Heidi Shared "MEDSURG EXAM 1" - 21 Picmonics
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MEDSURG EXAM 1
Maslow's Hierarchy of Needs
- Physiological Needs
- Oxygen, Water, Nutrition
- Body temperature, Elimination, Shelter, Sexual Expression
- Safety and Security
- Physical Safety
- Physiological Safety
- Love and Belonging
- Affection and Companionship
- Esteem
- Self Respect and Respect for Others
- Self Actualization
- Fulfillment
2 mins
The Nursing Process
- ADPIE
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
2 mins
Use of Restraints
- Use Guidelines
- During Emergency
- Protecting From Harm
- For Limited Time
- Considerations
- Last Resort
- May Further Agitation
- Frequent Observation
- Obtain Order Within 1 Hour
- Quick-Release Tie
2 mins
Care for the Hard of Hearing
- Assessment
- Normal: 0-15 dB
- Rinne's Test
- Weber's Test
- Tinnitus
- Difficulty Following Conversations
- Nursing Considerations
- Face Patient/Speak Clearly
- Rephrase Misunderstood Statements
- Repeat Statements Back
- Hearing Aids
- Sign Language
2 mins
Care for the Visually Impaired
- Assessment
- Decreased Visual Acuity
- Snellen Chart
- Status of Corrective Lenses
- Nursing Considerations
- Sighted-Guide Technique
- Communication
- Safe Environment
- Medications
- Clock Technique for Food
- Activities of Daily Living (ADL)
1 min
Arab American Culture
- Touch Only When Same Gender
- May Request Same Gender Healthcare Provider
- Females Avoid Eye Contact with Males
- Males Often Make Decisions
- Muslims
- Infertility Grounds for Divorce
- No Organ Donation
2 mins
Asian American Culture
- Avoids Direct Eye Contact
- Conflict Avoidance
- Soft Voice Tone
- Males Make Most Decisions
- Feet Considered Dirty
- Hot-Cold Theory of Illness
- Soups and Rice After Birth
2 mins
Mexican American Culture
- May Avoid Eye Contact with Authoritative Figures
- Family Involved in Decisions
- Emotional Bereavement
- No Organ Donation
- Curandero (Curandera)
- Hot-Cold Theory of Illness
- Abdominal Binder after Pregnancy
2 mins
Native American Culture
- No Direct Eye Contact
- No Organ Donation
- No Blood Donation
- Strong Handshakes Offensive
- Tribal Shaman
- Navajo Mother Massage Newborn
2 mins
Religion and Dietary Preferences Overview
- Buddhism
- Natural Foods of Earth
- Hinduism
- Cow is Sacred
- Islam (Muslim)
- Halal Foods
- No Alcohol
- Judaism
- Kosher Meals
- No Pork or Shellfish
- Mormonism (Latter Day Saints)
- The Word of Wisdom
1 min
Patient Position Overview
- Position Techniques
- Trochanter Roll
- Trapeze Bar
- Ankle-Foot Orthotic (AFO) Devices
- Positions
- Fowlers Position
- Supine Position
- Trendelenburg
- Side-Lying Position
- Prone Position
- Sims' Position
- Nursing Considerations
- Reposition q2 Hours/Prevent Skin Breakdown
- Confirm Body Alignment
2 mins
Cane
- COAL
- Sizing a Cane
- Quad Cane
- Rubber Tips for Safety
1 min
Immobility
- Assessment
- Mobility Continuum
- Complications
- Cardiovascular
- Respiratory
- Musculoskeletal
- Integumentary
- Gastrointestinal
- Urinary
- Considerations
- Turn, Cough, Deep Breathe (TCDB)
- Range of Motion (ROM)
- Skin Care
- Fluids
- Balanced Diet
2 mins
Sizing Crutches
- 3 Finger Widths
- 6 Inches Lateral From Heel
- 30 Degree Flexion
- Tripod Position
1 min
Walker
- Walker with Affected Leg
- Sizing a Walker
- Rubber Tips for Safety
55 secs
Interventions for Impaired Skin Integrity
- Assessment
- Signs of Skin Breakdown
- Pain
- Redness
- Decreased Skin Turgor
- Bleeding
- Bony Prominences
- Intervention
- Reposition Q2H
- Pressure Relief
- Maintain Clean and Dry Skin
- Adequate Nutrition and Hydration
2 mins
Braden Scale
- Characteristics
- Sensory Perception
- Moisture
- Activity
- Mobility
- Nutrition
- Friction and Shear
2 mins
Pressure Ulcers
- Risk Factors
- Prolonged Immobilization
- Neurologic Disease
- Decreased Level of Consciousness
- Classification
- Stage 1: Intact Skin with Non-blanchable Erythema
- Stage 2: Partial Thickness Skin Loss
- Stage 3: Full-thickness Skin Loss without Fascial Involvement
- Stage 4: Full-thickness Skin Loss with Fascial Involvement
- Management
- Wound Care
- Surgery
- Considerations
- Septicemia
- Osteomyelitis
- Prevention
3 mins
Vitamin A (Retinol)
- Mechanism
- Maintains Mucous Membranes
- Eyes and Skin
- Indications
- Dietary Deficiency
- Skin Disorders
- Side Effects
- Hepatosplenomegaly
- Jaundice
- Increased ICP
- Vomiting
- Considerations
- Teratogen
- Animal Food Products
- Dark Green and Orange Fruits/Vegetables
2 mins
Vitamin B1 (Thiamine)
- Mechanism
- Carbohydrate Metabolism
- Indications
- Dietary Deficiency
- Beriberi
- Wernicke-Korsakoff
- Considerations
- Alcoholics Highest Risk
- Give Before Glucose
- Give IM or IV
- Enriched Whole Grains
- Pork
2 mins
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