a blister over a bony prominence is always a ? - Answers stage 2 pressure injury
unstageable - Answers purple/maroon in color
closed skin
usually has eschar
SDTI - Answers suspected deep tissue injury
(depth unknown)- blood filled blister or bruise
clinical signs of glaucoma - Answers elevated intraocular pressure (IOP)
cataracts - Answers lens opacity that interferes w transmission of light into retina (cloudy
appearance)
clinical signs of detachment - Answers shadow or dark curtain across visual fields
descending order of urinary system organs - Answers -kidneys
-ureters
-bladder
-urethra
if you have a pt that is on dialysis and has hemoglobin and hematocrit levels are low - Answers
they dont produce erythropoietin and the body does not produce RBC
leads to increased respiratory probs
what does vasodilation do to BP? - Answers decreases BP
-bad if already have LBP
-good if already have HBP
when calcium is high... - Answers phosphorus is low
(visa versa)
your pt has not peed in 6-8 hrs. what are your options? - Answers -ask pt
-use bladder scanner (best)
-give more fluids
, ways to prevent UTIs - Answers decrease use of catheters, proper cleaning for females
proper cleaning for females - Answers -clean front to back
why do women have higher risk for infection (UTI) - Answers -urethra is shorter in women
Dehiscence - Answers coming apart of sutures or edges of the wound
evisceration - Answers organs popping out
sterile gauze, NS, cover immediately
this is an emergency
NPO
watch suture line or larger individuals
prevention of increased staged wound - Answers keep it dry, turn every 2 hrs, good nutrition,
barrier creams (prevent moisture), specialty bed
slough - Answers layer of dead tissue separated from surrounding living tissue
it is usually shed or removed
stage 3/4
eschar - Answers unstageable bc cannot see wound bed
black in color
if it also has visible tendons and bones- stage 4
vitamins good for wound healing - Answers vit C
multivit MVI
zinc oxide
planning ex - Answers wound will decrease from 8x10 to 8x8
provide proper nutrition
dressing changes
turn pt
what helps promote healing? - Answers protein
albumin levels show protein levels of the body