Identify individuals at greatest risk for fluid and electrolyte imbalance with emphasis
on the normal changes of aging.
Give this one a try later!
Elderly (deficit)
Renal (excess)
Cardiac (excess)
Thyroid (either, but more likely deficit)
Adrenal (either)
Give one example of a hypotonic, isotonic and hypertonic intravenous solution.
Give this one a try later!
, Hypertonic: D10W (hypoglycemia, shock)
Isotonic: 0.9% NS (dehydration)
Hypotonic: 0.45%NS (renal insuff.)
Discuss the relationship between dysphagia and dehydration and malnutrition.
Give this one a try later!
taking in food and drink so you have to alter the diet to make sure pt is
receiving adequate fluid intake (to prevent dehydration) and adequate
nutrition (to prevent malnutrition) to ensure patient health
Summarize the competencies the community based nurse must demonstrate in order
to effectively assist clients with their health care needs in the community.
Give this one a try later!
- CASE MANAGER: Ability to establish an appropriate plan of care based
on assessment of patients and families.
- COLLABORATOR: Competent in working not only with individuals and
their families but also with other related health care disciplines.
- EDUCATOR: Patients and families are taught skills and given knowledge
needed to take better care for themselves. Instruct patients to make the
learning process meaningful. Provide continuity of education through
return demo of skills, f/u phone calls, referring to community support and
self-help groups
- COUNSELOR: Responsible for providing information, listening objectively,
and being supportive, caring, and trustworthy. No decision making, but
rather help patients reach decisions that are best for them.
- CHANGE AGENT: Identifying and implementing new and more effective
approaches to problems.
- EPIDEMIOLOGIST: Involved in case finding, health teaching, and tracking
incident rates of an illness. Community surveillance for risk factors.
, (Epidemiology is the science that studies the patterns, causes, and effects
of health and disease conditions in defined populations)
List three common reservoirs for infectious organisms.
Give this one a try later!
- food
- water
- human/animal
Relate common symptoms of UTI in the elderly.
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- Mental status changes or confusion
- N/V
- Abdominal pain
- Cough and shortness of breath
*sometimes the only symptom will be mental changes
Discuss how nurses use nursing sensitive outcomes to improve patient care.
Give this one a try later!
Outcomes that are within the scope of nursing practice; consequences or
effects of nursing interventions that result in changes in the patient's
symptoms, functional status, safety, psychological distress, or costs.
Nurses and health care facilities use nursing-sensitive outcomes to improve
, nurses' workloads, enhance patient safety, and develop sound policies
related to nursing practice and health care.
Differentiate the characteristics of pressure ulcers: stage I, stage II, stage III, stage IV,
unstageable, and suspected deep tissue injury.
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- STAGE I - A defined area of persistent redness (DOES NOT BLANCH) in
lightly pigmented skin. Area may also be: warmer or cooler, firm or boggy,
painful or itchy. Skin is still INTACT.
- STAGE II - Partial thickness skin loss (shallow), looks like an abrasion or
blister, normal surrounding skin. First layer of skin is damaged/sloughed off.
- STAGE III - Full thickness skin loss. Damage or necrosis to subQ tissue,
May extend down to but not through underlying fascia. Deep crater w/ or
w/o undermining of adjacent tissue.
- STAGE IV - Full thickness tissue loss with exposed bone, tendon, or
muscle. Slough or eschar may be present in some parts of the wound.
Often involves undermining and tunneling.
- UNSTABEABLE - depth of the ulcer is completely obscured by slough
(yellow, tan, gray, green, or brown) and/or eschar (tan, brown, or black) in
the wound bed. Tissue necrosis.
- SUSPECTED DEEP-TISSUE INJURY - purple or maroon localized area of
discolored intact skin or blood-filled blister caused by damage of
underlying soft tissue. area may be preceded by tissue that is painful, firm,
mushy, boggy, warmer, or cooler than adjacent tissue.
Identify the four phases of full thickness wound healing.
Give this one a try later!
- Hemostasis - Bleeding stops, constricts on the injured vessels. Body does
what it can to stop the bleeding.
- Inflammatory phrase - Histamine secreted, causes localized redness and
swelling, neutrophils ingest bacteria and debris.
- Proliferative phase - AKA reconstructive phase. Granulation tissue comes
on the normal changes of aging.
Give this one a try later!
Elderly (deficit)
Renal (excess)
Cardiac (excess)
Thyroid (either, but more likely deficit)
Adrenal (either)
Give one example of a hypotonic, isotonic and hypertonic intravenous solution.
Give this one a try later!
, Hypertonic: D10W (hypoglycemia, shock)
Isotonic: 0.9% NS (dehydration)
Hypotonic: 0.45%NS (renal insuff.)
Discuss the relationship between dysphagia and dehydration and malnutrition.
Give this one a try later!
taking in food and drink so you have to alter the diet to make sure pt is
receiving adequate fluid intake (to prevent dehydration) and adequate
nutrition (to prevent malnutrition) to ensure patient health
Summarize the competencies the community based nurse must demonstrate in order
to effectively assist clients with their health care needs in the community.
Give this one a try later!
- CASE MANAGER: Ability to establish an appropriate plan of care based
on assessment of patients and families.
- COLLABORATOR: Competent in working not only with individuals and
their families but also with other related health care disciplines.
- EDUCATOR: Patients and families are taught skills and given knowledge
needed to take better care for themselves. Instruct patients to make the
learning process meaningful. Provide continuity of education through
return demo of skills, f/u phone calls, referring to community support and
self-help groups
- COUNSELOR: Responsible for providing information, listening objectively,
and being supportive, caring, and trustworthy. No decision making, but
rather help patients reach decisions that are best for them.
- CHANGE AGENT: Identifying and implementing new and more effective
approaches to problems.
- EPIDEMIOLOGIST: Involved in case finding, health teaching, and tracking
incident rates of an illness. Community surveillance for risk factors.
, (Epidemiology is the science that studies the patterns, causes, and effects
of health and disease conditions in defined populations)
List three common reservoirs for infectious organisms.
Give this one a try later!
- food
- water
- human/animal
Relate common symptoms of UTI in the elderly.
Give this one a try later!
- Mental status changes or confusion
- N/V
- Abdominal pain
- Cough and shortness of breath
*sometimes the only symptom will be mental changes
Discuss how nurses use nursing sensitive outcomes to improve patient care.
Give this one a try later!
Outcomes that are within the scope of nursing practice; consequences or
effects of nursing interventions that result in changes in the patient's
symptoms, functional status, safety, psychological distress, or costs.
Nurses and health care facilities use nursing-sensitive outcomes to improve
, nurses' workloads, enhance patient safety, and develop sound policies
related to nursing practice and health care.
Differentiate the characteristics of pressure ulcers: stage I, stage II, stage III, stage IV,
unstageable, and suspected deep tissue injury.
Give this one a try later!
- STAGE I - A defined area of persistent redness (DOES NOT BLANCH) in
lightly pigmented skin. Area may also be: warmer or cooler, firm or boggy,
painful or itchy. Skin is still INTACT.
- STAGE II - Partial thickness skin loss (shallow), looks like an abrasion or
blister, normal surrounding skin. First layer of skin is damaged/sloughed off.
- STAGE III - Full thickness skin loss. Damage or necrosis to subQ tissue,
May extend down to but not through underlying fascia. Deep crater w/ or
w/o undermining of adjacent tissue.
- STAGE IV - Full thickness tissue loss with exposed bone, tendon, or
muscle. Slough or eschar may be present in some parts of the wound.
Often involves undermining and tunneling.
- UNSTABEABLE - depth of the ulcer is completely obscured by slough
(yellow, tan, gray, green, or brown) and/or eschar (tan, brown, or black) in
the wound bed. Tissue necrosis.
- SUSPECTED DEEP-TISSUE INJURY - purple or maroon localized area of
discolored intact skin or blood-filled blister caused by damage of
underlying soft tissue. area may be preceded by tissue that is painful, firm,
mushy, boggy, warmer, or cooler than adjacent tissue.
Identify the four phases of full thickness wound healing.
Give this one a try later!
- Hemostasis - Bleeding stops, constricts on the injured vessels. Body does
what it can to stop the bleeding.
- Inflammatory phrase - Histamine secreted, causes localized redness and
swelling, neutrophils ingest bacteria and debris.
- Proliferative phase - AKA reconstructive phase. Granulation tissue comes
