Nutrition
The small intestine cannot properly absorb nutrients, leading to deficiencies.
What is malabsorption?
An intestinal obstruction caused by reduced motility following bowel manipulation during surgery, electrolyte imbalance, wound infection, or medication side effects.
What is a paralytic ileus?
Scale used to assess risk for alterations in tissue integrity based on sensory perception, moisture, activity, mobility, nutrition, and friction.
What is the Braden scale?
An alteration in the middle ear that blocks sound waves before they reach the inner ear.
What is conductive hearing loss?
Assessment, diagnosis, planning, implmentation, and evaluation.
What are the steps to the nursing process?
Flaccid muscles, spleen and liver enlargement, bleeding of the gums, and dry, brittle nails.
What are some expected findings of poor nutrition?
Adequate fiber, adequate fluid intake, and adequate activity.
What are non-invasive nursing interventions for constipation and/or diarrhea?
Decreased skin turgor, thin or translucent skin, skin that tears easily, and uneven pigmentation.
What are age related changes to skin?
The degree of detail a client can perceive in an image.
What is visual acuity?
Restating, reflecting, and paraphrasing
What are clarifying techniques when using therapeutic communication?
Nutrients that the body cannot produce on its own and must be obtained through diet.
What are essential nutrients?
Use of soap and water at insertion site, 3 times a day and after defecation, and continuous monitoring for line patency.
What is routine catheter care?
Skin that is yellow or orange tinted. Observe in the sclera, mucous membranes, and posterior hands.
What is jaundice?
Structural eye disorder that causes an increase in intraocular pressure and can lead to blindness.
What is glaucoma?
Client, time, dose, route, medication.
What are the five rights of medication administration checks?
Foods that are low in fiber and easy to digest (dairy products, eggs, and ripe bananas, for example).
What is a soft/low-residue diet?
Loss of small amounts of urine from increase abdominal pressure without bladder muscle contraction; occurs with laughing, sneezing, or lifting.
What is stress incontinence?
Asymmetry of shape; border irregularity; color variation; diameter greater than 6 mm; and evolving changes
What is the ABCDE system for detecting skin cancer?
A neurologic exam where a patient closes his or her eyes for 20 to 30 seconds and the nurse observes for any swaying; tests balance and proprioception.
What is the Romberg test?
The nurse should withdraw solution from IV catheter and administer an antidote (if indicated) before removing the catheter.
What is the nursing intervention for extravasation?
Physical inactivity, poor diet, genetic factors, metabolic factors, and socioeconomic factors.
What are some factors that increase the risk for obesity?
Injection of contrast media for viewing of ducts, renal pelvis, ureters, bladder, and urethra. Contraindication for iodine allergies.
What is an intravenous pyelogram?
Dermatitis, intertrigo, impetigo, and atopic dermatitis
What are common skin lesions found in children?
Patient displays rigid extension of arms and legs with toes pointed downward; indicates brainstem damage.
What is decerebrate posturing?
Airway - open/unobstructed
Breathing - pattern and oxygen levels
Circulation - heart rate, blood pressure, and perfusion
What are the ABCs of priority setting?