasia.
expressive–receptive aphasia
Difficulty understanding language
receptive aphasia
A special type of mattress that has alternating areas of pressure of air, gel, or water baffles to reduce the risk for pressure sores.
alternating pressure mattress
A sheet (usually with elastic edges) tailored to fit a particular size of mattress.
fitted sheet
A pad placed in the centre of the bed on top of the bottom sheet to protect the bedsheets from body fluids. Also called absorbent pad or soaker pad.
incontinence pad
how often they changed linens in the long term facility?
weekly
made when the bed is expected to be unoccupied for several hours or days.
closed
made shortly before the bed is to be occupied
open bed
bed is made while the client is still in the bed
occupied bed
An artificial opening between the colon and the abdominal wall.
colostomy
A condition in which bowel movements are less frequent than usual; the stool is hard, dry, and difficult to pass.
constipation
The process of excreting feces from the rectum through the anus; bowel movement.
defecation
The frequent passage of liquid stools.
diarrhea
The introduction of fluid into the rectum and lower colon.
enema
The prolonged retention and accumulation of feces in the rectum.
fecal impaction
The inability to control the passage of feces and gas through the anus. Also known as anal incontinence
fecal incontinence
The semi-solid mass of waste products in the colon.
feces
The excessive formation of gas in the stomach and intestines.
flatulence
Gas or air from the stomach or intestines passed through the anus.
flatus
Swollen veins in the anal canal.
hemorrhoids
An artificial opening between the ileum and the abdominal wall.
ileostomy
Dark, tarry stools containing decomposing blood.
melena
Excreted feces.
stool
A cone-shaped, solid medication that is inserted into a body opening.
suppository
Foods and fluids that are partially digested in the stomach are called
chyme
the process of establishing a regular fecal elimination pattern
Bowel training
The urge to defecate is usually felt
after a meal, often after breakfast
The process of inserting a catheter
catheterization
A sheath that slides over the penis; tubing connects the catheter and drainage bag.
condom catheter
painful urination
dysuria
small, thin, rimmed bedpan that is about 1 cm deep at one end. Also called a slipper pan
fracture pan
Urinary incontinence caused by physical conditions or environmental barriers that prevent the client from reaching the toilet in time
functional incontinence
sugar in the urine
glucosuria
blood in the urine
hematuria
An artificial bladder made out of a section of the ileum
ileal conduit
A tube (plastic, latex, or other material) that is inserted into the bladder through the urinary meatus and urethra. A balloon within the catheter that is inflated after insertion prevents the catheter from slipping out of the bladder.
in-dwelling catheter
A by-product of fatty acid metabolism
ketones
scant amount of urine, less than 500ml in a day
oliguria
The leaking of urine when the bladder is too full
overflow incontinence
The production of abnormally large amounts of urine
polyuria
The loss of urine at predictable intervals
reflex incontinence
A surgically created opening from a portion of the body cavity to the outside environment.
stoma
A catheter that is inserted to drain the bladder and is then removed
straight catheter
The leaking of urine during exercise and certain movements.
stress incontinence
A catheter that is surgically inserted into the bladder through the abdomen.
suprapubic catheter
An artificial opening between the ureter and the abdomen.
ureterostomy
The loss of urine in response to a sudden, urgent need to void.
urge incontinence
The inability to control the passage of urine from the bladder; the loss of bladder control.
urinary incontinence
The need to void immediately.
urinary urgency
The process of emptying urine from the bladder. Also known as micturition or voiding.
urination
A 24-hour urine specimen involves:
Collecting all urine voided by a client during a 24-hour period
Hair loss
alopecia
Close-fitting, circular knitted, elastic stocking that are designed to prevent swelling in lower extremities or blood clots by increasing venous return to the heart. They are also called compression stockings, or thromboembolic devices
anti-embolic stockings
Excessive amount of dry, white flakes that appear on the scalp, in the hair, or on the shoulders.
dandruff
Excessive and increased hair growth.
hirsutism
A hair that curls into the side wall of the hair follicle or into the skin surface, which causes the skin to become inflamed. Also known as razor bumps.
ingrown hair
Toenails that grow inward at the side of the nail bed.
ingrown nails
Small, insect like parasites that live on the human body, most commonly on skin, hair, and the genital area.
lice
An organism that lives on or in another organism and derives its nutrients from it
parasite
Infestation with lice.
pediculosis
Infestation of the scalp with lice
pediculosis capitis
Infestation of the body with the lice
pediculosis corporis
Infestation of the pubic hair with lice
pediculosis pubis
A physician who specializes in the evaluation and treatment of diseases of the foot.
podiatrist
Routine care that occurs between lunch and the evening meal in a facility.
afternoon care
Routine care given in a facility before lunch. AM care sometimes occurs before breakfast. Also known as early morning care and morning care.
AM care
A thin film that sticks to the teeth; it contains saliva, microbes, and other substances.
biofilm
evening care is also known as
hs care
Measures performed to keep the mouth and teeth clean; mouth care.
oral hygiene
Cleansing of the genital and anal areas.
perineal care
Hardened biofilm on teeth
tartar
what should never be added to tub baths
bath oils
Protect the skin from the drying effect of air and evaporation
Creams and lotions
Absorb moisture and prevent friction when two skin surfaces rub together
powders
clients who are unconscious, paralyzed, in casts or traction, or weak from illness or surgery. what kind of bath you give ?
complete bed bath
water temperature for complete bed bath
43.4°C (110°F)
You are going to give Mrs. Li a back massage. How long should it last?
3 to 5 minutes
A type of plastic tubing threaded over a needle; once in place in the vein, the needle is withdrawn, leaving the cannula in place. Also called a catheter.
cannula
the giving of nutrients by way of the intestine
enteral nutrition
A combination device that includes access to both the stomach and the jejunum
GJ-Tube
A tube inserted through an opening into the stomach
gastrostomy tube
Tube feeding is
gavage
Intravenous fluids' entering surrounding tissues.
infiltration
Fluids given through a needle or catheter inserted into a vein;
intravenous (IV) therapy
A tube inserted into the intestines through an opening (stomy) into the middle part of the small intestine
Jejunostomy Tube
A tube inserted through the nose into the stomach
nasogastric NG tube
A tube inserted through the nose into the small intestine
nasointestinal tube
A surgically created opening that is used to drain wastes or to feed the client.
ostomy
A tube inserted into the stomach through a puncture wound made through the skin ; a lighted instrument allows the physician to see inside the body cavity or organ.
percutaneous endoscopic gastrostomy (PEG) tube
The backward flow of food from the stomach into the mouth.
regurgitation
The process by which substances pass through the intestinal wall into the blood.
absorption
A sensitivity to a substance that causes the body to react with signs or symptoms.
allergy
Inhalation of fluid or an object into the lungs.
aspiration
A unit of measure of the energy produced as the body burns food.
calorie
Negative physical reaction to a gluten protein found in wheat or related grains such as barley, rye, and sometimes oats.
celiac disease
The spread of pathogens from one source to another.
cross-contamination
How a serving fits into the daily diet of an adult; expressed as a percentage based on recommended daily intake.
daily value
The excessive loss of water from body tissues.
dehydration
An illness transmitted by contaminated food products.
foodborne illness
A protein that has come from wheat or related grains, such as barley, oats, rye, triticale, Kamut, or spelt
gluten
The process of taking food and fluids into the body.
ingestion
The amount of fluids taken in by the body.
intake
Substances that are ingested, digested, absorbed, and used by the body.
nutrients
Processes involved in the ingestion, digestion, absorption, and use of foods and fluids by the body.
nutrition
The amount of fluids lost by the body.
output
Movement of a body part away from the midline of the body.
abduction
Movement of a body part toward the midline of the body.
adduction
The act of walking
ambulation
An apparatus worn to support or align weak body parts or to prevent or correct problems with the musculo-skeletal system; also called orthotic.
brace
The lack of joint mobility caused by abnormal shortening of a muscle.
contracture
The loss of muscle size, strength, and function (muscle atrophy) that results from immobility and inactivity.
deconditioning
Bending the toes and foot up at the ankle.
dorsiflexion
Straightening of a body part
extension
Turning of the joint outward.
external rotation
Bending of a body part.
flexion
The foot falls down at the ankle (permanent plantar flexion)
footdrop
Excessive straightening of a body part.
hyperextension
An excessive lack of exercise and activity, which can cause serious health complications, affecting every system in the body.
immobility
Turning of the joint inward
internal rotation
A decrease in size or a wasting away of muscle.
muscle atrophy
A drop in (hypo) blood pressure when the client stands up (ortho and static). Also known as postural hypotension.
orthostatic hypotension
The foot is bent with the toes pointed away from the leg.
plantar flexion
Turning downward
pronation
Moving a joint to the extent possible without causing pain.
ROM
Turning of the joint.
Rotation
Turning upward.
supination
A brief loss of consciousness; fainting.
syncope
The area on which an object rests.
base of support
The way in which body parts (head, trunk, arms, and legs) are positioned in relation to one another, whether lying, sitting, or standing
body alignment
The movement of the body. Proper body mechanics ensure the body moves in an efficient and careful way.
body mechanics
The point in the body in which weight is evenly distributed or balanced on either side.
centre of gravity
To fold a sheet back and forth, in a form that resembles a fan.
fan-fold
A semi-sitting to upright sitting position in bed.
Fowler's position
A semi-sitting position in bed; the head of the bed is elevated 45 to 90 degrees.
high Fowler's position
side-lying position that uses pillows to support the back and separate the lower legs.
lateral position
Device used to move—or the action of moving—a client from one place to another, without the client's weight-bearing or assistance.
lift
An imaginary vertical line that extends from the centre of gravity to the base of support.
line of gravity
Turning the person as a unit, in alignment, with one motion.
log-rolling
A semi-sitting position in bed; the head of the bed is elevated 15 to 30 degrees.
low Fowler's position
A position whereby you place one foot in front of the other foot, keeping both feet about a shoulder-width apart.
lunge (or stride) stance
Physically picking up a client who cannot weight-bear, without the assistance of a mechanical lift.
manual lift
A device that can elevate and move the person while in a special body sling.
mechanical lift
Agency regulations that prohibit workers from manually lifting clients and instruct them to use a mechanical lifting device instead.
no-lift policy
A standing position whereby the pelvis is tilted by tightening the stomach muscles and flattening out the small of the back.
pelvic tilt
To shift body weight onto feet while attempting to stand.
weight-bear
A partial-thickness wound caused by the scraping away or rubbing of skin.
abrasion
arterial ulcer
An open wound on the lower legs and feet caused by poor arterial blood flow.
A wound occurring from the surgical portal of entry into the urinary, reproductive, or digestive system.
clean-contaminated wound
A wound that is not infected; microbes have not entered the wound
clean wound
A wound with a high risk for infection; microbes have entered the wound.
contaminated wound
The separation of wound layers along a surgical suture line
dehiscence
Separation of the wound accompanied by protrusion of abdominal organs
evisceration
Resistance that skin encounters when it rubs against another surface such as clothing, bedding, or another fold of skin.
friction
A wound in which the dermis, epidermis, and subcutaneous tissue are penetrated; muscle and bone may be involved.
full-thickness wound
The collection of blood under skin and tissues.
hematoma
The excessive loss of blood within a short period.
hemorrhage
A wound containing a large amount of bacteria and showing signs of infection.
infected wound
A wound created for treatment.
intentional wound
An open wound with torn tissue and jagged edges.
laceration
Localized tissue death as a result of disease or injury.
necrotic tissue
A wound in which the dermis and epidermis of skin are broken.
partial-thickness wound
An open wound in which skin and underlying tissues are pierced
penetrating wound
Tearing of skin tissue caused when the skin sticks to a surface
shearing
Drainage that is clear and watery fluid.
serous drainage
Bloody drainage.
sanguineous drainage
Thin, watery drainage that is blood-tinged
serosanguineous drainage