What's left over
Nursing responsibilities for patient diets
Advance as tolerated
Correctly ordered diet
Amount eaten
Meal tolerated
Removing a mole before it turns into skin cancer is an example of which purpose of surgery?
Preventive
List four nursing interventions for diarrhea.
modify the diet - NPO, clear liquid, BRAT
increase fluid intakeadminister medications
encourage probiotics
provide perineal care
What is the benefit of a patient having good health literacy?
Can understand medical information and use it to make decisions.
Ways to prevent UTI
Increase fluids
Increase bathroom breaks
Hygiene
Healthy pH
Primary defenses against infections
Skin
Mucous Membranes
GI system (pH)
The surgery that is required within 24 hours is called which degree of urgency?
Urgent
Ways to make a good first impression during the admission process
Avoid slang
Address personal properly
Simple language
Eye Contact
Use/Pay attention to body language
Ask clarification when needed
Nursing Consideration/Assessment of LTC Residents
General Appearance
Ambulation status
Sleep habits
Medical Equipment
Nutritional Assistance
LOC
Toileting needs
What are the two positions to avoid after a lateral total hip replacement?
flexion of hip
abduction of affected leg
Hyperventilation causes what effect to arterial blood levels of CO2?
Decreases
Tonsillectomy is which degree of urgency?
Elective
What does PERRLA stand for and how is it assessed?
Pupils equal, round, reactive to light, accommodation.
Inspect size and shape.
Use penlight to assess reaction to light (direct and consensual) - pupils constrict with light
Have pt look off in distance and then closer - look for pupils to dilate, then constrict.
Traits that make a nurse culturally competent
Awareness of self and other cultures
Sensitivity to others
Understanding cultural needs
Compare and contrast the two types of traction.
Compare - both use ropes, pulleys, weights.
Contrast - skin for muscle spasms before surgery and skeletal for alignment of bones after surgery. Skeletal poses risk for infection.
Tachycardia, hypotension, and decreased urine output are assessment of which fluid imbalance?
Hypovolemia
Requirements for a patient to be transferred from recovery after surgery
after meeting all the criteria from the surgeon and anesthesia
List three ways to assess the C in CMS when doing a neurovascular assessment on a patient with elastic stockings on lower extremities.
C = circulation
temperature
skin color
capillary refill
distal pulse
edema
How do you describe acute illness?
Rapid onset
Rapid recoveryAssessment of impaired oxygen patients includes?
Color
Effort
Cough
Chest-equal, rise, muscle effort
02 status/ saturation
What are the two types of advanced directives what does each allow?
Proxy directive - power of attorney - can legally make medical decisions once the patient is unable to do so.
Instructional directive - living will that provides instructions for the proxy to follow - what care they want and do not want.
First nursing priority in Post-operative care
maintain a patent airway and cardiac function
The Discharge responsibilities
Medication Reconciliation
Provider's Order
Provide discharge instructions
Gather Personal items
Document-V/S, Condition
Assist to vehicle
Notify Housekeeping
A term used to describe the taking of too many medications
Polypharmacy
Describe the normal findings in a clean catch UA
pH (4.5-8)
Specific Gravity 1.005-1.30
NO nitrates, RBC, WBC, or Proteins