Skin
Fluid/Electrolytes
Infection
Elimination
Types of Incontinence
100
What is happening here?
Wound dehiscence with evisceration
100
If someone with CHF's daily weight is up 7 lbs in 1 week, this could indicate what?
Fluid overload
100
The number 1 way to prevent infection
Washing Hands
100
What is the minimum urinary output per hour
30ml/hr
100
Over distention and overflow of bladder
Overflow Incontinence
200
What is happening during each stage of pressure injuries?
Review slide 37 Pressure Injury Staging
200
Water follows what electrolyte
Sodium
200
What can we get to help reduce our risk to some VIRAL infections
Vaccines
200
Why are colostomies stools more formed than ileostomies
Allowance for absorption of fluid in the large intestines before being eliminated from the stoma.
200
Caused by increase in intra-abdominal pressure
Stress Incontinence
300
What are signs and symptoms of infecton are related to skin infections?
Purulent Drainage, Increased drainage, Pain, Redness, Swelling, Elevated temperature, Elevated WBC count.
300
Checking skin turgor on the elderly should be done where
Chest
300
Those with CDiff should be on what kind of precautions
Contact Precautions
300
Urinary and stool incontinence is at risk for what nursing dx
Impaired skin integrity
300
Bladder empties without senstion of need to void
Reflex Incontinence
400
What color drainage is this?
Sanguineous
400
What is the average amount of fluid intake and loss in adult population
2500-2600ml per day on average
400
What are the 6 components of the Chain of Infection
See slide 6 of infection
400
What lab evaluates kidney function
BUN and Creatinine found in the BMP or CMP
400
Loss of urine before reaching the toilet. Frequent urge
Urge Incontinence
500
How can you reduce pressure related injuries?
Turn q 2 hours, air loss devices, support surfaces, ensure no disruption of blood flow, position changes.
500
Sensible loss of fluid comes from what
kidneys, Intestinal tract, and Wound drainage. (can be measured)
500
What type of hand hygiene needs to be used with patients with CDiff
Soap and Water
500
Asking someone to describe their last stool is what kind of data?
Subjective data for bowel elimination patterns
500
Environmental barriers and physical limitations cause inability to reach the toilet
Functional Incontinence