Nutrition
What is cholesterol?
Describe foods included in a clear liquid diet.
What is broth, water, tea, black coffee, clear fruit juices, popsicles, gatorade, pedialyte?
An injury of full-thickness loss involving damage to the epidermis, dermis, and subcutaneous tissue, not involving muscle or bone.
What is stage 3 pressure injury?
Describe RICE and what it would be used for.
Rest, ice, compression, elevation.
Used in sprains, damage to muscles & ligaments.
Describe 5 ADL's.
What is bathing, brushing teeth, shampooing hair, getting dressed, fixing hair, ambulating, etc.?
Name five food sources of fiber.
What is oatmeal, beans, brown rice, nuts, seeds, dark green leafy vegetables, broccoli, fruit, carrots, pears?
Fiber restricted diets would be appropriate for what type of client?
What is a client with an acute phase of an intestinal disorder or scheduled for an intestinal surgery?
Indicates the increased capillary blood flow associated with inflammation.
What is erythema?
This is a wedge shaped pillow used with patients that have had a hip arthroplasty.
What is an abductor pillow?
The term for softened skin due to continuous exposure to moisture.
What is maceration?
This compound forms the structure of bones, teeth, mails, assists in water metabolism, and assists with muscle contraction.
What are minerals?
A client with celiac would benefit from this type of diet.
What is a gluten-free diet?
Name 5 interventions to prevent pressure injuries.
Keep the skin clean and dry.
Linens free from wrinkles.
Apply lotion to dry skin, assess pressure points q 1-2 hours.
Encourage adequate fluids. Protein, mineral vitamin supplements.
Use specialty beds, mattresses.
Assess incontinence.
Name 5 nursing interventions the nurse would implement with the nursing diagnosis of "Acute Pain."
Use pain scale 0-10, encourage pt to ask for pain medication before pain becomes severe, provide distraction, medicate before exercises, use non pharmacological treatments.
Name 5 responsibilities during bathing.
Assess the skin, complete bath in a timely manner, be alert to signs of fatigue (shortness of breath), use a terrycloth robe, use a shower chair or bench, have supplies ready, warm the water beforehand, communicate with patient.
Functions of water include? List a minimum of 5.
What is maintain body temperature? Transports minerals, vitamins, electrolytes? Cushions the brain and spinal cord? Carries toxins out of the body? Lubricates the GI tract, aids in the passage of food?
What is hyperglycemia?
A tract that connects two body cavities or can tunnel from a body cavity or wound to the skin.
What is a fistula?
Describe what is included in a wound assessment.
What is location, size, depth, color, condition of surrounding skin, drainage, odor, discomfort level?
Describe ways to prevent aspiration.
What is sitting high fowlers, encourage sitting up after eating, place immobile clients on their side with oral care, assess swallowing ability, take time with medication pass, small bites when eating.
A large source of sodium in the typical American diet is from what source?
What is processed foods?
This test measures the amount of blood sugar over a period of 2-3 months.
What is the glycosylated hemoglobin or hemoglobin A1c?
Name 5 factors that affect wound healing.
Age, chronic illness, diabetes, hypoxemia, lifestyle choices, lymphedema, medications, multiple wounds, nutrition and hydration, radiation exposure, wound tension.
Describe the action of a wet-to-dry dressing.
What is maintaining a moist wound bed and wick out drainage from the would, changed frequently to ensure dressing doesn't dry out.
Describe 5 benefits of bathing patients.
What is cleanses the skin, provides an opportunity for skin assessment, increases circulation, increases sensation, provides comfort and relaxation, provides improved self-esteem.