,Term 1 of 225
How and when does the nurse confirm patient identification?
Physical Exam
-Listless, apathetic, fatigued
-Pallor
-Muscle wasting and poor tone
-Little SQ tissue
-Stringy, brittle hair
-Rough, dry skin
-Brittle or abnormally shaped nails
-Burning or tingling
-Tachycardia
Dietary Intake
-Food intake
-Calorie count
Lab Tests
-Albumin – chronic
-Pre-albumin – acute
-Hemoglobin
-Iron and TIBC
-Glucose
-Hemoglobin A1C
Check the skin over the ears where the mask strap rubs.
As soon as they see the patient, the nurse confirms patient identification by asking for at
least two patient identifiers (ex. patient's name, unique ID number only associated with
client, telephone number) and scanning the patient's barcode number
Whenever you have a document at the patient's side with the patient's information on it, you
can compare it to their armband
Take care that the oxygen delivery tubing does not pull on the T-piece, which can dislodge
the tracheostomy tube and create an airway emergency.
,Definition 2 of 225
Table salt!
Processed, convenience, and fast foods such as hot dogs and sandwich meats
Canned soups and veggies
Cheese
Common causes of extravasation
common causes of catheter embolus
common dietary sources for magnesium
common dietary sources for sodium
Definition 3 of 225
Treatment is directed at correcting the underlying problem.
Bicarbonate may be prescribed.
nursing actions for hypomagnesemia
nursing actions related to metabolic acidosis
nursing actions to prevent and care for catheter embolus
nursing actions to prevent and care for thrombophlebitis
, Term 4 of 225
What are nursing responsibilities for maintaining IV site dressings?
Stool softeners
Osmotic laxatives
Lubricant laxatives
Stimulant laxatives
Bulking agents
Chloride channel activators
Combination laxatives
Offer frequent, small, nutrient-dense meals when the person is most likely to be hungry.
Offer high-protein supplements between meals.
Restrict liquids with meals to prevent feeling full before patient eats sufficient nutrients.
Control pain; avoid painful treatments before meal.
Provide or assist with frequent oral hygiene.
Keep environment neat, clean, and free of unpleasant sights, odors, and medical
equipment.
Order a late food tray or warm the food if patient is not in room during mealtime.
Suggest smokers refrain for 1 hour before a meal.
Position patient comfortably for mealtime; arrange the tray within easy reach.
Determine need for tube feedings or IV fluids.
Teach patient and caregiver how to promote healthy eating and vitamin and mineral
supplementation
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