Basic Care & Comfort
essential pulmonary hygiene
What is to turn (cough, deep breathe, IS) every 2 hrs
inspection, auscultation, percussion, and palpation.
What is the correct order of the abdominal assessment
a patient-centered, systematic, evidence-based approach to delivering high-quality nursing care
What is the nursing process
the most important measure to prevent the spread of infections
What is hand hygiene
Diffusion, active transport, filtration, osmosis
What are methods by which fluid can move between compartments
Normal bowel pattern, date of last bowel movement, characteristics of stool
What is bowel [elimination] assessment
normally heard throughout most of the lung fields.
What are vesicular sounds
a road map for the care of a patient and a necessary tool in following the nursing process
What is a care plan
viral, bacterial, parasitic or fungal
What are types of infections
lack of water and electrolytes causing a decrease in circulating blood volume
What is hypovolemia/fluid volume deficit
feeding of nutritional products to a person intravenously
What is parenteral nutrition
Shoes off, stand firm with arms across your body or at your side, eyes closed
What is Romberg assessment
Subjective/Objective
What is assessment
Clean hands, gloves, & gown
What is PPE for contact precautions
avocados, dried fruit, cantaloupe, potatoes, spinach
What are examples of potassium rich foods
Relaxation therapy, aroma therapy, yoga
What are nonpharmacologic sleeping interventions
aortic, pulmonic, tricuspid, and mitral valve as well as an area called Erb's point
What are the 5 points of [cardiac]auscultation
assessment, monitoring, critical thinking, and revising the care plan when appropriate
What is evaluation
S. Aureus (staphylococcus aureus)
What is the most common hospital acquired infection
administer hypotonic solutions
What is the treatment for hypernatremia
help maintain skin integrity & remove dirt and microbes present on the skin's surface, decreasing the risk of infection and increasing patient comfort
What is a bed bath
pain, deformity, edema, pressure areas, bruises
What is extremity assessment
a clinical judgment concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community
What is the nursing diagnosis
a collection of medical practices and procedures that helps protect patients from dangerous germs
What is aseptic technique
tachycardia, bounding pulse, confusion, dyspnea, ascites
What are findings of hypervolemia