Fluid and Electrolytes
The electrolyte that leaks out of cells after crushing trauma or damage
What is potassium?
Four causes of constipation
What are inactivity, low-fiber diet, use of opiates, stress, overuse of laxatives and some chronic illnesses.
Partial thickness skin loss with exposed dermis. May present as an intact or ruptured serum-filled blister
What is Stage 2 pressure injury
The administration of a medication by placing the solid medication in the mouth against the mucous membranes of the cheek until it dissolves
What is buccal administration of a medication?
The stage of Erikson's development where the developmental task is autonomy vs. shame and doubt
What is between the age of 18 months and 3 years (Toddler)
Normal plasma sodium (Na+) levels
What is 136-145 mEq/L
Beefy red, moist and protruding from the abdomen
What should an ostomy look like?
Wound edges not closed or approximated and wound heals by granulation tissue
What is wound healing by secondary intention?
5 mL
What is one teaspoon?
Inadvertent administration of a solution into the surrounding tissue
What is infiltration?
Hypotension, weight loss, tachycardia, thready pulse, flat neck veins
What is symptoms of extracellular fluid volume deficit?
Two purposes of nasogastric intubation (NG)
Wound drainage that is bright red and indicates active bleeding
What is sanguineous drainage?
The angle of insertion when administering an IM injection
What is 90 degrees?
What the nurse should do if an air embolism from an IV is suspected
What is in left lateral or left Trendelenburg position, find source and clamp off tubing, administer 100% oxygen; notify the HCP.
Isotonic IV fluids given to replace fluid in hypovolemia
What are 0.9 Normal saline and Lactated Ringers?
Left lateral position
What is the position to put a patient in to receive an enema?
Three areas of risk assessment in the Braden Scale
What are sensory perception, moisture, activity (mobility, nutrition, and friction and shear)
The most important assessment when administering an opioid to a patient
What is respiratory rate?
The grief that a person experiences before the actual death or loss
What is anticipatory grief?
The type of IV fluid given to treat cellular hydration in cases such as diabetic ketoacidosis and hypernatremia
What are hypotonic IV fluids?
What is the pH indicator that an NG is in the stomach?
Three nursing interventions to reduce the risk of a patient developing a pressure injury
What you should do with a syringe and needle after you administer an injection
Utilize the safety retraction sheath and dispose of the syringe in a hard plastic leak-proof sharps disposal container.
Explain sensory overload