Wounds
Redness, warmth, pain, tenderness, odor, purulent drainage.
What is s/s of infection of wounds?
This is the ethical principle of do no harm.
What is Nonmaleficence?
This device is utilized to promote lung expansion and prevent the development of pneumonia in patients following surgery.
What is incentive spirometer?
The nurse recognizes that this procedure records the electrical signals in your heart, is noninvasive, and provides the healthcare team with results of your heart rate and rhythm.
What is an EKG (Electrocardiogram)?
The nurse recognizes the nursing process includes these 5 things.
What is Assessment, Diagnosis, Plan of Care, Implementation, Evaluation (ADPIE)?
Type of drainage from a wound that includes blood and pus.
What is Purosanguineous Exudate?
The established standards to protect the privacy of personal health information, protect coverage of persons with preexisting conditions, and protect health insurance benefits for workers who lose or change jobs.
What is HIPAA (Health Insurance Portability & Accountability Act)?
When administering this, it is important the patient is placed in a left lateral position.
What is an enema?
What is lying flat for 1-4 hours?
Sprite, Black Coffee, and Jello are examples of this diet order.
What is Clear Liquids?
An open, partial thickness lost, blister, or shallow crater.
What is a Stage 2 Pressure Ulcer?
What is Libel?
To promote postural drainage for a patient with left lower lobe pneumonia, the nurse will position the patient this way.
What is right lateral position?
This procedure is done where a wire is inserted into the femoral artery to open arterial blockages and sometimes place stents when needed.
When administering continuous tube feed, the nurse recognizes the patient must be in this posititon.
What is head of bed elevated 30 degrees?
When packing a wound, leaving gauze outside of the wound bed, touch the skin can cause this.
What is maceration?
Telling a patient you will be right back to give them a warm blanket when the nurse knows they must first medicate another patient is breaking this ethical principle.
What is Fidelity?
When suctioning, the nurse must access this before, during, and after the treatment.
What is oxygenation status?
The nurse knows that following a liver biopsy, patients are at most risk for this complication.
This is important to assess when a patient is wear antiembolism elastic stockings.
What is pedal pulse, cap refill, skin temp/color?
When thinking about the wound healing process, this intention includes granulation tissue being brought together and delayed closure of wound edges.
What is Tertiary Intention Wound Healing?
What is Neglect?
Patients with difficulty breathing are often placed in this position because it allows maximum chest expansion.
What is the orthopneic position?
The patient's urine is dark in color and the specific gravity is noted to be >1020. The nurse recognizes the patient likely has this condition.
What is Dehydration?
When the patient with crutches is walking up the stairs, they should do this first.
What is, step up with strong leg first?