Measure weight and record it daily.
What is monitoring for fluid volume excess?
Stages of wounds.
What are stages I, II, III, IV?
Proper body alignment...
What does it mean when a patient's center of gravity is stable?
Systems affected by immobility.
What is skeletal, muscular, renal, cardiac, nervous, GI, respiratory, and integumentary system.
Pressure ulcer, pressure sore, decubitus ulcer, and bedsore.
What are the terms used to describe impaired skin integrity?
Difficulty swallowing
Bloody drainage
What is sanguineous drainage?
The removal of devitalized tissue from a wound called?
what is debridement.
Nursing diagnoses for a 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?