Hygiene
When is the best time to bathe a patient?
When the patient would like to be bathed.
a Purewick is connected to what to make sure the urine is properly contained?
wall suction
List ways to avoid pressure injuries:
turn patient Q2, elevate heels, minimize pressure
What is the appropriate abbreviation for no known allergies?
NKA
ground meats, cooked vegetables, and mashed foods are apart of a _______ diet
proper way of cleaning perineal areas with an indwelling urinary catheter?
from the urinary meatus down the catheter tubing
TRUE OR FALSE: A patient should collect a clean catch urine specimen after the initial stream as passed
TRUE
What should a nurse do when the patient has experienced evisceration from an abdominal surgical incision?
Cover with sterile saline soaked gauze or towel
What is FACT charting?
Factual, Accurate, Complete, Timely
whole grains, fresh fruits, vegetables are all high in?
Fiber
appropriate way of doing perineal care on a female client?
cleansing front to back
a patient receiving an enema and they are experiencing sudden severe abdominal cramping, what should the nurse do?
lower the enema bag to slow the rate
A wound covered completely or partially with eschar should be staged as:
unstageable
If you are viewing a patient's chart that you are not in direct care of, you are violating which law?
HIPAA
salt substitutes are high in ______ and renal patients should not use it
potassium
proper positioning for performing oral care for an immobile client?
partially independent client?
Side lying, high fowlers
A client has urinary retention for 8 hours post surgery, what is the nurses next action?
CALL THE MD
When should a alginate dressing be used?
When the wound has large amount of exudate drainage
NEVER take a verbal order when?
When the doctor has ordered chemotherapy
what is the order of "advance as tolerated" diet
Assist the patient to the toilet every 2 hours
The nurse should call the MD when the patient with chronic constipation is experiencing which symptoms?
fever, bleeding, severe abdominal pain, vomiting, low back pain, and weight loss
What kind of wound heals by secondary intention?
What is the key to health literacy?
identifying teachable moments in times that are favorable for client education
Why should a patient have their glucose checked when they are receiving TPN post bowel surgery?
TPN is very high in glucose and lipids along with other electrolytes.