Patricia Shared "DUAL PN Rankin" - 172 Picmonics
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DUAL PN Rankin
Maslow's Hierarchy of Needs
- Physiological Needs
- Oxygen, Water, Nutrition
- Body temperature, Elimination, Shelter, Sexual Expression
- Safety and Security
- Physical Safety
- Physiological Safety
- Love and Belonging
- Affection and Companionship
- Esteem
- Self Respect and Respect for Others
- Self Actualization
- Fulfillment
2 mins
Patient Position Overview
- Position Techniques
- Trochanter Roll
- Trapeze Bar
- Ankle-Foot Orthotic (AFO) Devices
- Positions
- Fowlers Position
- Supine Position
- Trendelenburg
- Side-Lying Position
- Prone Position
- Sims' Position
- Nursing Considerations
- Reposition q2 Hours/Prevent Skin Breakdown
- Confirm Body Alignment
2 mins
Vital Signs - Adult
- Temperature (96.8-100.4 Degrees F) (36-38 Degrees C)
- Rectal
- Tympanic
- Oral
- Axillary
- Temporal
- Respiration (12-20)
- Oxygen Saturation (94%-100%)
- Pulse (60-100)
- Blood Pressure (<120/80)
- Pain
2 mins
Neurovascular Assessment 6 P's
- Pain
- Paresthesia
- Pulse
- Pallor
- Pressure
- Paralysis
1 min
Glasgow Coma Scale
- LOC Assessment
- Score of 3 to 15
- 8 or Less = Coma
- Eye Opening
- Verbal Response
- Motor Response
1 min
Pain Assessment
- Types of Pain
- Acute Pain
- Chronic Pain
- OPQRST Mnemonic
- Onset
- Provoking or Palliative
- Quality
- Radiation
- Severity
- Timing
- Nursing Considerations
- Subjective Findings
- Objective Findings
- Reassessment of Pain
2 mins
Child and Elder Physical Abuse Assessment
- Physical Abuse
- Inconsistent Injuries
- Delay in Treatment
- Various Stages of Healing
- Child Abuse
- Symmetrical Burns
- Sexually Transmitted Infection
- Bloody/Torn Undergarments
- Shaken Baby Syndrome
- Elder Abuse
- Poor Hygiene
- Overmedication
2 mins
Fever
- Flushed skin, warm to touch
- Chills
- Sweating
- Change in LOC
- Provide adequate fluids
- Monitor Electrolytes and Fluid
- Monitor vital signs, esp temperature
- Remove excess clothing and blankets
- Sponge bath with tepid water
2 mins
Care for the Hard of Hearing
- Assessment
- Normal: 0-15 dB
- Rinne's Test
- Weber's Test
- Tinnitus
- Difficulty Following Conversations
- Nursing Considerations
- Face Patient/Speak Clearly
- Rephrase Misunderstood Statements
- Repeat Statements Back
- Hearing Aids
- Sign Language
2 mins
I-SBAR-R
- Identify
- Situation
- Background
- Assessment
- Recommendation
- Readback
1 min
5 Rights of Delegation
- Right Task
- Right Circumstance
- Right Person
- Right Direction/Communication
- Right Supervision/Evaluation
1 min
Religion and Dietary Preferences Overview
- Buddhism
- Natural Foods of Earth
- Hinduism
- Cow is Sacred
- Islam (Muslim)
- Halal Foods
- No Alcohol
- Judaism
- Kosher Meals
- No Pork or Shellfish
- Mormonism (Latter Day Saints)
- The Word of Wisdom
1 min
Arab American Culture
- Touch Only When Same Gender
- May Request Same Gender Healthcare Provider
- Females Avoid Eye Contact with Males
- Males Often Make Decisions
- Muslims
- Infertility Grounds for Divorce
- No Organ Donation
2 mins
Lung Sounds - Wheezes
- Location
- Throughout Lung
- Description
- High Pitched
- Sounds Like
- Musical
- Cause
- Air Moving through Narrowed Airways
38 secs
Lung Sounds - Crackles
- Location
- Lower Lobes
- Description
- Fine/Coarse
- Sounds Like
- Fine: Twisting Hair through Fingers
- Coarse: Velcro
- Cause
- Collapsed Small Airways and Alveoli "Popping Open"
1 min
Lung Sounds - Rhonchi
- Location
- Trachea and Bronchi
- Description
- Low Pitched Rumbling
- Sounds Like
- Gurgling
- Cause
- Narrowed Airway
- Secretions or Bronchospasm
49 secs
Lung Sounds - Pleural Friction Rub
- Location
- Anterior Lateral Lung
- Description
- Dry, Rubbing, or Squeaking
- Sounds Like
- Rubbing a Balloon with Finger
- Cause
- Inflamed Pleura
50 secs
Age 2 Months - Developmental Milestones
- Gross Motor
- Holds Head Up, But Unsteady
- Fine Motor
- Tracks Objects to the Midline
- Language
- Coos
- Social / Cognitive
- Social Smile
- Recognizes Parents
1 min
Age 4 Months - Developmental Milestones
- Gross Motor
- Sits With Support
- Rooting Reflex Disappears
- Moro Reflex Disappears
- Fine Motor
- Reaches Across Midline
- Language
- Turns to Voice
- Laughs
- Social / Cognitive
- Enjoys Looking Around
2 mins
Age 6 Months - Developmental Milestones
- Gross Motor
- Palmar Reflex Disappears
- Sits Propped Up On Hands
- Rolls
- Fine Motor
- Transfers Objects Hands to Hands
- Raking Grasp
- Language
- Babbles
- Responds to Name
- Social / Cognitive
- Stranger Anxiety Develops
2 mins
