What goes in must come OUT
Nurses keep a measurement of these to determine adequate hydration and fluid balance:
What is I&Os or Intake and Output?
The acronym CAB is used to remember the priority actions in this life-saving intervention.
What is cardio-pulmonary resuscitation (CPR)?
Medical terminology for difficulty swallowing.
What is dysphagia?
Assessment of this vital system includes color, texture, thickness, turgor, temperature, and hydration.
What is integumentary (skin)?
To reduce the risk of complications related to immobility, the patient should be turned and repositioned at least this frequently.
What is 2 hours?
This complication of chronic exposure to urine is preventable by keeping skin clean and dry, the application of barrier cream, and a bladder-retraining program:
What is skin-breakdown
This oxygen delivery device delivers oxygen concentrations of 24% to 60% with oxygen flow rates of 4-12L/min, depending on the flow-control meter selected.
What is a Venturi mask?
Patients receiving an enteral feeding should never be placed in a flat position as it poses a risk of this complication.
What is pulmonary aspiration?
Immobility, poor nutrition, reduced sensation, poorly fitting dentures, and excessive moisture such as from excessive perspiration or incontinence can lead to this complication.
What is skin breakdown?
This complication of immobility is characterized by a collapse of the alveoli.
What is atelectasis?
A patient who is experiencing urinary frequency, urgency, nocturia, cloudy and foul-smelling urine, and fever may have a:
What is a Urinary Tract Infection?
Inadequate tissue oxygenation at the cellular level can be caused by decreased hemoglobin levels, high altitudes, poisoning, pneumonia, shock, or chest trauma.
What is hypoxia?
The American Heart Association (AHA) diet is designed to reduce hypertension and coronary artery disease. The AHA diet consists of low fat, low carbohydrates, and this component.
What is low sodium?
Use a different side of the washcloth to clean each section and always cleanse from the inner canthus to the outer canthus when providing this type of hygiene.
What is eye care?
This assistive device is used by caregivers to help the client maintain balance when transferring and ambulating.
What is a gait belt?
This type of incontinence is characterized by a loss of small amounts of urine with laughing, sneezing, coughing, or lifting.
What is Stress incontinence?
Assessment and history for this condition includes a complaint of shortness of breath when laying supine and the need for multiple pillows when sleeping.
What is orthopnea?
Take these four fat-soluble vitamins with food to promote proper absorption.
What are A, D, E, & K?
This type of bath involves bathing only body parts that would cause discomfort if left unbathed.
What is a partial bed bath?
Force exerted against the skin while the skin remains stationary and the bony structures move.
What is shear?
A nurse is providing perineal hygiene care for a patient with an indwelling urinary catheter and uses this cleansing product to clean the catheter tubing closest to the body:
What is soap and water?
Utilized to prevent alveolar collapse, this breathing technique involves deep inspiration and prolonged expiration.
What is pursed-lip breathing?
The term for all biochemical reactions within the cells of the body.
What is metabolism?
It is important to assess a patients physical mobility, dexterity, and hygiene practices to develop a plan that promotes this behavior in the patient.
What is independence?
In a patient with limited mobility, assessment for this complication involves asking the patient if they are experiencing calf pain, observing the lower extremities for redness, warmth, and tenderness, and measuring the circumference of each leg daily.
What is a deep vein thrombosis (DVT)?