SKIN INTEGRITY
THERAPEUTIC DIETS
LOSS, GRIEF, DYING
NURSE ROLES
HEALTH ASSESSMENT
100
Type of wound that is intentional or unintentional trauma. Skin is broken providing an entry of portal for bacteria. Bleeding, tissue damage and increased risk for infection is high.
What is open wound
100
Water, apple or grape juice, fat-free broths, plain gelatin, popsicles, ginger ale, tea, coffee
What is a clear liquid diet
100
Type of loss from a natural development process. Such as: first born child feels a loss when sibling is born
What is maturational loss
100
Term used to describe negative actions of a nurse. Ex: nurse is being mean to a new nurse at work; calling names, giving him/her all the difficult patients, and making the new nurse feel uncomfortable, and mistreated.
What is bullying
100
Aortic, Pulmonic, Erbs, Tricuspid, Mitral areas.
What is a cardiac assessment
200
name of wound drainage that looks like blood-bright red to dark red blood
What is sanguineous drainage
200
most milk products, tender meats, mashed potatoes, tender vegetables and fruits and their juices
What is a soft mechanical diet
200
Type of grieving which is abnormal or distorted, may be unresolved or inhibited. Person may have difficulty expressing their grief, or grieving for a very lengthy time frame
What is dysfunctional grief
200
Type of learning when a patient learns, stores and recalls new knowledge in the brain
What is cognitive learning
200
Common artery used to take a blood pressure
What is Brachial
300
Phase of wound healing that begins within 2 to 3 days of injury and may last up to 2 to 3 weeks New tissue is built to fill the wound space through the action of fibroblasts.
What is the proliferation phase
300
patients should avoid coarse foods, fried foods, highly seasoned foods, pastries, raw fruits and veggies, alcohol, carbonated beverages, nuts, coffee, tea, smoked and salted meats and fish
What is a bland diet
300
Decreasing body temperature, with cold or clammy skin Weak, slow, or irregular pulse. Decreasing blood pressure Noisy, irregular, or Cheyne-Stokes respirations, Restlessness and/or agitation
What is impending death
300
Type of teaching when a person comes to a classroom for education and has a teacher/professor. Time is limited during the teaching and learning process to the class duration.
What is formal teaching
300
Patient is alert and orientated to person, place but not time.
What is A & O xs 2
400
Abnormal passage from an internal organ or vessel to the outside of the body OR from one internal organ or vessel to another. Can be created on purpose, like arteriovenous (AV) fistula for dialysis
What is a fistula
400
Used to feed patients who cannot attain an adequate oral intake from food and/or oral nutritional supplements, or who cannot eat/drink safely
What is an enteral tube feeding (ETF)
400
Stage of the dying process where patient tries to barter for more time. "If I can just make it to my daughters graduation, Ill be happy."
What is Bargaining
400
Type of leadership styles where there is a sense of equality among the leader & other participants. Decisions and activities are shared. (shared governance)
What is Democratic
400
Cranial nerve that is responsible for facial expressions. When patient has facial droop this cranial nerve is effected.
What is Cranial nerve VII
500
Stage of wound that present with full thickness tissue loss. Subcutaneous fat may be visible, but bone tendon, or muscle is NOT exposed.
What is Stage 3
500
Recommended for patients who have high blood pressure, high cholesterol, or any other history of heart disease
What is a cardiac diet
500
A person appointed to make decisions on behalf of the patient
What is a Durable Power of Attorney
500
Type of relationship where an experienced nurse advises and assists a new nurse with less experience
What is Mentorship
500
Type of assessment that is done to detect the presence of fluid and organs inside the body. The nurse lay finger on patients area and strike finger with finger of other hand to listen for sounds.
What is percussion