CHAPTER 3 SUMMARY
Mini Case 3:1 A Patient With a Pressure Ulcer
1� What should Afnan do first?
2� How can Haya’s pressure ulcer be treated?
3� What advice could Afnan give to Haya’s family on how to avoid further pressure ulcers when Haya is discharged home?
Mini Case 3:2 The “Thinking Nurse”
1� What might have happened if Ayisha had simply performed the blood glucose test exactly as ordered?
2� Do you think Ayisha should have been considered responsible for the error if she had followed the orders exactly?
3� Review the “What? When? Where? Why? Who? and How?” questions in relation to this situation. Give examples of questions that Ayisha may have asked herself.
Mini Case 3:3 The Busy Nurse
1 How can you help Maryam to be less fearful?
2� How do you ensure that all your patients are cared for to the best of your ability?
3� What should you tell Maryam about her surgery? If she has specific questions about the surgery, what should you do?
1� List three procedures that must be performed while admitting a patient to a hospital or long-term care facility.
2� Describe six ways of preventing pressure ulcers.
3� What might a patient experience when changing position from lying to sitting or standing? What should you do if this happens?
4� What are the two types of catheter? Why are they used?
5� Differentiate between a routine, clean-catch (midstream), sterile, and 24-hour urine specimen.
6� Why are feces tested?
7� Define each of the following: colostomy, pressure ulcer, edema, nasogastric tube, dysphagia.
8� Identify five specific aspects of care for: a� Preoperative patients.
b� Postoperative patients.
9� Name three systems for administering oxygen.
10� Explain five standard precautions that must be observed while handling urine or feces.
1� a� Identify six observations that might be indicative of a medical problem.
b� Why is it important to constantly observe a patient while providing personal care?
2� a� Describe four ways to prevent pressure sores or contractures from developing.
b� Why is it easier to prevent a pressure ulcer or contracture than it is to treat them?
3� When transferring a patient to a stretcher or using a mechanical lift, why is it especially important to cooperate and communicate as a team?
1� In pairs, write and illustrate a leaflet for patients explaining postoperative care.
