Test 3 Flashcards
What are complementary proteins. Give 3 examples that a nurse would suggest.
Beans & rice , peanut butter & enriched bread
Which vitamins are important in wound healing
Vitamin a , VITAMIN C , zinc
List foods high in fiber
Fruit w skin
Strawberries
Kidney beans
Whole wheat grains
Allows unrestricted food selections
Regular diet
Water, broth , fruit juice , gelatin , popsicles , clear soft drinks , tea , and coffee
Clear liquid diet
Fruit and veggie juices , creamed or blended soups , milk , ice cream , yogurt , pudding , milkshakes , junket , custards and cooked cereals
Full liquid diet
Foods you dont need to chew, such as mashed potatoes and pudding
Puréed diet
Contains food soft in texture, usually low in residue and readily digestible , contains few or no spices or condiments , provides fewer fruits , veggies , or meats than a light diet
Soft diet
Foods that are soft and moist
Dysphasia diet
What instructions would you give to a client on a potassium-wasting diuretic
Increase potassium intake like bananas , sweet potatoes , avocado , spinach , oranges
What is the Mediterranean diet & give examples
Heart healthy eating plan that emphasizes healthy low fats, whole grain, fruits, veggies, nuts, beans and seeds
What are nursing considerations for nutrition in an older adult
Diminished sense of smell and taste , nutritional supplements should be evaluated
Require fewer calories
What are nursing considerations for nutrition in the toddler
Decrease in appetite, due to slower growth rate
Small meals at mealtime
List 6 need to know for restraint
A. Use slipknot , secure to movable part of bed frame
B. Remove, offer toileting and assess skin care and circulation every 2 hours
C. Document checks every 2 hours
D. Educate family about use
E. Provide ROM exercises
F. Every 24 hours need a provider referral
List 7 interventions for fall risks
Keep environment well lit. Remove scatter rugs Clutter free hallway Install hand rails Well fitting shoes Extension cord to wall Nonskid mat on floors
List sequence of actions in a fire (RACE)
R: rescue
A: alarm
C: confine the fire
E: extinguish
Laceration
Separation of skin , torn tissue , irregular edges
Abrasion
Surface are scraped
Puncture
Opening caused by sharp pointed object
How are pressure ulcers treated
Keep clean & dry, barner ointment , irrigate open ulcers with 0.9% sodium chloride
What are lab signs that a wound or ulcer are infected
Elevated WBC
Purulent drainage , odor , brown , yellow , or green depending on pathogen
What type of dressing is appropriate for a stage 1 pressure ulcer
Transparent dressing work well
What are nursing interventions for evisceration
Be alert any s/s of impaired blood flow such as swelling, localized pallor or mottled appearance, coolness of tissue
What are the steps of staple removal
- Remove wound dressing
- Wipe cleansing solution directly over the surgical incision
- Clean the skin along the sides of the incision
- Remove other staples
- Remove remaining staples
List 5 things that can delay wound healing
- Age/overall wellness
- Tissue perfusion and low hgb levels
- Malnutrition and medications
- Infection and high wbc
- Chronic disease/smoking
When is humidification necessary in o2 therapy
When administering more than 4ml/min
List early and late signs and symptoms of hypoxia
Early: tachypnea, tachycardia, restlessness, anxiety, pale skin, and mucous membranes, elevated BP
Late: stupor, cyanotic skin, bradypnea, bradycardia, diaphoresis hypotension, cardiacdyhsrythmias, use of accessory muscles (retractions)
List 5 at home instructions for o2 use
- Secure portable oxygen cylinders to rigid stance
- Avoid using petroleum products, aerosol products, products containing acetone where oxygen is used
- Prohibit the burning of candles
- Oxygen in use signs whenever oxygen is stored or in use
- Inspect electrical equipment for frayed wires or loose connections
