SKIN
Bed sore Staging
SLEEP/PAIN
NG
RESPIRATORY
100

Give the medical terminology/word for bed sore

Pressure Ulcer

Decubitus Ulcer


100

Non blanchable redness

Stage 1

100

24 hour sleep wake cycle 

circadian rhythm

100

What is the accepted amount of GRV

250ml

100

How much in L/min and FiO2 does a nasal cannula provide?

1-6 L/min; 25-40% 

200

This is a description of the peri-wound area that is too moist. Characterized by whitish wrinkly appearance. 

Macerated/Maceration


200

With the exposure of underlying deep structures like bone, tendon and muscles

Stage 4

200

Sleeping disorder where one's breathing stops for about 10 seconds

Sleep Apnea

200

What is the gold standard for placement verification of an NG tube?

Xray/ abdominal xray
200

What device can be used for thick oral secretions?

yankauer

300

Localized hardening of the skin but not as hard as a bone

Induration


300

Purplish maroon area of the skin, not open but feels "boggy" "spongy" upon palpation

DTI= Deep Tissue Injury

300

Pain initiates in one area then travels to another along nerve pathway or body part

Radiating Pain

300

What medical equipment do we use to administer intermittent tube feeding safely?

tube feeding pump
300

Name nursing interventions to prevent atelectasis

coughing, deep breathing, ambulation, turning, IS

400

Another word for drainage

Exudate

400

Epidermis and/or dermis are lost

Stage 2

400

pain resulting from stimulation of organs like angina or ulcer pain

Visceral pain


400

What is the acceptable amount of gastric irrigant to an adult patient in between each medication?

15-30mls

400

Ways to keep secretions thin.

Humidified oxygen, increasing fluid intake

500

The act of removing slough or devitalized tissue from the wound.

Debridement


500
Depth of wound is obscured with slough or eschar; unable to assess or see wound base

Unstageable 

500

Nociceptive pain also know as skin pain, tissue pain or muscle pain

Somatic pain

500

What is the acceptable amount (range) of gastric irrigant to flush the NGT with after giving all medications?

30-60mls

500

What should you do if a tracheostomy tube gets dislodged?

Use Ambu bag and place over the stoma to oxygenate patient then call for help.