Nutrition
This is the impact that a fever will have on our metabolic rate
when documenting the assessment of an ileostomy this should be included in the documentation.
location and color of stoma
Surrounding skin integrity
consistency, color and amount of stool
infection someone got in a hospital
what is an HAI
a client being pulled up in bed instead of lifted causes what injury
shearing force
This is a normal fluid intake per day
what is 1,500-3,500ml?
superpubic
ways to decrease HAI in your facility
have clear written hospital policies and procedures and ensure they are followed.
hand hygiene following best practices
why is the skin important
immunologic first line of defense
temp regulation
sensation
protection
absorption
secretion
what are proteins fats and carbs?
physiologic changes to GU in normal aging
diminished ability for kidneys to concentrate urine- leading to increased night time voiding
decreased muscle tone
this is NOT effective with killing CDIF
when a patient is bed bound these nursing actions can help decrease risk for skin injures
turning positioning
frequent assessments
wound prevention mattress
lift don't drag
keep body parts in anatomical position
lab values that will indicate malnutrition and malabsorption.
how to decrease constipation
increase water intake
increase fiber intake
take a mild laxative
take a stool softener
this is the most effective way to stop the spread of influenza
hand hygiene
this is eschar
black hard substance in wound bed
This type of diet is implemented for a patient with dysphagia?
Pureed
ulcerative colitis may have what impact of absorption.
altered absorption in the colon, water, enteric coated meds, some electrolytes
inflammation ALONE is not a sign of what
these are the signs/ symptoms of stage 1-4 and unstageable pressure injuries
stage one- nonblanchable redness, intact skin
Stage two- red area that is NOT intact, but lower structures are intact NO adipose tissue granulation or sloth
Stage three- visible adipose tissue and granulation possible sloth eschar tunneling and undermining NO facia muscle tendon ligament or bone.
Stage four- exposed Fascia, muscle, tendon, ligament, cartilage, or bone in the ulcer. possible sloth eschar tunneling and undermining
unstageable- wound bed obstructed with eschar and or sloth cannot assess thickness