Age Related & Oxygenation
List one normal sign of aging related to the integumentary system.
Thinning of the skin.
Give an example of subjective data.
Anything the patient tells you (history, allergies, feelings, pain).
The nutrient your body needs to promote regular bowel movements.
Fiber.
These precautions are used on everyone with or without disease
What are Standard Precautions
Lasts for typically >3 months.
Chronic pain.
Most important nursing action to prevent pressure injury.
Turn every 2 hours.
What are the health concerns of older adulthood?
Cancer and chronic diseases.
Give an example of objective data.
Anything you the nurse assess (vital signs, BMI, physical assessment findings, information obtained from chart review).
Bowel elimination pattern commonly associated with taking antibiotics.
Diarrhea.
This type of asepsis technique would be used if the nurse were inserting a foley catheter
What is Sterile technique or Surgical Asepsis
True or False: Vital signs are the best indicator of pain.
False - patient self report is.
Type of injury has a wound base that is unable to be visualized.
Unstageable pressure injury.
Your patient just returned to the floor from surgery. This device should be used to assist the patient to increase ventilation and perfusion postoperatively
What is Incentive Spirometry
Round 10.486 to the nearest hundredths place
What is 10.49
Bowel diversion that bypasses the large intestine.
Ileostomy.
Warmth, edema, erythema and pain are what type of reaction to skin disruption
What are localized symptoms or reactions
How is neuropathic pain typically described?
Sharp, radiating, or shooting pain that follows nerve pathways.
Osteoporosis is caused by what mineral deficiency?
Calcium (and Vitamin D)
This type of breathing technique often helps patients with anxiety who are experiencing ineffective breathing patterns
What is pursed lip breathing
When should the evaluation phase occur?
During implementation after interventions are performed.
Leading cause of UTIs in hospitalized patients.
Indwelling foley catheters.
When doffing personal protective equipment, the nurse should remove this item last
What is mask
A nurse would use this pain scale for a patient with advanced dementia
Pain AD
This phase of healing follow hemostasis when macrophages enter the wound
Inflammatory phase
What law is important to follow when working with an older adult who is a victim of physical abuse, neglect or financial exploitation?
Mandatory Reporting Law.
5.5 grams equals how many milligrams
5,500 milligrams
What is a key teaching point for urinary stress incontinence?
Kegel exercises.
Your patient is in a private room with positive airflow, all visitors must wear a mask and gloves, avoid bringing in flower and fruit, and the patient needs to wear a mask when leaving the room. What type of isolation is this?
Tier 2 protective or reverse isolation
What change in vital signs might you see when assessing someone with activity intolerance?
Elevated HR and BP.
Your patient is recovering from a recent CVA, what test should be performed before feeding the patient?
A swallow study
Give an example of abnormal signs of aging.
Memory loss, infection, incontinence.
Name the 6 rights of medication administration
Right patient, right medication, right dose, right route, right time, right documentation
What type of incontinence would be seen if there is an obstruction between the bladder and the urethra?
Overflow incontinence.
A CAUTI (catheter acquired UTI) is considered what type of infection?
What is Hospital Associated infection
When moving obese patients, the nurse should do what to prevent back injury?
Get assistance, use a mechanical lift, make sure wheels are locked on the bed.
Healing by what intention makes a wound more prone to infection?
Secondary.