The energy required to sustain life activities such as breathing, circulation, heart rate, and temperature.
What is basal metabolic rate (BMR)
100
Measure calf circumference and record it daily.
What is a means of assessing for DVT?
100
Stage I, II, III, IV
What are the stages of wounds?
100
80 year old post menopausal woman who is status post hip replacement.
What is Risk for infection? what is pain related to surgery? What is impaired skin integrity related to surgical procedure?
100
Federal document that outlines health care goals for the public
What is Healthy People 2020
200
Weight remains stable.
What happens when kilocalories are met?
200
There is body alignment.
What does it mean when a patient's center of gravity is stable?
200
Inflammatory response, epithelial proliferation, and migration with re-establishment of the epidermis.
What are the three components involved in the healing process of a partial thickness wound?
200
40 year old male patient in the hospital for spine fracture.
What is risk for infection? What is risk for falls? What is pain related to fracture?
200
Examples of threats to client safety
What is medication errors, improper client transfers, client falls,
300
sociological, cultural, psychological, and emotional.
What are factors associated with nutrition?
300
Skeletal, muscular, renal, cardiac, nervous, GI, respiratory, and integumentary.
What systems can immobility affect?
300
Pressure ulcer, pressure sore, decubitus ulcer, and bedsore.
What are the terms used to describe impaired skin integrity?
300
20 year old diabetic patient who is a marathon runner admitted to the hospital with dehydration.
What is risk for tissue impairment? What is risk for altered level of conciousness? What is fluid volume deficit less than body requirements?
300
philisophical ideals of right and wrong that define the principles for providing patient care
What is Code of Ethics
400
Dysphagia.
What is the term used for patients who have difficulty swallowing?
400
The changes in metabolism that accompany immobility increase risks for impairment of this system.
What is skin integrity?
400
Serous, sanguinous, serosanguinous drainage
What are characteristics of wound drainage?
400
17 year old female who weighs 70 pounds.
What is risk for malnutrition less than body requirements? What is impaired body image?
400
Comprehensive exam that nurses are required to pass before licensing
What is the NCLEX
500
Albumin.
What is a common lab value to assess nutritional status?
500
Occurs when patients move to a sitting or standing position who have been immobile for a period of time.
What is orthostatic hypotension?
500
Debridement.
What is the removal of devitalized tissue from a wound called?
500
50 year old male who has been immobile for two weeks post motor vehicle accident.
What is risk for malnutrition less than body requirements? What is pain related to MVA? What is risk for impaired skin integrity related to immobility? What is risk for impaired renal function? What is risk for alterations in cardiovascular function?
500
Roles of professional nurse
What is caregiver, advocate, educator, communicator, manager