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nursing 205 exam 2 hondros/86 Complete Q’s and A’s
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nursing 205 exam 2 hondros/86 Complete Q’s and A’s
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nursing 205 exam 2 hondros/86Complete Q’s and A’s
tissue integrity - -the ability of body tissues to regenerate and/or repair to
maintain normal physiological processes
-interventions to maintain tissue integrity - -reposition turning adequate
nutrition skin assessments
-blanching test - -A test of the rate of capillary refill; blanching means to
cause to become pale by applying digital pressure.
-Non-blanchable - -skins stay very red even with finger pressure; indicates
severe skin injury
-Stage 1 pressure ulcer - -intact skin with nonblanchable redness
-stage 2 pressure ulcer - -partial thickness skin loss involving epidermis,
dermis, or both
red/pink noist
blister et shallow crater
-stage 3 pressure ulcer - -full thickness tissue loss with visible fat
-stage 4 pressure ulcer - -Full-thickness tissue loss with exposed bone,
muscle, or tendon
-debridement - -Removal of foreign matter or dead tissue from a wound
promotes healing
-eschar - -a thick layer of dead tissue and tissue fluid that develops over a
deep burn area
-Types of drainage - -serous, sanguineous, serosanguineous, purulent
-serous drainage - -clear, watery fluid
clear yellow
-serosanguineous drainage - -thin, watery drainage that is blood-tinged
-sanguineous drainage - -bloody drainage
-purulent drainage - -thick green, yellow, or brown drainage
, -Braden Scale - -A tool for predicting pressure ulcer risk
-lactose intolerance - -The inability to completely digest the milk sugar
lactose
-symptoms of lactose intolerance - -bloating, abdominal discomfort,
diarrhea gas
-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
-iron rich foods - -red Meat, fish, poultry, legumes. spinach, liver or organ
meat, tofu
-anorexia nervosa - -An eating disorder characterized by an obstinate and
willful refusal to eat, a distorted body image, and an intense fear of being fat
-signs of anorexia nervosa - -A refusal to keep one's body weight at or
above a normal weight for age and height; extreme weight loss, muscle
wasting, eats very little
insufficient nutrition
-excessive nutrition - -common obesity
weight gain/ nutritional toxicity
excessive calorie intake
-FICA - -spiritual assessment tool
-F in FICA - -faith
-I in FICA - -importance
-C in FICA - -community
-A in FICA - -address
-questions to assess spiritual needs - -do you attend religious regularly
do you have Any spiritual needs we should discuss
in need of spiritual intervention call chaplain
-Prayer - -An attempt to contact God, usually through words
-Faith - -Belief in God
-dietary needs food can only come from? - -facility no outside food
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