Nutrition
BMI less than 18.5
What is underweight?
Constipation medication, this is the last resort
What is an enema?
Used when performing a sterile procedure, requires several steps including applying a hair cover, mask, protective eyewear, and shoe covers.
What is surgical asepsis?
Cranial nerve - sense of smell
What is CN I - Olfactory?
First thing you should do when walking into a client's room.
WASH YOUR HANDS!!!!!!
Chronic condition where stomach contents flow back up into the esophagus
What is gastroesophageal reflux disease (GERD)?
Occurs while an indwelling catheter is in place or up to 48 hrs after discontinuing
What is a catheter associated urinary tract infection (CAUTI)?
Full-thickness skin loss with visible subcutaneous tissue.
What is a stage 3 pressure injury?
Provide large print materials, Amplify phones, Providing pleasant aromas, Increase touch (if acceptable), Providing vision and hearing devices
What are nurse actions for clients with sensory deprivation?
What is water based lubricant?
Measuring from the tip of the client’s nose to the earlobe and down to xiphoid process
What is process used to determine tube length?
Weakening of the pelvic floor muscles or urethral sphincter due to vaginal birth, pelvic organ prolapse, prostate surgery, and obesity.
What factors can lead to stress incontinence?
Accumulation of fluid in the tissue most often from direct trauma of impaired venous return.
What is edema?
Leakage and blockage of retinal blood vessels, which can lead to retinal hypoxia, retinal hemorrhages, blindness.
What is diabetic retinopathy?
The use of current knowledge from research and other credible sources
What is evidence based practice?
Withhold feeding, Turn client to the side, Suction airway and provide oxygen if needed
What are the nursing if patient is experiencing aspiration of aspiration of formula?
Medication that is used to promote peristalsis and treat constipation.
What are cathartics?
Used to assess patients who have had some sort of head trauma and consists of 3 components, max score 15 and min score 3.
What is the Glascow Coma Scale?
Allows visualization of the anterior portion of the eye, used to diagnose cataracts.
What is the slit lamp examination?
The basic physiological needs must be met before addressing higher psychosocial concerns.
What is Maslow's Hierarchy of Needs?
A condition that occurs when there is insufficient saliva production that can lead to difficulty with swallowing, speaking, and chewing.
What is Xerostomia?
Metabolic acidosis from excessive loss of bicarbonate.
What is fluid and electrolyte disturbances?
Fluid secreted by the body during the inflammatory stage of healing.
What is exudate?
Use tongue blade to touch posterior pharynx to test gag-reflex.
What is the assessment used to assess cranial nerve 10 - Vagus nerve?
This system in nursing is used to provide care based on severity and urgency, often categorized by ABCDE.
What is triage?