Maegan's Test #5 - Sleep/Exercise Flashcards Preview

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Flashcards in Maegan's Test #5 - Sleep/Exercise Deck (21)
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1
Q

How often do you turn a client who is immobile?

A

Every 2 hours

2
Q

If a client is immobile what type of exercise would you suggest to prevent osteoporosis?

A

Weight Bearing Exercises

3
Q

What is the definition of sleep?

A

An altered state of consciousness

4
Q

What are some S-System Specific Assessment’s for Sleep?

5 of them

A

Usual routine vs. interruptions in sleep/wake cycle

LOC

Naps

Fatigue

Insomnia

5
Q

What are some S-System Specific Assessments of Sleep Deprivation?

5 of them

A

Decreased Attention Span

Irritability

Slowed Reactions

Sensitivity to Pain

Impaired ability to perform ADL’s

6
Q

What are some S-System Specific Assessments for CONTINUED sleep deprivation?

5 of them

A

Impaired Cognitive Function

Decreased Emotional Control

Hand Tremors

Difficulty Speaking

Develops Suspicion and Confusion

7
Q

What is the average time that the average adult needs to sleep each night?

A

7-9 Hours

8
Q

What are some S-System Specific Assessments of items that would effect their Sleep?

(What are 4 things people do in their sleep)

A

Sleep Walking

Enuresis

Sleep Apnea

Narcolepsy

9
Q

What are some herbs used to help with sleep?

A

Valerian

Lavendar

Kava
(Increases effects of sedatives, may cause liver failure

(Nature’s valium - Don’t take with other sedatives)

10
Q

What are some S-System Specific Assessments you would ask the client?

A

Anxiety Level

How many hours do they actually sleep each night?

What kind of med/sleep meds are they on?

(It hinders sleep - “What are they stressed about?)

11
Q

What are some items you look at when E-Evaluating Pharmacolgy for Hypnotics?

A

Side Effects

Client Teaching

12
Q

What are some things to look at when E-Evaluating Pharmacology for Sleep?

A

Are they getting adequate sleep after taking sedatives/hypnotics

How alert is the pt the next day

Are they sleeping during the day

13
Q

What are some common sleep meds?

A

Zolpidem - Ambien

Zaleplon - Sonata

Ramelteon - Rozerem

Eszopiclone - Lunesta

14
Q

What can you do to Y-Cover your Assets when charting about client and sleeping?

A

DO NOT CHART CLIENT SLEEPING

Ex Note: Client resting w/eyes closed, resp 18 even and unlabored

15
Q

What are some S-System Specific Assessments for Exercise?

A

** USE OF ASSISTIVE DEVICES **

Activity Level vs usual activity level

Injuries affecting activity Level
(Sprains, strains, fractures)

Use of assistive devices

Paralysis

Pressure Ulcers

Posture/Alignment/Balance

Pressure Ulcers

Labs

Pain Level

16
Q

What are some things you would check for A-Accuracy of orders/Assignments for Exercise?

A

Is the activity level appropriate?

What do you do when the condition changes after activity orders are in place?

YOU CAN DELEGATE AMBULATION
(Except for Initial Ambulation and Assessing/Teaching)

17
Q

What is our F-First priority when it comes to exercise?

A

SAFETY

18
Q

Skeletal Muscle Relaxants can be used for Exercise, when E-Evaluating Pharmacology what are some of the common meds?

A

Baclofen - Lioresal

Carisoprodol - Soma

Cyclobenzaprine - Flexeril

Metaxalone - Skelaxin

Tizanidine - Zanaflex

19
Q

When E-Evaluating Pharmacology NSAID’s for Exercise what are some teachings?

A

Take with food

Teach about GI Bleeding

Monitor for toxicity

Stop5-7 days before surgery

No more than 800mg Ibuprofen/Day

No more than 1000mg Aleve/Day

20
Q

What are some common NSAID’s used for Exercise?

A

Ibuprofen - Motrin/Advil

Oxaprozin - Daypro

Aspirin - Ecotrin, ASA

Flurbiprofen - Ansaid

Ketoprofen - Orudis

21
Q

When relating to Exercise what are some things you can do to Y-Cover your Assets?

A

Proper Positioning

Prevent Contractures

Prevent Falls

Proper use of Assistive Devices