Nutrition
Carbohydrates, proteins, fats
What are macronutrients?
Staying hydrated, maintaining a high-fiber diet, exercise, bowel training, and stool softeners
What are interventions to relieve constipation?
To prevent skin breakdown in a patient with limited mobility, this technique involves repositioning the patient at least every two hours
What is frequent repositioning?
A gradual, age-related loss of the eye's ability to focus on close objects
What is presbyopia?
This scale is used to assess a patient's risk for developing pressure ulcers based on factors like sensory perception, moisture, activity, mobility, nutrition, and friction/shear
What is the Braden Scale?
Vitamins and minerals including electrolytes
What are micronutrients?
Dehydration and Malabsorption
What are potentially life-threatening complications of diarrhea?
These nutrients are critical for wound healing and collagen synthesis, and include sources such as lean meats, dairy, and legumes
What are protein and vitamin C?
A type of hearing loss caused by damage to the inner ear, auditory nerve, or brain
What is sensorineural hearing loss?
This needs to be documented every time a patient eats/drinks or goes to the bathroom
What is I/Os?
Nutrition provided intravenously instead of through the digestive system
What is parenteral nutrition?
Incomplete bladder emptying that results in the bladder overfilling causing urine leakage
What is Overflow Incontinence?
This technique involves the use of sterile equipment and procedures to prevent infection and contamination when performing tasks such as dressing changes or wound cleaning
What is sterile technique?
You perform this test by striking a tuning fork and placing it on the mastoid bone and then next to the ear canal
What is the Rinne test?
These medications will increase the patient’s urination frequency
What are diuretics?
Nasogastric/orogastric tube, PEG tube, J tube, NJ tube
What are routes of enteral nutrition?
Manifestations of fever, GI tract bleeding, abdominal pain, vomiting, lower back pain, and weight loss.
What are symptoms of ongoing constipation that require immediate medical attention?
This condition occurs when the edges of a wound fail to close properly, resulting in the wound opening up again after initial closure
What is dehiscence?
The priority nursing intervention goal for a client with sensory deprivation.
What is to provide meaningful stimulation?
Pads, Incontinence briefs, and waterproof undergarments
What are items that absorb urinary leakage to help prevent perineal irritation?
Heartburn, epigastric pain, regurgitation while supine, bitter taste in mouth, dry cough
What are manifestations of GERD?
These may cause urine to be a dark brown color.
What is dehydration, Kidney issues, or Liver issues
Full-thickness skin loss, with damage to subcutaneous tissue, but no exposure of muscle or bone
What is a Stage 3 pressure ulcer?
These two signs indicate meningeal irritation and are often assessed during neurologic exams
What are Brudzinski's sign and Kernig's sign?
This condition is caused by increased intraocular pressure and can lead to blindness if untreated
What is glaucoma?