Nutrition
Represents the energy stored in food that the body uses
What are calories?
The inability to pass hardened stool
What is constipation?
This is the largest organ system in the human body, it also provides a protective barrier against injury, infection, and UV radiation.
What is the skin?
This is the last sense to go during the dying process.
What is hearing?
This vital sign is measured by counting the number of beats per minute
What is pulse?
The body needs 25 g of this nutrient daily for females and 38 g for males to help regulate digestion
What is fiber?
A tool used to determine to residual urine in the bladder and if catheterization is needed
What is a bladder scanner?
A tool to assess a client's risk for developing pressure injuries and evaluate sensory perception, moisture, activity, mobility, nutrition, and friction to determine overall risk.
What is the Braden Scale?
This specific population can have increased falls due to decreased sensory perception.
What is older adults?
The most effective way to prevent the spread of infection
What is hand hygiene?
The nutrient that serves as the body’s main source of energy and should make up 45% to 65% of daily calories
What are carbohydrates?
A condition that occurs from bacteria entering the bladder by a catheter
What is a catheter-associated urinary tract infect (CAUTI)?
This depth of tissue damage characterizes a Stage 3 Pressure injury.
What is full-thickness tissue loss?
This is a significant risk factor for visual sensory alterations.
What is age?
The acronym "SOAP" sands for this in documentation
Subjective, Objective, Assessment, and Plan
A condition when food, liquid, or substances accidentally enter the lungs
What is aspiration?
A blood test that determines how well the kidneys are filtering blood
What is a creatinine clearance test?
When internal organs poke through an incision, this can be a rare complication that might occur after having surgery in your abdomen and is considered a medical emergency.
What is evisceration?
These are 3 forms of altered sensory perception.
What is sensory deficit, sensory overload, and sensory deprivation?
What type of precaution is used for a patient that has tuberculosis?
What is airborne precaution?
Vitamin that promotes iron absorption, wound healing, bone formation, and immune function
What is vitamin C?
A condition in which the flow of intestinal contents either decreases or stops
What is an ileus?
The final stage of wound healing involves ongoing refinement and strengthening of newly formed granulation tissue to the wound site to its pre-injured state (as effectively as possible). Usually begins 3 weeks after the initial injury and may last various months.
What is the remodeling (maturation) phase?
These are 3 methods to reduce sensory overload.
What is dim the lighting in the patient's room, limit visitors, and provide a private room for the patient?
The ethical principle that means "do no harm"
What is nonmaleficence?