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Related Flashcards
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Cards In This Set
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Which stage of pressure ulcer involves full thickness skin loss involving necrosis of subcutaneous tissue?
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Stage 3
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What is a stressor?
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Anything that is perceived as challenging, threatening, or demanding.
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What is your acid and where is it produced?
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Carbon dioxide in the lungs
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Food sources for vitamin A
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Liver, carrots, egg yolk, fortified milk
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What are hydrogel dressings used for?
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Partial and full-thickness wounds, necrotic wounds, burns
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Nursing interventions for pressure ulcers in regards to infection.
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Proper handwashing, aseptic techniques, monitor wound, administer meds, vital signs
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Compensation
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Overcome a perceived weakness
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Signs and symptoms of fliud volume deficit
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Thirst,weight loss weakness fatigue anorexia dry mucous membranes poor skin/tongue turgor sunken eyes weak rapid pulse ^specific gravity hematocrit BUN
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Hypertonic solution
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Has a greater osmolarity than plasma. water moves out of the cells and is drawn into the intravascular compartment, causing the cells to shrink. 5-10% dextrose = treats hypovolemia
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Norm value range of sodium
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135 - 145
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Food sources of vitamin d
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Sunlight, fortified milk, fish liver oils
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Which stage pressure ulcer involves intact skin, have a boggy feel and redness in lightly pigmented skin?
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Stage 1
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What are hydrocolloidal dressings used for and how long can they be left in place?
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Shallow to moderate-depth skin ulcers, wounds with drainage, in conjunction with packing for open, deep wounds. can be left in place for 3 days.
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Nursing interventions for pressure ulcers involving tissue integrity.
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Avoid pressure,reposition,monitor site, sterile dressing,hydration(in&out), increase protein and carbs
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Denial
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Refuses to acknowledge the presence of a condition that is disturbing
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