Nutrition
Nil Per Os (NPO)
What is nothing by mouth?
The organ primarily responsible elimination and the production of urine
What is the kidney?
Repositioning clients every 2 hours
What is nursing intervention for the prevention of pressure injuries?
The ability to receive and interpret sensory impressions through sight (visual), hearing (auditory), touch (tactile), smell (olfactory), taste (gustatory), and movement or position (kinesthetic).
What is Sensory Perception?
Assessment, Analysis, Planning, Implementation, Evaluation
What is the nursing process?
Protein, Carbohydrates, and Fats
What are macronutrients?
The rhythmic contractions throughout the digestive system that moves food along the digestive tract.
What is peristalsis?
Can appear as a blister that is either intact or open
What is a stage 2 pressure ulcer?
Risk for injury in the home environment, sensory deprivation, and sensory overload.
What are complications to sensory perception?
Hand hygiene
What is the best way to stop the spread of infection?
Aspiration with no obvious signs
What is silent aspiration?
Urine output of 0.5ml/kg/hr for this age group
What is the average urine output for an adult?
Perform nonadherent dressing changes EVERY 2 hours
What is nursing intervention for stage 4 pressure injuries?
Loss of central vision from deterioration of the center of the retina.
What is macular degeneration?
Precise delivery of oxygen at high concentrations
What is a venturi mask?
This is the golden standard to verify a new/initial NG tube
What is an x-ray?
This medical condition, if not addressed, can lead UTIs, bladder damage, kidney damage, and urinary incontinence.
What is urinary retention?
What is greatest risk for alterations in skin integrity?
Conductive, sensorineural, and mixed.
What are the different forms of hearing loss?
Alterations in muscles, health status, and age, impaired CNS, poor posture, and injury to the musculoskeletal system
What is factors that affect mobility?
A form of a supraglottic swallow where the patient swallows, holds the swallow for 2-3 seconds, then completes the swallow.
What is Mendelsohn maneuver?
Kidney failure is defined as
What is 15% loss of expected kidney function?
Protein, omega-3 and omega-6 fatty acids, and vitamins A and C
What is essential nutrients for wound healing?
The patient shows no response to stimuli, pupils are fixed in mid-position, has no oculocephalic reflex, has decerebrate posturing with hemiparesis/quadriparesis, and apneustic breathing
What are signs of probable damage to the pons?
ABG results for a client are
pH 7.56,
HCO3 of 26 mEq/L
PaCO2 of 27 mm Hg
What is respiratory alkalosis?