Nutrition
BMI over 40
What is obesity class 3?
Coughing, sneezing, laughing, or physical activity that increases pressure on the bladder resulting in urine leakage.
What is stress incontinence?
Scale that rates a client's risk for alteration in tissue integrity.
What is a Braden Scale?
What are the five senses?
A client who had surgery 4 days ago reports no bowel movement since the morning of the procedure. What intervention can the nurse complete without a providers order?
Encourage fluid intake and ambulatory
Why are vitamins important?
Adequate fiber intake, adequate fluid intake, and adequate activity help with _
Non-blanchable Erythema
What is Stage 1 Pressure Injury?
Patient is able to hear better in a noisy environment, speak softly, has obstruction in external canal, and has a tympanic membrane finding such as holes or scarring.
What are the clinical manifestations of conductive hearing?
Abdominal cramping, abdominal bloating, straining at defecation, presence of dry, hard feces at defecation/
What are some signs of constipation?
Recording of intake includes?
All liquids:
-Oral Fluids
-Food That Liquifies at Room Temperature
-IV Fluids
-IV Flushes
-IV Medications
-Enteral Feedings
-Fluid Instillations
-Catheter Irrigants
-Tube Irrigants
Aseptic technique, prevent obstruction and back flow of urine, provide peripheral hygiene routinely, and frequently assessing prevents?
What are some actions taken to avoid CAUTIs?
Every two hours there should be an action done.
How often should you change the patient?
Sitting and facing the client, speak slowly and clearly, avoid covering mouth while speaking, minimize background noise.
What are some nursing actions to take while caring for a client who has hearing loss?
6 contributing factors to sensory perception loss include?
-Vision Loss
-Conductive Hearing Loss
-Sensorineural Hearing Loss
-Taste Deficit
-Neurologic Deficits
-Stroke
Total amount of carbs in food minus fiber
What population is more susceptible to developing constipation?
Older Adults, d/t bowel tone decreasing with age.
Changing the position of the patient gives the skin a break and allows the return of _
What is Blood Flow?
Patient is able to hear better in a noisy environment, speak softly, has obstruction in external canal, and has a tympanic membrane finding such as holes or scarring.
What are the clinical manifestations of conductive hearing?
What intervention should the nurse question for a client whose gag reflex has not yet returned after surgery?
Orders to resume a regular diet
What is the formula to calculate BMI?
BMI = Weight (kg) / Height (m^2)
What factors affect urinary elimination?
-Poor abdominal and pelvic muscle tone.
-Acute and chronic disorders
-Spinal cord injury
Name the six categories in the Braden Scale.
Sensory perception, moisture, activity, mobility, nutrition, friction and shear are categories belonging to?
Some diagnostic procedures include Audiometry, Tympanogram, and Otoscopy.
What are some diagnostic procedures to test hearing loss?
What is sensory perception?
The ability to sense stimuli from the internal or external environment.