test three review

Nutrition

100

This is the impact that a fever will have on our metabolic rate 

What is an increase in metabolic rate? 

200

This is a normal fluid intake per day

what is 1,500-3,500ml?

300

These are the classes of nutrients that supply energy to the body

what are proteins fats and carbs?

400

lab values that will indicate malnutrition and malabsorption. 

serum albumin and pre-albumin 

500

This type of diet is implemented for a patient with dysphagia? 

Pureed 

Elimination

100

when documenting the assessment of an ileostomy this should be included in the documentation. 

location and color of stoma 

Surrounding skin integrity 

consistency, color and amount of stool

200

this type of catheter is utilized when there is a complete obstruction of the urethra 

superpubic 

300

physiologic changes to GU in normal aging 

diminished ability for kidneys to concentrate urine- leading to increased night time voiding 

decreased muscle tone 

400

how to decrease constipation

increase water intake 

increase fiber intake 

take a mild laxative 

take a stool softener 

500

ulcerative colitis may have what impact of absorption.

altered absorption in the colon, water, enteric coated meds, some electrolytes

infection and immune

100

infection someone got in a hospital 

what is an HAI

200

ways to decrease HAI in your facility 

have clear written hospital policies and procedures and ensure they are followed. 

hand hygiene following best practices 

300

this is NOT effective with killing CDIF

what is hand sanitizer 

400

this is the most effective way to stop the spread of influenza 

hand hygiene 

500

inflammation ALONE is not a sign of what 

infection

skin

100

a client being pulled up in bed instead of lifted causes what injury

shearing force 

200

why is the skin important 

immunologic first line of defense 

temp regulation

sensation

protection 

absorption 

secretion 

300

when a patient is bed bound these nursing actions can help decrease risk for skin injures 

turning positioning 

frequent assessments 

wound prevention mattress 

lift don't drag

keep body parts in anatomical position 

400

this is eschar 

black hard substance in wound bed 

500

these are the signs/ symptoms of stage 1-4 and unstageable  pressure injuries 

stage one- nonblanchable redness, intact skin 

Stage two- red area that is NOT intact, but lower structures are intact NO adipose tissue granulation or sloth 

Stage three- visible adipose tissue and granulation possible sloth eschar tunneling and undermining NO facia muscle tendon ligament or bone. 

Stage four- exposed Fascia, muscle, tendon, ligament, cartilage, or bone in the ulcer. possible sloth eschar tunneling and undermining 

unstageable- wound bed obstructed with eschar and or sloth cannot assess thickness