Resident Environment/Nutrition
How frequently should complete linen changes occur according to ISDH regulation?
At least weekly
High protein diet is indicated for what type of residents?
Residents they need to promote healing (pressure ulcers, etc.)
When recording output for a patient, what all does this include?
Urine, feces, emesis, drainage, etc.
What are the 3 main layers of the skin? (Start from topmost layer to bottom)
Epidermis, Dermis, Subcutaneous
List 4 factors that influence wound healing:
type of wound, age of resident, person's general health, nutritional status, other diseases, whether or not the person smokes
Inhaling fluids into the lungs:
Aspiration
What do residents on a diabetic diet need to watch in their diets?
Low carb, no sugar
What are the 3 thickness levels that can be ordered by the physician? (start from thinnest to thickest)
What are 4 effects of aging on the integumentary system?
dry, thin, fragile, loses elasticity, wrinkles/sags, subcutaneous layer decreases, cold feeling, brown (age) spots appear
Type of ulcer that is an open wound on legs and feet caused by diminished blood flow through arteries
Arterial Ulcer
Diet indicated for residents with ulcers, heartburn, nausea/vomiting, diarrhea, gas or following certain surgeries?
Bland Diet
Diet suggested for residents who have digestive illness or before/following surgeries:
Liquid Diet
What is the name of the tube that is placed through the nose into the stomach?
Nasogastric (NG) Tube
Your resident has broken, cracked, and blistered area surrounded by redness; superficial wound depth. What stage is this pressure ulcer?
Stage 2
Type of ulcer causes by poor blood return to the heart from legs/feet causing small veins to rupture
Stasis Ulcer
Using calendars, clocks, signs, and lists to assist residents who are cognitively impaired:
Reality Orientation
What type of diet is indicated for people who do not have enough teeth or energy to chew thoroughly?
Mechanical Soft
You should encourage residents to sit up for how long after eating? This is to prevent what two things?
20-30 minutes. Regurgitation and indigestion
What is used by the nurse to assess a resident's level of risk for the development of pressure ulcers?
Braden Scale
What is the difference between dehiscence and evisceration?
Dehiscence is the separation of wound edges. Evisceration is separation of the wound with protrusion of abdominal organs
What are the 6 basic nutrients?
Carbohydrates, Fats, Minerals, Proteins, Vitamins, Water
Who is a low sodium diet indicated for?
Heart/kidney disease, pregnancy complications
List 5 symptoms of mild dehydration:
Thirst, loss of appetite, dry skin, flushed skin, dark colored urine, dry mouth, fatigue, weakness, chills
List the 9 bony prominences:
ears, back of head, shoulder blades, elbows, hips, coccyx, knees, heels, ankles
List the 9 friction areas:
armpits, under breasts, skin folds, groin, inner thighs, between buttocks, between toes, around contracted areas, under tubing