Nutrition
An abbreviation meaning nothing by mouth.
What does NPO mean?
The inability to control urination, resulting in involuntary passage of movement
What is urinary incontinence?
Localized damage to the skin and/or soft underlying tissue, which can be caused by prolonged contact with a firm surface that interferes with circulation to the area.
What is a pressure injury?
Hearing sound when no external sound is present, such as ringing, buzzing, or clicking
What is tinnitus?
Occurs when a heart valve becomes narrow and stiff, which prevents blood from moving forward
What is stenosis?
When the body breaks down food into simple substances that can be used as nutrients or excreted as waste.
Define digestion.
A high fiber diet, staying well hydrated, and exercise.
What are 3 non-pharmacologic interventions to treat constipation?
Areas on the body that are most susceptible to pressure injuries.
What are bony prominences?
The 12 cranial nerves
How is sensory input received and transmitted by the brain?
Post "no smoking" signs, keep heat sources 5 feet away, no synthetic fabrics (cotton only), store the oxygen containers upright, keep a fire extinguisher nearby
5 safety considerations for clients who are prescribed home oxygen therapy.
Building blocks of a diet which include carbohydrates, fats, and protein.
What are macronutrients?
Checks stool for the presence of blood, which could indicate a GI bleed.
What does a fecal occult test look for?
The scale that is used to rate a patients risk for alterations in tissue integrity.
What is the Braden scale?
Check the 6 cardinal directions of gaze
How do you assess cranial nerve 6, abducens?
What flow rate does a venturi mask operate at?
4 - 10 liters
30 mLs
How much fluid do you flush a PEG tube with?
Alcohol, acidic fruits, chocolate, soda, and spicy foods.
List 5 foods that can irritate the bladder.
Full-thickness skin loss.
What kind of skin loss is a stage 3 pressure injury?
Difficulty maintaining attention, agitation, rambling speech, and hallucinations
List four manifestations of delirium.
Crackles, wheezing, rhonchi, stridor
What are the four adventitious lung sounds?
18.5 - 24.9
What is the normal range of BMI?
Narcotic pain medications
Which medication classification is notorious for causing constipation?
Location, stage, and size.
When documenting a pressure injury, what are 3 documentations the nurse should include?
Diabetic retinopathy
What is the most common cause of impaired vision and blindness in adulthood?
A state in which there is an accumulation of carbon dioxide in the body usually caused by impaired ventilation. High CO2 in the body leads to increased pH.
What is respiratory acidosis?