Nutrition
This is the act of the body breaking down food into simple substances that are either absorbed by the bloodstream as nutrients or eliminated by the body as waste.
Digestion
This is the recommended daily fluid intake for clients to help maintain urinary health.
What is 2 to 3 L of fluid daily?
This outermost layer of the skin acts as a barrier to protect against pathogens.
What is the epidermis?
Ensuring client safety
What is the nurses top priority when assisting clients with sensory impairment?
The key to helping nurses make clinical
judgments that are appropriate for
clients.
what is the Nursing Process?
A diet rich in foods containing ______ helps protect the cells from free radicals, which promote the development of cancer, heart disease, and other diseases.
antioxidants
These foods and drinks should be avoided as they can irritate the bladder and worsen urinary incontinence.
What are colas, coffee, tea, alcohol, and chocolate?
This stage of a pressure injury is characterized by partial-thickness skin loss, appearing as a shallow open ulcer or an intact/ruptured blister.
What is a stage 2 pressure injury?
Age and neurocognitive disorders
what two factors increase the risk for sensory impairments?
Right client, right med, right route, right time, right documentation
What are the 5 Rights of Medication Administration
How long does food remain in the stomach?
Food remains in the stomach for 2 to 8 hours.
This common condition in older adult males can lead to urinary retention and urgency
What is an enlarged prostate?
This type of exudate, characterized by thick yellow, green, or brown drainage, indicates infection.
What is purulent drainage?
occurs when a client has a deficit in the expected function of one or more of their five senses
what is a sensory deficit?
Identify established relevant safety practices health care institutions should
accomplish.
What is National Patient Safety Goals (NPSG)
and Standards of Compliance
How do you calculate a person's BMI?
BMI is calculated using a client’s weight in pounds and height in inches. First, the weight is divided by the height. This result is then divided by the height again. Finally, the number is multiplied by 703 to determine the client’s BMI.
This type of incontinent urinary diversion involves attaching one or both ureters to the surface of the abdominal wall via a stoma.
What is a ureterostomy?
This evidence-based tool is commonly used to assess a patient's risk for developing pressure injuries.
What is the Braden Scale?
occurs when there is a reduction in or absence of stimuli to one or more of the five senses.
what is Sensory deprivation?
specific factors include cultural, ethnic, and religious beliefs; family; support systems; gender; age; environment; past experiences with pain; anxiety;
and other stressors.
what is perception of pain factors
What actions need to be taken to prevent aspiration during meals for a client at risk?
Sit the client up at a 90° angle before providing the meal and allow extra time for them to chew and swallow each bite of food.
This diagnostic procedure involves visualizing the inside of the bladder to detect abnormalities, such as tumors or stones, and is also used to assess for obstructions.
What is cystourethroscopy?
This type of abnormal scar results from excessive collagen formation and extends beyond the original wound boundaries.
What is a keloid?
physical examinations, neurologic assessment, and diagnostic testing
what is Diagnosing a sensory impairment include?
Disturbance in mental ability resulting in confused thinking and reduced awareness of the environment
What is Delirium