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Nursing Fundamentals BSN 225
HESI Review
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Terms in this set (28)
The urine collected from the 1st specimen was in
24 hour urine collection the bladder before the 24 hour. Specimen
collection was started, so it should be discarded.
Multiple hard pallets may indicate problems with
constipation or inadequate fluid intake. A tarry
Assess Feces appearance or read streaks may indicate
bleeding. Brown liquid may indicate diarrhea or
decal impaction.
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A score of 10 on the Braden risk assessment scale
indicate that the client should be turned
frequently. This scale is a reliable tool used to
Braden risk assessment-
measure the clients risk for the development of
turning
pressure sores. Sores range from 6-23, with the
lower scores indicating the highest risk for
pressure sore development.
While inserting an urinary catheter into a client &
urine is observed, the catheter should be
Cath insertion
advanced another inch, to ensure that the
technique
balloon will be inflated in the bladder, rather than
the urethra.
A client who is on a clear liquid diet has coffee
on the tray. Black coffee is considered a clear
Clear liquid diet
liquid, but the nurse should remind the client that
no milk or creamer can be added to the coffee.
The nurse should help the client lie back down &
then explain to the spouse the need for
Client safety
ambulation to reduce potential postoperative
complications.
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Nursing Fundamentals BSN 225
HESI Review
Save
Terms in this set (28)
The urine collected from the 1st specimen was in
24 hour urine collection the bladder before the 24 hour. Specimen
collection was started, so it should be discarded.
Multiple hard pallets may indicate problems with
constipation or inadequate fluid intake. A tarry
Assess Feces appearance or read streaks may indicate
bleeding. Brown liquid may indicate diarrhea or
decal impaction.
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A score of 10 on the Braden risk assessment scale
indicate that the client should be turned
frequently. This scale is a reliable tool used to
Braden risk assessment-
measure the clients risk for the development of
turning
pressure sores. Sores range from 6-23, with the
lower scores indicating the highest risk for
pressure sore development.
While inserting an urinary catheter into a client &
urine is observed, the catheter should be
Cath insertion
advanced another inch, to ensure that the
technique
balloon will be inflated in the bladder, rather than
the urethra.
A client who is on a clear liquid diet has coffee
on the tray. Black coffee is considered a clear
Clear liquid diet
liquid, but the nurse should remind the client that
no milk or creamer can be added to the coffee.
The nurse should help the client lie back down &
then explain to the spouse the need for
Client safety
ambulation to reduce potential postoperative
complications.
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