Nutrition
Calculate the calories per gram for the following: Protein 15g, Carb 7g, Fat 5g
Protein 60 calories, Carb. 28 calories, Fat 45 calories
A normal healthy stoma should look?
Moist, red or pink.
Mild to no activity and the person feels refreshed.
What is Rest
During a wound assessment you note formation of granulation tissue, that easily bleeds when performing wound care. What phase of wound healing would this be considered?
Proliferative phase
A patient who has a skin injury should be encourage to maintain/increase intake of?
Proteins
Prealbumin
Ways to promote regular defecation would include?
Privacy, seated upright, timing (after meals, may need assistance), fluid intake, proper diet, exercise.
Dreaming and mental/emotional restoration occurs during this sleep.
What is REM sleep.
When performing a skin assessment you note full thickness skin loss extending down to fascia, what level pressure injury would this be considered?
Stage III
During a patients yearly physical examination, the patient received a flu shot, what level of prevention would this be considered?
Primary
Name food sources for vitamin B6
Meats, beans, nuts, seeds, dairy products
What is the difference between colostomy irrigation and lleostomy irrigation?
Characterized by excessive daytime sleepiness, or falling asleep at times and in situations they need to be awake and alert.
Hypersomnia
A patient after surgery falls and has a total separation at the incision site with viscera protruding out, what is the term used for this complication?
Evisceration
A patient receives an ABG and the following values are documented PH: 7.28 PCo2: 49 HCO3: 24, the nurse would interpret these values and say the patient is in a state of?
Respiratory Acidosis
Name food sources for calcium
Dairy products, sardines, green leafy vegetables, fortified products
What is your main priority when caring for a patient with a new colostomy?
What are some Interventions to promote sleep.
- schedule nursing care
- create a restful environment
- promote comfort
- support routines
- bedtime snacks (bread, milk, cheese)
- promote relaxation
You receive report that an older adult patient who is mobility impaired has been in a supine position all day. You would assess which areas for pressure injuries?
Back of head (Occipital bone), Scapulae, Elbow (Olecranon process), Sacrum, Heels (Calcaneus)
The states board of nursing are responsible for (Select all that apply):
A. Approving nursing education programs.
B. Establishing criteria that allows person to be licensed as RN, LVN APRN.
C. Funding research on nursing education.
D. Defining professional practice, which determines a nurse’s scope of practice.
E. Sets standards for all types of nursing education programs.
A, B, D
What are complications of parenteral nutrition?
Infection or septic shock, Blood clots, liver dysfunction, gallbladder disease
When performing a fecal occult blood test which medications may cause a false negative?
Vitamin C
Name three examples of when people can have a disturbed circadian rhythm.
Your patient has a chronic wound around the inner ankle with reddend/brown surround skin, irregular margins, shallow, and pain with leg dependence. What type of wound would this be considered?
Venous stasis ulcer
What is Transient incontinence and common causes?
Short term loss or lack of voluntary control of urination expected to resolve spontaneously. May be caused by UTI or medications such as diuretics.