Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th Ed., Hinkle & Cheever | Registered Nurse (RN) School Study Aid
Prevention of Falls
- Physical Aging
- Polypharmacy
- Environmental
- Call Light within Reach
- Assistive Devices Available
- Bed Alarms
- Improve Lighting
- Remove Home Hazards
- Promote Exercise
- Fall Risk Assessment
Tuberculosis Skin Mantoux Test (PPD)
- Delayed Hypersensitivity (Cell Mediated Response)
- Intradermal Injection
- Read 48-72 hours
- ≥ 5 mm Induration
- Immunosuppressed
- ≥ 10 mm Induration
- High Risk Patients
- ≥ 15 mm Induration
- Chest X-Ray
5 A's of Alzheimer's Disease
- Agnosia
- Anomia
- Aphasia
- Apraxia
- Amnesia
Alzheimer's Disease Assessment (Early Symptoms)
- Advanced Age
- Poor Judgment and Decision-Making
- Difficulty Having a Conversation
- Inability to Manage a Budget
- Losing Track of the Date or Season
- Misplacing Things
Alzheimer's Disease Assessment (Late Symptoms)
- Memory Impairment
- Wandering Behavior
- Confabulation
- Perseveration
- Lack of Abstract Thinking
- Severe Cognitive Decline
Alzheimer's Disease Interventions
- PET Scan and CT
- Mini-Mental State Examination
- Drug Therapy
- Safe Environment
- Moderate Exercise
- Behavioral Modification
- Assistance with Functional Independence
- Assistance and Support for Caregiver
Delirium
- Rapid Onset
- Reversible
- Hallucinations
- Decline in Cognition
- Short Attention Span
- Rapid Speech
- Change in Activity Level
- Mood Swings
Depression Assessment
- Anergia
- Self Neglect
- Decreased Libido
- Vegetative Signs
- Sad Affect
- Worthlessness
- Guilt
- Anger and Irritability
- Ineffective Problem Solving
- Slowed Thinking
Use of Restraints
- During Emergency
- Protecting From Harm
- For Limited Time
- Last Resort
- May Further Agitation
- Frequent Observation
- Obtain Order Within 1 Hour
- Quick-Release Tie