Study Guide
1. Maslow's Hierarchy of Needs: (level 1) Physiological Needs, (level 2) Safety and
Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5)Self
Actualization
2. Assessment of Comfort Level: ask patient if they are comfortable
If they have physcial discomfort, assess level of pain and plan interventionif it's
mental discomfort, have them describe the nature of the stress
3. Interventions to prevent impaired comfort: anticipate which patient may expe-
rience them and provide preplanned interventions
4. pain: 5th vital sign
5. cutaneous pain: superficial pain usually involving the skin or subcutaneous
tissue
6. visceral pain: pain originating in the internal organs and is non localized
7. deep somatic pain: ligaments, tendons, bones, blood vessels, nerves
8. radiating pain: starts at an origin but spreads to other locations
9. referred pain: pain that is felt in a location other than where the pain originates
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, 10. phantom pain: pain or discomfort felt in an amputated limb
11. Assessment of Elimination: -take patient history
-monitor frequency, amount , and consistency
12. Interventions to prevent changes in elimination: adequate nutrition and hy-
dration
13. Interventions for patients with changes in elimination: -Monitor pt for signsof
fluid and electrolyte imbalance
-adults experiencing urinary incontinence require frequent toileting
-Patients with short term urinary retention require one or more catherization
14. stress incontinence: involuntary urine loss with physical strain, sneezing, or
coughing
15. urge incontinence: loss of large amounts of urine accompanied with a strongurge
to urinate
16. overflow incontinence: small amounts of urine leak from a full bladder
17. functional incontinence: the person has bladder control but cannot use thetoilet
in time
18. unconscious incontinence: loss of urine when the person does not realize thebladder
is full and has no urge to void
19. intake: -measured in mLs
-everything liquid
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