NUR 150 fundamental final review
What is the Braden Scale used for? - correct answer ✔✔Used for predicting pressure soar risk
what are the six risk factors from the Braden scale? - correct answer ✔✔-sensory perception
-Moisture
-Activity
-mobility
-Nutrition
-friction
What is the KATZ/ADL used for? - correct answer ✔✔Independence in activity in daily living
What is the 6 category's for Katz/ADL - correct answer ✔✔-BATHING
-DRESSING
-TOILETING
-TRANSFER
-CONTINCE
-FEEDING
What does the Lawton/IADL explain? - correct answer ✔✔Asses the patients risk for ability to do instrumental activities
Do Naso gastric tubes cause a soar? - correct answer ✔✔Yes!
what is Naso Gastric tube used for? - correct answer ✔✔-PT bowel obstruction
-Pt with dysphagia (difficulty swallowing) -PT who refuse to eat -Pt after gastric surgery
what are the Supplies you need to administer tube feed? - correct answer ✔✔-irrigation tray
-2 cups with Measurements
-sterile water only
-ordered tube feed from physician
-choux pad
how do you check a nasogastric tubes in place? - correct answer ✔✔x-ray
visualizing gastric content
checking PH
what position should the patient be in for nasal gastric tube feeding? - correct answer ✔✔High Fowlers Position
How should you measure the nasogastric tubes? - correct answer ✔✔Ear lobe > nose> x-phoid process
what temperature should the tube feed be administered? - correct answer ✔✔room temperature
what does dysphasia mean? - correct answer ✔✔difficulty speaking
what does dysphagia mean? - correct answer ✔✔difficulty swallowing
what does the texture Nectar mean? - correct answer ✔✔thickened liquids are a LITTLE SLOWER then water
what does the texture honey mean? - correct answer ✔✔thickened liquid are a MUCH SLOWER off the spoon then water what does the texture spoon mean ? - correct answer ✔✔thickened liquid that does not fall of the spoon.
what does the pureed mean? - correct answer ✔✔hot cereal, certain meats, vegetable, pasta, all-in a pudding consistency.
what is mechanical soft ? - correct answer ✔✔Moistened bread, well moistened cereal, tender/thin sliced meats, and baked potatoes.
what does dysphagia advanced mean? - correct answer ✔✔Moist & soft food such as cooked cereal, canned fruit, accept pineapple, well cooked noodle in sauce.
what colors should the gastric content NOT be? - correct answer ✔✔bright red
coffee ground
what colors should the gastric continent be? - correct answer ✔✔green, brown, tan
what should the residual be less then when doing a nasogastric tube? (a number) - correct answer ✔✔250 ML
what age is an infant? - correct answer ✔✔0-12 months
what age is a toddler? - correct answer ✔✔1-3 years
what is the age for preschool? - correct answer ✔✔3 to 5 years
what is the age for school age? - correct answer ✔✔6 to 12 years
what is the age for adolescent? - correct answer ✔✔13 to 19 years
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