Wounds
This phase of wound healing occurs from days 5-21 where cells develop to fill the wound defect and resurface the skin.
What is the proliferative phase?
This involves gathering data about the patient and their health status
What is Assessment?
This area is assessed in a different order than the rest of the physical assessments
What is the abdomen?
This is one of the rights of medication administration that needs 3 checks to ensure that you are giving the correct medication
What is right drug?
This energy nutrient aids with tissue building, metabolism, immune system function, fluid balance, acid-base balance and used a secondary energy source.
What is protein?
This is when a sterile or sharp instrument is used to remove devitalized tissue from a wound
What is sharp debridement?
This is performed to obtain data about an actual, potential, or possible problem that has been identified or is suspected
What is a focused assessment?
This is found at the fifth intercostal space at the midclavicular line
What is the Apex or mitral valve or PMI
This type of injection is given by pinching the tissue at the injection site and insert the needle using a 45 to 90 degree angle depending on the amount of adipose tissue
This is the diet of choice for people with chewing difficulties resulting from missing teeth, jaw problems, or extensive fatigue
What is a mechanical soft diet?
This assessment is used to determine the pressure score risk of a patient.
What is the Braden scale?
This is the process of planning for self-care and continuity of care after the patient leaves a healthcare setting
What is discharge planning?
This is the use of sight to gather data
What is inspection?
This is used when drawing medication from an ampule
This is used when a patient has a functioning intestinal tract but needs nutritional support due to things like swallowing disorders.
What is enteral feeding?
This is necrotic tissue, that is dry, thick and leathery. It may be black, brown or gray depending on moisture level.
What is eschar?
This provides mostly objective data and makes use of the following techniques, inspection, palpation, percussion, and auscultation.
What is physical assessment?
This is a scale used to document the level of consciousness of a patient by describing the response
What is Glasgow Coma Scale (GCS)
This type of medication is placed under the tongue.
What is a sublingual medication?
This is a disorder of the central nervous system characterized by a strong and often overwhelming urge to move the legs while resting
What is restless leg syndrome?
This wound is characterized by full-thickness skin loss with damage or necrosis of subcutaneous tissue. Adipose is visible.
What is a stage 3 pressure injury?
This involves performing or delegating planned interventions, this is the step in which you carry out the plan
What is Implementation?
This pulse is assessed by pressing on the inner (medial) side of the ankle below the medial malleolus
What is the posterior tibial pulse?
This is an unintended, often predictable, physiological effect of the medication to which patients usually adapt
What is a medication side effect?
These stages of sleep is the restful phase of sleep that is divided into 3 stages
What is Non-rapid eye movement or NREM