Nutrition
Elimination
Tissue Integrity
Sensory Perception
Fundamental Concepts
100

proteins, carbs, fats

What are macronutrients?

100

Coughing, sneezing, laughing, or physical activity that increases pressure on the bladder, resulting in urine leakage.

What is stress incontinence? 
100

bloody drainage

What is sanguineous drainage?

100

Use the lowest setting that allows hearing without feedback.

What is one piece of client education for hearing aids?

100

Excess of fluid and electrolytes

What is hypervolemia?

200

Head of bed up during feedings, check tube placement.

What are the nursing actions to address the aspiration of formula for clients receiving enteral feedings?

200

female, aging, renal disease, obesity, immobility, depression.

What are some risk factors for developing urinary incontinence? 
200

sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

What are the six categories that the Braden scale evaluates? 

200

Age-related loss of the eye’s ability to focus on close objects due to decreased elasticity of the lens

What is presbyopia?

200

Falsely low reading

What can happen if you apply a blood pressure cuff too loosely?

300

Dry, scaly skin; dry, dull eyes; enlarged thyroid, poor dental health.

What are four signs of poor nutrition?

300

Eat yogurt to re-establish an intestinal balance of beneficial bacteria.

What education would you give for a client experiencing diarrhea? 

300

ruptured serum-filled blister

What is an example of a Stage 2 pressure injury?

300

is an alteration in the inner ear, auditory nerve, or hearing center of the brain.

What is sensorineural hearing loss?

300

Assess the head and shoulders for strength.

How do you assess cranial nerve 12?

400

Reduced salivation that alters appetite.

What is xerostomia?

400

Avoid stimulating the vagus nerve. Monitor heart rate rhythm.

What are some safety considerations when manually removing a fecal impaction? 

400

wet-to-dry dressings

Which dressing is no longer considered good practice?

400

Hears better in a noisy environment, speaks softly.

What are some findings associated with conductive hearing loss?

400

slow, irregular pulse, hypotension, lack of reflexes, diarrhea.

What are signs of hyperkalemia?

500

Every 4 hours to maintain tube patency.

How often do you flush for ng and enteral continuous feeds?

500

Suspicion of the presence of blood clots or their potential formation.

What is an indication for urinary catheter irrigation?

500

skin temperature and level of moisture

What can be the first indication of a pressure injury in clients with a darker skin tone?
500

measures the mobility of the tympanic membrane and middle ear structures relative to sound to diagnose disorders of the middle ear.

What is a tympanogram?

500

dark chocolate, cashews, pumpkin seeds

What are foods high in magnesium?