Activity/Mobility
This is the best way to prevent pressure injuries in a patient who is immobile
What is "change patient positioning at least every 2 hours"?
This braden score would be high risk for tissue breakdown
What is a "LOW Score"?
This type of medication is the slowest rate of absorption
What is "oral medications"?
Could also say "topical meds"
Risk factors of medication toxicity
What is "liver or kidney failure"?
Every documentation needs to be ______________________.
What is "factual, accurate, specific, correct, current"?
Type of ROM exercise where someone else performs the exercise for the patient
What is "Passive Range of Motion"?
This type of patient is at a higher risk for developing pressure injuries
Who is a "patient with incontinence, bedbound, malnourished"?
The medication rights
What is "right patient, medication, dose, route, time, indication, and documentation"?
where metabolism occurs
What is the "liver"?
What is an "incident report"?
Type of ROM where the patient is able to move independently
What is "active range of motion exercises"?
The patho behind a pressure injury
What is "pressure causes decreased blood flow which leads to tissue ischemia and death"?
The expected response of the medication
When administering Glipizide, this is what you are monitoring for
What is "hypoglycemia (cold, clammy, tremulous, confusion, dizziness, tachycardia, slurred speech, seizures)"?
The best communication tool when giving report or calling a doctor
What is "SBAR"?
This is what the nurse should do prior to mobilizing the patient
What is "assess comfort, understanding of directions, and assess ROM"?
During your skin assessment, you notice partial-thickness skin loss to the heel. It is pink in color and moist.
What is a "stage 2 pressure injury"?
An unexpected response
What is an "adverse reaction"?
When you take two or more meds together that have similar actions
What is "additive effects"?
the common saying about documentation
What is "If you didn't document it, it wasn't done"?
Possible complications of immobility
What is "Pneumonia, kidney stones, atrophy, DVT, pressure injury, orthostatic hypotension"?
You are assessing your patient with a known pressure injury to the hip area. It is a large wound with black eschar covering it
What is an "unstageable pressure injury"?
what you do prior to administering medications
What is "check 2 patient identifiers and allergies"?
When you take two medications together and they cause a decrease in the effect of the other medication
What is "antagonistic effect"?
The method used when receiving a verbal or telephone order from a provider
What is "read-back"?