Nutrition
Nutrients that supply energy
Carbohydrates, proteins, and lipids
Ongoing partial assessment
Half-Life
What is anuria?
24 hour urine output is less than 50 mL
Types of food that will help facilitate bowel elimination
High fiber foods (fruits, vegetables, beans/legumes, nuts)
A patient with a BMI of 39 is in what category?
Obese
The nurse walks into the patient's room, introduces themselves, identifies the patient, performs hand hygiene, and begins the assessment.
What did they forget to do?
Provide privacy
Indications for Asprin
mild to moderate pain, fever, inflammatory conditions, reduce risk of TIA or stroke, reduce risk of MI
Who is more at risk for incontinence?
If your patient is constipated, where can the nurse expect to see distention and firm to touch?
Lower left of abdomen
What type of patient can you expect on a consistent-carbohydrate diet?
Type 1 and Type 2 diabetic, gestation diabetic or patient with impaired glucose tolerance
When assessing the abdomen, what position should the nurse put the patient in?
Supine with a pillow under the knees, helps relax the abdominal muscles
Common adverse effects of NSAIDs
nausea, dyspepsia, GI bleeding, constipation, diarrhea
Urinary stasis will put your patient at risk for?
Urinary Tract Infection
Your patient has a hyperactive bowel, how many bowel sounds do you expect to hear in 1 minute
(normal bowel= 5-10/min)
How often should residual stomach contents be checked for a patient on enteral feedings?
Before every feeding or every 4-6 hours if on continuous feedings
What are the 5 areas of the heart the nurse auscultates?
1. Aortic area
2. pulmonic area
3. Erb's point
4. tricuspid area
5. mitral area (or apex)
Contraindications for antitussives (what patient should not take this medication)
A patient who needs to cough up secretions or patient with a head injury
How can the nurse assist a patient with functional incontinence?
Move obstacles out of the way, offer the bedpan/bedside commode frequently, recognize nonverbal cues
Your patient needs a stool sample, they mention to you they urinated in the speciman hat as well, can you still send the stool sample?
No, also inform your patient to avoid placing toilet paper in the hat as well
Your patient is receiving enteral feedings, what are some interventions the nurse can take to avoid aspiration?
Keep the HOB elevated 30-45 degrees
Check tube placement
Check residual volume
Avoid oversedation
During the nurses assessment she has the patient puff out their cheeks, raise their eyebrows, and frown to smile. What cranial nerve is she assessing?
Cranial Nerve 7 (CN VII)
Elderly patients can be sensitive to this drug, used for short term treatment of insomnia
Zolpidem (Ambien)
After removal of a foley catheter, when should the nurse contact the provider if the patient has not voided? (*according to textbook)
8-10 hours after removal
What should the suction be set to for a nasogastric tube? & if too high the suction can cause what?
Low continuous
If suction is too high it can cause ulcers, bleeding, and injury to the patient