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68C Ph.2 T.1
Patient Environment and Bed Making
| Question | Answer |
|---|---|
| ELO> discuss the impact that environmental factors have on patient comfort and privacy | a.temperature-infant/older adults/acutely ill (68-74 F), metabolic demands of body b.ventilation c.humidity (30-50%) d.lighting-natural,patient controlled e.odor control-allergies, nausea f.noise g.interior design h.privacy i.comfort |
| ELO> Identify nursing interventions to promote rest and sleep | a.develop plan! b.limit interruptions c.quiet environment d.comfortable room temp e.timely procedures f.decrease environmental stimuli |
| ELO> Identify nursing responsibilities for bed making | a.ensure cleanliness and comfort b.make post-op bed before pt returns c.make unoccupied whenever possible d.make occupied when required |
| Ways to reduce psychological strain on patient | a.provide hope,cheer, ease grief b.explain procedures/disease process c.provide distractions d.allow expression of fears e.patient participation |
| What is rest? | mentally relaxed, no exertion, calm, bed rest if needed |
| sleep | state of rest that occurs for sustained period, reduced consciousness provides time for repair and recovery |
| What are some of the factors affecting sleep? | a.physical illness b.anxiety/depression c.drugs/substances d.lifestyle e.environment f.nutrition |
| What are some physical factors affecting patient comfortability? | a.interior design b.neatness c.privacy d.comfort |
| Circadian rhythm | 24 hr sleep clock, also known as diurnal sleep patterns |
| Some of the actions that occur during REM? | a.brain/cognitive restoration b.vivid, full-color dreaming c.loss of skeletal muscle tone --> approx. 90 min after sleep, 4-6 cycles per evening |
| Nursing interventions to prevent disturbed sleep patterns | a.early ambulation b.milk 30 min prior bed c.procedures before 2100 d.change linen, reduce noise, dim lights |
| Sitz bath | aids in reducing inflammation of perineal and anal areas of patient who has undergone rectal or vaginal surgery/childbirth |
| Which stage of NREM sleep would you return to following an REM episode? | Stage 2- characterized by sound sleep, arousal still easy, lasts 10-20 minutes |
| Give a brief description of each of the 4 stages of NREM? | 1-lightest, few minutes, gradual fall in v/s and metabolism 2-sound sleep, 10-20 minutes, functions slowing 3-muscles completely relaxed, v/s decline, 15-30 minutes 4-deepest |
Created by:
ajwildasin30
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