A blister on the coccyx is considered to be at this stage.
What is STAGE II (TWO)?
(p. 970)
100
Involuntary loss of urine.
What is URINARY INCONTINENCE?
(p. 1268)
100
Always one of the first nursing procedure steps to prevent infection.
What is HAND HYGIENE?
(p. 984)
100
The process of urinating.
What is MICTURITION?
(p. 1267)
100
The nurse knows this has happened when walking into a patient's room discovers an abdominal incision has separated and tissue is protruding from the center.
What is EVISCERATION?
(P. 965)
200
The best way to prevent pressure ulcers in patients who are bed-bound.
What is TURN/REPOSITION EVERY 2 HOURS?
(p. 981)
200
Two risks for patients that use absorbent products for urinary protection.
What is SKIN BREAKDOWN AND UTI?
(p. 1284)
200
These two nutrients are essential for epithelialization and collagen synthesis.
What is VITAMIN A AND C?
(P. 965)
200
Increased incidence of voiding.
What is FREQUENCY?
(p. 1270)
200
Aging skin, chronic illnesses, immobility, malnutrition, and fecal/urinary incontinence, and altered level of consciousness all place a patient at risk for this.
What is PRESSURE ULCERS?
(p. 966)
300
Pressure ulcer with full-thickness tissue loss and covered by eschar is at this stage.
What is UNSTAGEABLE??
(p. 971)
300
Patient education for patients taking Levodopa should include this very important aspect.
What is BROWN / BLACK COLOR TO URINE?
(p. 1270)
300
Agent of choice for cleansing wounds.
What is STERILE SALINE?
(p. 986)
300
Can develop when soft tissue is compressed between a bony prominence and an external surface for a prolonged period of time.
What is PRESSURE ULCER?
(p. 966)
300
Nurse notes wound drainage is pink in color.
What is SEROSANGUINEOUS?
(p. 974)
400
Made up of white blood cells and liquefied dead tissue debris as well as both dead and live bacteria.
What is PURULENT DRAINAGE?
(p. 974)
400
Targets inner muscles that lie under and support the bladder.
What is KEGEL EXERCISES?
(p. 1281)
400
Emergency medical management of abdominal dehiscence and evisceration include these four steps.
What is:
1) PLACE PATIENT IN LOW FOWLERS POSITION
2) COVER EXPOSED ABDOMINAL CONTENTS WITH STERILE SALINE GAUZE
3) STAY WITH PATENT
4) NOTIFY MD
(p. 966)
400
Color, Odor, pH, Turbidity, Specific gravity, and Constituents.
What are the CHARACTERISTICS OF URINE?
(P. 1273)
400
A risk for patient with a wound that has been prescribed corticosteroids?
What is INFECTION?
(p. 980)
500
Open wound drainage system that is soft and flexible.
What is PENROSE DRAIN?
(p. 990)
500
Used to assess the amount of urine remaining in the bladder after voiding.
What is POSTVOID RESIDUAL (PVR)?
(p. 1286)
500
This may lead to urine retention and stasis, and ultimately urinary tract infection in an elderly patient.
What is DECREASED BLADDER CONTRACTILITY?
(p. 1269)
500
Collected during "mid-stream", where the patient voids and discards a small amount of urine, then continues voiding into a sterile specimen container until the specimen is obtained.
What is CLEAN-CATCH or MID-STREAM SPECIMEN?
(p. 1274)
500
Pressure ulcer with full-thickness loss and exposed bone is at this stage.