Wound Care
This is something that can prevent pressure injuries and you don't need an order for.
What is turning Q2 hours
This condition increases deep tendon reflexes
What is hypomagnesemia
This lab should be checked for ACUTE malnutrition.
What is a pre-albumin
Interpret this ABG to determine which acid base imbalance this is. Ph 7.20 PaCO2 41 and HCO3 16.
What is metabolic acidosis?
This type of drainage is thick and yellow
What is purulent
A black covering over a wound is
What is Eschar
This is when there is a balance between intake and output
What is Homeostasis
In this type of diet everything is liquid at room temperature.
What is full liquid
Interpret this ABG to determine which acid-base imbalance this is. pH 7.5 PCO2 38 and HCO3 32.
What is metabolic alkalosis?
This lab value is indicative of what condition K =3.2
What is hypokalemia
This type of wound has muscle or bone exposed
What is a stage 4
This type of fluid increases extracellular fluid volume
What is Isotonic
This nursing intervention can be done to help stimulate appetite.
What is provide oral care.
Interpret this ABG to determine which acid base imbalance this is. pH 7.28 PCO2 50 HCO3 25.
What is respiratory acidosis?
This client's skin would be tented
What is a dehydrated client
This type of wound is where the skin is intact and unblanchable.
What is stage 1
In this condition, you will expect to see tachycardia, weak pulses, hypotension, and oligura
What is dehydration
These vitamins are water soluble
What is B and C
Interpret this ABG to determine which acid base imbalance this is. pH 7.48 PCO2 27 HCO3 23.
What is respiratory alkalosis?
This is when the wound edges are rolled under
What is epibole
Sensory perception, Moisture, Activity, Mobility, Friction shear, and Nutrition are all part of what assessment?
What is the Braden Scale Risk Assessment.
This condition the client will have distended neck veins, hypertension, and dyspnea
What is overhydration
This lab is checked for CHRONIC malnutrition
What is Albumin
Your client is on NG suction for 4 days, you would know that this may cause metabolic alkalosis and expect the ABGS may include.
What is increased pH and increased HCO3?
The client has the following values Na- 168, Mg - 3.5 and K 3.0. What electrolyte imbalances does the patient have?
Hypernatremia, Hypermagnesemia, and hypokalemia.