Assessing Falls | Fall Interventions | General COPD Trivia | Symptoms of COPD | Were you paying attention? |
---|---|---|---|---|
Yellow
The national coding color for fall prevention is:
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Hand rails in the bathroom, wearing closed toe shoes, adequate lighting, removing rugs
What are two home safety measures the pt. could use?
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Increased
Persons with asthma are at an increased or decreased risk of COPD?
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False
The symptoms of COPD develop quickly, true or false?
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91 years old
How old was the pt.?
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The definition of a fall.
Any unplanned landing on the floor, including a patient being assisted to the floor by the nursing staff.
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Strength, balance, flexibillity, endurance
What elements should an exercise program target for patients who are at high fall risks?
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Chronic Bronchitis and Emphysema
Two main COPD lung conditions are:
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Wheezing
What symptom of COPD did our patient manifest?
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Leukocytosis or Possible Prosthetic Valve Endocarditis
What was his admission diagnoses?
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6-13 points
A patient is considered a moderate fall risk on the John Hopkins Fall risk score with a score of:
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The pt. remained free from injury throughout hospitalization
The discharge outcome to be written in the plan of care.
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Tobacco smoke
The number one cause of COPD:
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Respiration rate >20 and o2 Saturation <95
What respiratory rate and 02 saturation would you expect to find in a patient with COPD?
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A pack a day for 25 years
How long and how much did the pt. smoke for in the past?
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>13 points
A patient is considered a high fall risk on the John Hopkins Fall risk score with a score of:
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Risk for injury
The appropriate nursing diagnosis to add to the plan of care.
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Bronchodialators
This type of drug widens the air passage?
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Second-hand smoke and exposure to allergens
Name 2 risk factors for COPD besides smoking?
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Both knees!
Which knee did the pt. have surgery on?
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Unsteady gait, orthostatic hypotension, dizziness, polypharmacy, weakness, confusion, sensory deficits, prior fall within 6 months, tethering equipment, altered awareness, impulsive, altered awareness.
Name 5 risk factors for falls
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Orient patient to enviornment, place call light within reach, show how to call for assistance, have close to nurses station, etc.
Five interventions for patients at high fall risk
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Provide frequent breaks.
Name one modification to use for patients with COPD during exercise program.
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Tissue damage due to chronic inflammation
What is the structural cause of COPD?
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Risk for bleeding and Risk for infection
What other two "Risk for" nursing diagnoses did we have? (Hint it is not risk for falls)
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