GUIDE REVISION SHEET CORE CONCEPT
BREAKDOWN
◉ Reddened, blanchable area of the skin.
Answer: Stage 0 pressure ulcer
◉ The top layer of skin is no longer intact and there may be serous
fluid at the site.
Answer: Stage II pressure ulcer
◉ A wound that the nurse can see muscle and bone. There may be
tunneling and mining as well.
Answer: Stage IV pressure ulcer
◉ A wound where the nurse can see as far down as the
subcutaneous issue. It may contain tunneling and or mining.
Answer: Stage III Pressure Ulcer
◉ What is the normal range of gastric content pH?
Answer: pH 0 - 4
,◉ What type of bath is used to reduce pain and inflammation of the
perineal area?
Answer: Sitz Bath
◉ What are the 2 basic categories of functional ability?
Answer: ADL's and IADL's.
◉ The nurse would check the pulse here if in a routine situation
such as in a physicians office.
Answer: Radial Pulse
◉ What is the sequence for doffing PPE?
Answer: Gloves, goggles, gown. mask.
◉ Physician's order needs to include what three things?
Answer: 1. The medication 2. The dose 3. The route
◉ A thin plastic tube through the nostril, down the esophagus, and
into the stomach that a physician or nurse inserts. Once this tube is
in place, it can be used to keep the stomach and intestines empty to
heal, or to administer food and medicine to the patient
Answer: Nasogastric Tube
,◉ Who can insert a nasogastric tube?
Answer: Physician and Nurse
◉ This diet is "pudding" consistency; includes hot cereals, mashed
potatoes; certain meats, vegetables, and pasta in a "pudding"
consistency.
Answer: Pureed
◉ This diet includes all foods except hard, sticky, crunchy foods.
Includes foods such as moist breads, well moistened cereal, tender
sliced meats, baked potatoe.
Answer: Mechanical Soft
◉ This diet includes moist and soft foods, such as cooked cereals,
canned fruit (except pineapple), and well cooked noodles in sauce.
Answer: Dysphagia advanced
◉ What color do you expect to see when you aspirate NG tube
content?
Answer: green, brown, or tan
◉ Immediately; takes priority
, Answer: STAT
◉ Once
Answer: ONE-TIME
◉ As needed
Answer: PRN
◉ Twice a day; bi daily
Answer: BID
◉ Three times a day; Tri daily
Answer: TID
◉ Four times a day
Answer: QID
◉ At bedtime; hour of sleep
Answer: HS
◉ Before meals
Answer: AC