Exam (elaborations)
NURC 1001 EXAM -3 (1).
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NURC 1001 EXAM -3 (1).
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Skin Tear -✅✅ -a break or rip in the outer layers of the skin; the epidermisseparates from the underlying tissues
Stage 1 pressure ulcer - ✅✅
-intact skin with nonblanchable redness (does
not turn white when pressured is applied)
stage 2 pressure ulcer - ✅✅-Skin no longer intact, fleshy pink base with a
break in skin integrity
This is where Blistering is
stage 3 pressure ulcer - ✅✅-Yellow fatty tissue seen at the base
stage 4 pressure ulcer - ✅✅-Bright Red Muscle or Bone is seen
clear liquid diet - ✅✅-a diet that consists of foods that are liquid at room
temperature and leave little residue in the intestine. Ex: Water, Sprite, Ginger
Ale, all beverages without any residue, broth, Jello
Full Liquid Diet -✅✅ -Foods liquid at room temp or melt at body temperature;
Foods on clear liquid diet PLUS custard, eggnog, strained soups & fruit,
vegetable juices; milk & milk shakes; strined cooked cereals; plain ice cream
and sherbet; pudding; yogurt
nectar thick liquids - ✅✅-Easily pourable and are comparable to apricot
nectar or thicker cream soups
honey thick liquids - ✅✅-slightly thicker, less pourable, drizzle from a cup or
bowl
pudding thick liquids - ✅✅-Hold their own shape, not pourable, usually eaten
with a spoon
dysphagia - ✅✅-difficulty swallowing
taut -✅✅-tight
alopecia - ✅✅-hair loss
Nutrition - ✅✅-the process by which the body takes in and uses food
aspiration - ✅✅-Breathing fluid, food, vomitus, or an object into the lungs
Convert ounce to ml/cc - ✅✅-30 ml = 1oz.
, Hypoglycemia - ✅✅-low blood sugar
hyperglycemia - ✅✅-high blood sugar
gastrostomy tube - ✅✅-a surgically placed feeding tube from the exterior of
the body into the stomach
Objective Observation - ✅✅ -an indication of a health condition that can be
clearly observed; also called a sign (such as pulse, rate, minutes)
Subjective Observation - ✅✅ -An observation is based on how an individual
perceives reality, rather than reality itself. Therefore, this observation could
change wildly based on the person making the observation.
✅✅-An abnormally low amount of water in the body.
Dehydration -
seizure - ✅✅-a sudden surge of electrical activity in the brain that affects
how a person feels or acts for a short time
Perineal/Pericare - ✅✅ -Perineal: cleaning the patient's gential (female)
Pericare: cleaning the patient's gential (male)
affected side -✅✅-a weakened side from a stroke or injury
unaffected side - ✅✅-side of body with normal strength and functional ability
incontinence - ✅✅-inability to control urination
shearing of skin - ✅✅-An applied force or pressure exerted against the
surface and layers of the skin.
regurgitation - ✅✅-the return of swallowed food into the mouth
CVA - ✅✅-cerebrovascular accident (stroke)
coma - ✅✅-state of profound unconsciousness
Urethra - ✅✅-tube leading from the urinary bladder to the outside of the body
uncircumcised - ✅✅-glans is covered by foreskin (penis)
Circumcised - ✅✅-The fold of skin (foreskin) covering the glans of the penis
was surgically removed
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