The initials I and O stand for this
What are intake and output
A Braden Score number which is 18 or lower is indicative of this
What is a higher the risk for skin breakdown
The rate is between 12 and 20
What is the rate of normal adult respirations
The attempt to understand our own values regarding an issue and to know when to put them aside
What is Value neutrality
These are used when an aseptic technique is performed, such as catheterization
What are sterile gloves
This is the insertion of a sterile tube into the bladder
What is catheterization
You never leave these down after patient care
What are side rails
Intake and Output evaluate these two things
What are fluid balance and kidney function
A redden shallow opening on an ear resulting from oxygen tubing
What is a medical device related pressure injury
You should take respirations before and after you do this
What is taking a radial pulse
This constitutional document that governs protecting patient’s privacy rights
What is the 4th amendment to the U.S. Constitution
This is the part of the glove packaging that you can touch and still have the package remain sterile
What are the outside edges
You use this sort of motion to cleanse the meatus
What is a circular motion
This should be kept at the lowest position at all times
What is the bed
I and O are measured in this unit of measurement
What is cc's or ml's
Full thickness loss with tissue loss with exposed bone, tendon or muscle
What is a stage IV pressure injury
It is important to see this rise and fall while taking respirations
What is the patient's chest
The statutory law passed by each state’s legislative body to define the practice of nursing
What is the Nurse Practice Act.
You must keep your hands at this level of your body once your sterile gloves are on
What is the chest level
You should leave the catheter in the bladder until this happens
What is when the bladder is completely drained
Confused, sedated, or unconscious patients should have these up
What are side rails
The pitcher should be placed in this to measure the fluid
What is a level surface
The base of the ulcer is covered by slough and/or eschar in the wound bed.
What is an Unstageable pressure injury
This can change the rate of respirations
What are activities, emotions, or some medications
Nurses have a responsibility to be this for all patients.
What is advocates
You adjust your gloves only at this time
What is when both gloves are on
What you should instruct the patient to do as you insert the catheter
What is to bear down to relax the urethral spincter
These should be placed in the locked position when transporting patients to and from them
What are wheelchairs, beds or stretchers
You must instruct the patient and their family that these should be added to the I and O record
What are semisolids such as custard, ice cream and jello
The goal of care for the diabetic patient with severe peripheral neuropathy
What is remains free from foot wounds
You count the respirations for this long and multiply by two
What is thirty seconds
Being consistent with customs and traditions based on the external influence such as religious beliefs
What is moral behavior
If you are right-handed, this is the glove you put on first
What is the right glove
What is the shiny plastic side to prevent the bed from getting wet
This piece of equipment must always be in reach of the patient in bed or sitting by their bed in a chair
What is the call bell