NUTRITION
Primary risk factor for pancreatitis in the United States.
What is alcoholism?
Urinary retention from bladder overdistention and frequent loss of small amounts of urine due to obstruction of the urinary outlet or an impaired detrusor muscle.
What is Overflow Incontinence?
Depressing the patient’s skin for a minimum of 2–3 seconds while looking for any pitting.
What is Assessing Edema?
Used to assess the patient's LOC; the maximum score is 15, indicating the best possible level of neurologic functioning, and the minimum score is 3, indicating total neurologic unresponsiveness.
What is Glasgow Coma Scale?
Classic and best way to prevent the spread of infection.
What is Hand Hygiene?
Intravenous liquid nutrition that makes up all of a client's nutritional intake.
What is Total Parenteral Nutrition (TPN)?
Inability to stop urine flow long enough to reach the bathroom due to an overactive detrusor muscle with increased bladder pressure.
What is Urge Incontinence?
Rates a client’s risk for alterations in tissue integrity using six categories: sensory perception, moisture, activity, mobility, nutrition, and friction and shear
What is the Braden Scale?
Abnormal posture with the neck extended; the jaw clenched; arms pronated, extended, and close to the sides; legs extended; and feet plantar flexed with adduction and rigid extension of upper and lower extremities
What is decerebrate posturing?
An unexpected event or circumstance occurred without injury to the patient.
What is Client Safety Event?
Affects food preparation, consumption, and choices, and can be guided by tradition and religious beliefs.
What is culture?
Stimulates peristalsis, facilitating the movement of chyme through the colon, and patients confined to bed often experience constipation resulting from decreased peristalsis.
What is the impact of mobility on bowel elimination?
Contains both serum and blood, looks watery and is pale and pink due to a mixture of red and clear fluid.
What is Serosanguineous Drainage?
The 2 components of the sensory process (normal sensory perception).
What are Sensory Reception and Sensory Perception?
Have clients wear a cotton gown because synthetic or wool fabrics can generate static electricity
Any products containing petroleum, oil, or grease should never be placed on the upper chest or face of the client
Post “No Smoking” or “Oxygen in Use” signs to alert others of the fire hazard.
Know where to find the closest fire extinguisher
Ensure that all electric devices (razors, hearing aids, radios) are working well and grounded
What are the safety considerations for client-prescribed oxygen therapy?
A condition in which the intestinal mucosa is unable to absorb nutrients, resulting in nutrients being excreted in the stool.
What is Malabsorption?
Required for healthy fecal elimination, and should be included in patient education
What is daily fluid intake of 2000–3000 mL?
Localized damage to the skin and/or the soft underlying tissue, which can be caused by prolonged contact with a firm surface that interferes with circulation to the area.
What is Pressure Injury?
Indicated by positive Kernig and Brudzinski signs.
What is Meningitis?
Equipment is designed to increase gait efficiency, reduce pain, and increase the function of the lower extremities. It can also improve clients’ balance, provide sensory cues, improve posture, and facilitate movement.
What are Assistive Devices?
Promotes brain function, hydrates and flushes out wastes from the body, regulates body temperature, acts as a lubricant in the body, critical for cell function, and replaces fluids the body loses through perspiration, elimination, and respiration
What is the Role of Water Related to Nutrition?
This intervention is intended to prevent blood clots or unwanted debris from forming in the bladder or to remove any clots that may be present. It is also used to maintain patency.
What is Urinary Catheter Irrigation?
Partial thickness skin loss that involves the epidermis and the dermis, and the wound bed is viable with a reddish-pinkish bed without slough, eschar, granulation tissue, or adipose tissue.
What is Stage 2 Pressure Ulcer?
Modulation of sleep–wake transitions that occurs when the reticular formation, a network of ascending nerves, relays information about alertness and arousal to the cerebral cortex and directs the brain’s attention to sensory events; (exists in the Brainstem).
What is Reticular Activating System?
10 Rights of safe medication administration
What is Right Client, Right Medication, Right Dose, Right Dose, Right Route, Right Time, Right Assessment, Right Documentation, Right to Refuse, Right Education, and Right Evaluation?