Nutrition
The conversion of food into absorbable substances in the GI tract.
What is Digestion?
Stimulates intestinal activity and increases the skeletal muscle tone needed for defecation
What is physical activity?
A specific type of tissue injury from unrelieved pressure, usually over bony prominences, that result in ischemia and damage to the underlying tissue.
What is a pressure ulcer?
A surgical reconstruction of the middle ear structures
What is a Tympanoplasty?
Prevention of client __ is a major nursing priority. Nurses must evaluate all clients in health care facilities for __ and implement preventative measures accordingly.
What are falls?
The amount of energy expended by the body at rest
What is Basal Metabolic Rate (BMR)?
Reversible incontinence due to inflammation or irritation (UTI), temporary cognitive impairment, disease process (hyperglycemia, or medications.
What is Transient urinary incontinence?
Immobility, incontinence, shearing, obesity, inadequate nutrition or hydration, impaired circulation, edema, aging skin
What are factors that increase risk for development of pressure injury?
Position the patients supine and passively flex their neck. This test is positive if this manoeuvre causes reflex flexion of the hip and knee. Used to assess for meningitis.
What is Brudzinski's sign?
A pulse rate greater than the expected range or grater than 100/min
What is Tachycardia
Vitamins A, D, E, & K
What are fat soluble vitamins?
Occurs while an indwelling catheter is in place or up to 48 hr after discontinuing. Manifestations include: Urinary frequency, urgency, flank pain, cloudy, foul-smelling urine, and fever.
What is a Catheter-associated urinary tract infection (CAUTI)
Leakage of fresh blood produced by an open wound.
What is sanguineous drainage?
Measures intraocular pressure (expected range 10 to 21 mm Hg), which is elevated with glaucoma, especially angle-closure glaucoma.
What is Tonometry?
High-pitched whistling, musical sounds as air passes through narrowed or obstructed airways, usually louder on expiration
What are Wheezes?
Complete essential biochemical reactions in the body (calcium, potassium, sodium, Iron)
What are minerals?
After thorough cleansing of the urethral meatus, clients catch the urine sample midstream.
What is Clean-catch midstream for culture and sensitivity (C&S)
Clean and/or debride with the following: Prescribed dressing, surgical intervention, proteolytic enzymes
Provide nutritional supplements
Administer analgesics
Administer antimicrobials (topical and/or systemic)
What is the treatment for a stage 3 pressure injury?
Reception & Perception
What are the two components involved in normal sensory perception?
Inflammation of a vein that result in clot formation
Manifestations include: pain, edema, warmth, and erythema at the site.
What is Thrombophlebitis?
Tube feeding (nasogastric, nasoduodenal, gastrostomy, or jejunostomy) used to meet calorie & protein requirements in patients who are unable to consume enough food or who may require additional caloric intake to meet body demands during times of critical illness.
What is Enteral Nutrition?
This bladder analgesic treats the manifestations of UTIs.
What is Phenazopyridine?
Visible adipose tissue with possible granulation tissue and epibole; some slough, eschar present, NO exposed muscle, tendons, ligaments, cartilage, or bones. Possible undermining or tunneling.
What is a stage 3 pressure injury?
Tinnitus, dizziness, hears poorly in a noisy environment, speaks loudly, Weber test lateralizing to unaffected ear, diagnosis of acoustic neuroma.
What are manifestations of Sensorineural hearing loss?
A lack of both water and electrolytes, causing a decrease in circulating blood volume.
What is Hypovolemia?