Wound Care & Skin Integrity
This stage of wound healing is characterized by redness, warmth, and swelling.
What is the inflammatory phase
This catheter remains in the bladder continuously.
What is a foley catheter
This is often the earliest sign of hypoxia:
What is restlessness
This feeding route delivers nutrients directly into the stomach through the abdominal wall:
What is PEG tube
This condition has a sudden onset, fluctuates throughout the day, and is often reversible:
What is delirium
This nutrient is important for collagen formation and wound healing.
What is protein
This electrolyte imbalance is commonly seen with excessive diuretic use?
What is hypokalemia
Bubbling in a chest tube water seal chamber during exhalation indicates this:
What is normal function
This is the greatest risk during tube feeding administration:
What is aspiration
This condition may look like dementia but is often related to sadness, low energy, and loss of interest:
What is depression
A wound with green drainage and foul odor suggests this complication.
What is infection
A patient suddenly complains of severe flank pain and hematuria. The nurse suspects this disorder:
What is a kidney stone or renal calculi
This oxygen delivery device commonly delivers 1-6 L/min of oxygen:
What is a nasal cannula
Absent bowel sounds, abdominal distention, and vomiting suggest this condition:
What is bowel obstruction
An older adult taking benzos, antihypertensives, and opioids is at increased risk for this safety problem
What are falls
This pressure injury involves full-thickness skin loss with visible fat tissue.
What is Stage 3
A patient with a Foley catheter develops fever and confusion. The nurse suspects this complication:
What is a CAUTI
Before suctioning a tracheostomy, the nurse should do this to reduce hypoxia:
What is preoxygenate
A patient has severe right upper quadrant pain after eating a fatty meal. The nurse suspects this disorder:
What is cholecystitis
An older adult reports dizziness when standing. The nurse should assess for this condition:
What is orthostatic hypotension
Three risk factors that delay wound healing?
Diabetes, poor nutrition, smoking, poor circulation, steroid use, advanced age, etc.
A patient has urine output of 100 mL/hr over an 8-hour shift. This condition is called:
What is oliguria
A patient with a chest tube suddenly has severe shortness of breath, tracheal deviation, and absent breath sounds on one side. The nurse suspects this life-threatening complication:
What is tension pneumothorax
This type of enema is commonly used to relieve constipation by stimulating bowel evacuation:
This syndrome may occur when a caregiver experiences prolonged physical, emotional and financial stress
What is caregiver role strain