Midterm Exam Skills Lab BSN 3 A Dr. Gina A. Condeno I. Choose the best answer.

. Write the letter and the word(s) or sentence. Strictly no cheating ,erasure, alteration, superimposition and changing of answer sheet. I Arrange as to the correct steps for using an MDI Steps For Using an MDI 1. Repeat steps 3 - 9 when more than one puff is prescribed. Clean the plastic case and cap by rinsing thoroughly with warm water, weekly. 2. Resume normal breathing. 3. Hold your breath for up to ten seconds. This allows the medication time to deposit in the airways. 4. Press the inhaler and at the same time begin a slow, deep breath. Continue to breathe in slowly and deeply over 3 - 5 seconds. Breathing slowly delivers the medication deeply into the airways. 5. Gently breathe out. 6. Tilt your head back slightly and open your mouth wide. 7. Open Mouth Technique - Hold the mouthpiece 1 - 2 inches (2 - 3 finger widths) in front of your mouth. Close Mouth Technique - Seal your lips tightly around the inhaler mouthpiece. 8. Shake the inhaler. This mixes the medication properly. 9. Hold the inhaler with the mouthpiece at the bottom. 10. Remove the cap from the inhaler. II Identify the paragraph or sentence below the Steps as to what step it belongs. Ex. 1. Step 2 How To Relax Using Deep Breathing Techniques Step 1: Make yourself comfortable Step 2: Focus your attention Step 3: The inhale Step 4: The exhale Step 5: Silent moments Step 6: The rhythm Step 7: Putting it all together 1. You can do this technique in any setting, but it is better when your mind is calm and your body is relaxed. Find a quiet place if possible. You can either be seated or lying down. Once in position take a few deep breaths. 2. Close your eyes and begin to empty your mind and clear away all thoughts. Pay particular attention to your body and your breathing. 3. Begin by placing your hands on your stomach. Slowly inhale through your nose, filling first the abdomen as you feel your hands rise while the air enters. 4. Continue filling the lower lungs, and finally the upper chest around the heart. 5. Now, slowly exhale the air out the mouth, going in reverse order, first emptying the chest then the lower lungs and finally the stomach, allowing the belly button to fall towards the spine. 6. As you repeat these steps, you may start to notice a pause that begins to happen at the end of the inhale and the end of the exhale. It is during these moments that you can now enter a deep state of relaxation benefiting both body and mind. 7. Now that we've practiced the form, it's time to set a tempo. Different patterns of breathing have varying effects on the systems of the body. For relaxation, we will attempt to slow the heart rate to calm the nervous system. 8. The key to achieving this is to make the exhale slightly longer than the inhale. This can be done by counting slowly to 5 on the inhale.1..2...3..4...5. 9. then count to 8 on the exhale. 1..2..3..456..78. 10. Now that we've got the style, it's just a matter of practice. It is good to start out with sessions of about 5 minutes each. This will be enough to slow the heartbeat, lower the blood pressure and improve the functioning of the all the body's systems.

III Fill in the blanks. GLASGOW COMA SCALE (7 POINTS OR LESS INDICATES COMA) __1__opening response _2_ point :no response 2 points: to _3___ _4_points: to speech 4 points: spontaneously Motor response 1 point: no response to pain 2 points: abnormal extension (__5_) 3 points: abnormal flexion (_6_) 4 points: withdrawn from pain _7_ points: localizes pain 6 points: obeys __8_l command __9_response 1 point: no response 2 points: incomprehensible sounds 3 points: inappropriate words 4 points: _10__ 5 points: oriented to time ,place and person

IV. Draw a nebulizer and label it.