Nutrition
This nutrient is the MVP of wound healing, especially for clients with pressure injuries.
What is protein?
This non-invasive tool is used to assess urinary retention before catheterizing a client.
What is a bladder scanner?
You assess redness over a bony area that doesn’t blanch. This is what stage pressure injury?
What is Stage 1?
This cranial nerve is tested when asking a client to identify sounds.
What is cranial nerve VIII?
This type of precaution is used for a client with active tuberculosis.
What is airborne precautions?
You’re administering an enteral feeding. You elevate the HOB to reduce this complication.
What is a aspiration?
You’re collecting a clean-catch urine specimen. This step must be done before collection.
What is cleanse the perineal area?
This type of dressing is used on wounds with moderate to heavy exudate.
What is a foam dressing?
You’re assessing pupil response. This tool is essential.
What is a penlight?
You’re assisting a fall-risk client with ambulation. This assistive device is recommended.
What is a gait belt?
This lab value reflects long-term glucose control and nutritional status in diabetic clients.
What is hemoglobin A1C?
You’re caring for a client with constipation. This type of diet helps promote bowel regularity.
What is a high-fiber diet?
A nurse uses normal saline to cleanse a wound. This solution is considered:
What is isotonic?
This safety measure is especially important when caring for a client with decreased tactile perception.
What is turning and repositioning frequently?
This method helps you decide which client to assess first during morning rounds.
What is prioritization using ABC's?
You’re caring for a vegan client. You’d want to assess for a deficiency in this vitamin.
What is vitamin B12?
A Foley catheter is ordered. You prepare the sterile field and use this hand technique for insertion.
What is sterile dominant hand, clean nondominant hand?
This wound tissue is yellow, stringy, and must be removed for healing to occur.
What is slough?
A client is unable to identify a familiar object (like a key) placed in their hand with their eyes closed. This is known as:
What is astereognosis?
A nurse is caring for four clients. Who should be assessed first based on the urgent vs. non-urgent prioritization framework?
What is the client with new-onset confusion and oxygen saturation of 88%?
This lab value is monitored to evaluate the nutritional status of clients on long-term enteral feedings.
What is prealbumin?
A client with a new ileostomy is at risk for this imbalance.
What is fluid and electrolyte imbalance?
This wound treatment uses continuous suction to promote healing and remove drainage.
What is negative pressure wound therapy?
A nurse enters the room of a client with expressive aphasia following a stroke. The client is visibly frustrated. What is the most therapeutic nursing response?
What is to remain calm, provide time to respond, and use simple, yes/no questions with visual aids?
You’re precepting a student nurse who contaminated a sterile field but didn’t speak up. The nurse’s failure to act violates this ethical and legal concept.
What is accountability?