HPH NAT Certification 23 - Final Review Study

Temperature: 98.6 F (37 C)

Pulse: 60-100 beats per min

Respirations: 12-20 breaths per min

Blood Pressure: systolic 120 < & diastolic 80 <

O2 sat: 95-100%

The measurement of fluid that enters the patient and leaves the patient.

Intake: Water, juice, ice, jello, (anything that melts @ room temp)

Output: urine, vomit, blood, diarrhea, wound drainage

30 ml = 1 oz

1 oz = 30 cc

oz(30) = cc

cc/30 = oz

Supine = flat face up

Prone = flat face down

Lateral = side laying

Fowlers = HOB 45-60*

Low-Fowlers = HOB 15-30 *

Semi-Fowlers = HOB 30-45*

High-Fowlers = HOB 90*

Trendelenburg = HOB pointed down, feet of bed facing up

Position: High Fowlers (45-90)

• Put on gloves

• Fill basin w/ warm water, test temp.

• Hands: soak for at least 5 min, wash one hand at a time with soapy washcloth, then rinse.

• clean under nails with orangewood stick, and smooth nail edges using emery board.

• Foot: place absorbent pad and basin on the floor and let foot soak for 10 min. Clean foot and inbetween toes with soapy washcloth for each foot then rinse.

Empty drainage bag: Put on gloves, measure urine in drainage bag, place an absorbent pad and graduate on a flat surface, un-clamp tubing of the drainage bag and aim into the graduate, unlock tube and let all contents flow into graduate, once empty relock the tubing and clean drainage spout then carefully placing the clamp back into place making sure not to cross contaminate it.

Foley care: Put on gloves, preform perineal care, hold foley close of meatus and wipe away 4-6in until biofilm is gone.

Cane: cane is on patient stronger side then patient leads with weaker leg. (NA stands on pt weaker side)

walker: patient pushes walker and steps into walker (NA stands behind pt)

1-2 hours

s/s: pain, itchiness, discoloration of skin (red, purple/blue)

tx: regular repositioning, dressings to heal ulcer, special mattresses.

S/S: fear or afraid to be alone, poor self control, withdrawl or apathy, threaten others, alcohol or drug abuse, agitation or anxiety.

Report to the RN

Pros: pain relief, relieve/ reduce swelling

Cons: only for specific times, if used unproperly it can damage body tissues.

precautions set to prevent the transmission of pathogens through exposure. (ex: hand hygiene, PPE (gloves, gown, mask, eyewear, face shield)

• wet hands & apply soap

• rub hands together for 20 seconds (wrist, palm, nails, fingers, etc)

• keep hands lower than elbows & fingertips

• use paper towel to properly dry

*dont touch sick or anything during, before, or after washing hands

Shoulder, elbow, wrist, hip, knee, ankle

• apply gloves

• place bed protector under pt

• expose ostomy site and remove bag & discard properly

• use gauze to absorb leakage

• wipe area of stoma with wipes

• using washcloth & warm water wash the area in one direction away from stoma

• Rinse & pat dry with a towel

Fracture pan and Bed pan

Under their butt, flat side on their back, bed position with the head lowered when placing the bed pan. Then high fowlers when the bed pan is being used.

• get pts attention

• you & pt are face to face

• hearing aid is on pt

• reduce/remove background noises

Thickened liquids are given to pts who have difficulty swallowing.

They are given to help prevent aspiration.

aspirate: food, liquid, or other material goes into the airway or lungs.

Prevention: eat slowly, avoid distractions, high fowlers, bite sized pieces.

Activities of daily living

myocardio infarcation (heart attack)

make eye-contact, make sure pt sees you, speak loudly/ clearly, body language/gestures.

When giving CPR 30:2

But if not in face of an emergency, the NA shall NOT administer oxygen.

loss of consciousness for a short period of time

difficulty breathing

apply pressure

Patient records and personal information is kept confidential to patient and care team only.

HIPAA: Health Insurance Portability & Accountability Act of 1996.

airborne & develops when a person with a weakened immune system is exposed.

s/s: fatigue, loss of appetite, nausea

Through the umbilical cord. Connection between baby and mother, the placenta.

Prenatal: Before babies birth; pregnancy.

Postpartum: After baby is born; after birth.

Episiotomy: Surgical incision made under the vagina to prevent tear/rip in vagina from childbirth. Aides in birth.

Care for episiotomy: ice to reduce swelling at the vagina after delivery. Given sits bath to keep vaginal area clean, ease pain, & heal incision.

Lochia: vaginal discharge after childbirth.

Lochia rubra: 1st stage, dark red in color ~4 days long.

Lochia Serosa: 2nd stage, pinkish color ~10 days long (Mostly WBC).

Lochia Alba: 3rd stage, whitish yellow color ~10 days ~14 days.

Newborns first poop/stool.

Dark, thick, sticky stool.

Babies first poop within few hours after birth.

Connection between mother and baby during pregnancy.

Contains 3 arteries:

1: Carries food and oxygen from placenta to baby

2 & 3: Carries babies waste to placenta

Infants/ Newborns: seperation anxiety due to absence of parent.

Toddlers: fear of strangers.

Preschoolers: body mutilation, fear of dark, being left alone.

School Age: fear of disability, death, injury, and pain.

Adolescents: fear of injury, pain, disability, seperation.

Before & after eating food/serving food, contact with bodily fluids: vomit, saliva/mucus, urine, stool, touching wound, contact with patient.

Entering and accessing patient, contact with blood, contact with urine, giving a bath.

A.M. Care: assist w/ elimination, wash face and hands, assist w/ mouth care, assist w/ haircare, dressing, and shaving.

H.S. Care: assist w/ elimination, wash face and hands, assist w/ mouth care, back rub.

Test performed 1-5 mins after babies birth. Determine how baby is responding out of the womb.

Categories scored on a scale 0-2:

Breathing, heart rate, muscle tone, reflexes, & skin color.

F → C: 5/9 (F - 32)

C → F: 9/5 (C) + 32