Nutrition & Bladder Elimination
Difference between enteral nutrition & parenteral nutrition
What are entering the GI tract (enteral) & entering the bloodstream (parenteral)?
Three common nursing interventions for FVD & FVE
What are VS, I & O, & daily weights?
Values for hypoxemia (2 of them)
What are PaO2 < 80 mm Hg & SpO2 < 90%?
AND stands for
What is allow natural death?
Timeframes for STAT, routine, & NOW orders
What are 5, 30 before/after, & 90 minutes?
Three complications with enteral nutrition
What delayed gastric emptying, diarrhea, aspiration, dehydration, & skin irritation?
Explain Chovstek’s & Trousseau’s sign & what two electrolyte imbalances are they positive for . . .
What are touch the cheek (facial twitching), inflate BP cuff (carpal spasm), hypocalcemia & hypomagnesemia?
Three components of chest physiotherapy (CPT)
What are percussion, vibration, & postural drainage?
Four Cs of a cultural/spiritual assessment
What are call, cope, concerns, & cause?
Signs of anaphylaxis (3 of them) & treatments (2 meds)
What are dyspnea, hypotension, & tachycardia? What are epinephrine & diphenhydramine?
Four nursing interventions to prevent CAUTI
What are only when necessary, sterile technique on insertion, peri care at least q8h, hang bag below bladder, increase fluids, & only good for 30 days?
Two nursing interventions only for FVE
What are fluid restriction and diuretics?
3 key points with suctioning
What are only suction when needed, hyperoxygenate, < 15 seconds on removal, 1 min. between attempts, only 2 attempts in 5 mins, assess before & after?
Main difference between palliative care & hospice care
What is less than 6 months to live?
Signs of anaphylaxis (3 of them) & treatments (2 meds)
What are dyspnea, hypotension, & tachycardia? What are epinephrine & diphenhydramine?
Normal urine output
What are 30 mL/hr & 0.5 mL/kg/hr?
5 clinical manifestations for FVD
What are tachycardia, weak & thready pulses, hypotension, skin tenting, dry mucous membranes, oliguria, & flat neck veins?
Oxygen complications (3 of them)
What are toxicity, induced-hypoventilation, & combustion?
5 stages of grief
What are DABDA (denial, anger, bargaining, depression, & acceptance)?
Five types of wound exudate (drainage) & describe
What are serous (clear, watery), purulent (yellow/green/brown), serosanguineous (pink watery), sanguineous (red), & purosanguineous (pus & blood)?
Nursing interventions with enteral nutrition (6)
What are assessing placement, tolerance (residual checks q4-6h), label date, time, & initials when opening bag, only hang for 24hrs with tubing, water flush 30 mL q4-6h, glucose checks q6h, I & O, VS, & daily wts?
Two potassium reducing medications
What are furosemide & sodium polystyrene?
Five early signs of hypoxemia & five late signs of hypoxemia
What are (early) tachypnea, tachycardia, HTN, ALOC, restlessness, & pallor? What are (late) bradypnea, bradycardia, hypotension, cyanosis, & dysrhythmias?
5 clinical manifestations at the end of life & 3 nursing interventions
What are cheyne stokes (death rattle), tacky -> brady, hypotension, diminished reflexes, mottling skin, dec. urine output, incontinence, muscle loss, anxiety, & life review? What are symptom management (pain control), keep clean, elevate HOB, & collaborative care?
Name & describe each pressure ulcer
What are stage I (erythematous non-blanchable), stage II (exposed dermis-partial thickness loss), stage III (subcutaneous tissue, full thickness loss, ?slough/eschar), stage IV ( muscle, tendon, bone, full thickness loss, slough/eschar), unstageable (can’t determine extent, full thickness, need to debride eschar/slough then stage), & DTI (usually intact discoloration dk maroon/bruise)?