



Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
NUR2356 Multidimensional Care 1 Final Exam with Answers.pdf
Typology: Exams
1 / 7
This page cannot be seen from the preview
Don't miss anything!
What is primary intention wound healing? - Wound edges are well-approximated. Place in order the wound healing process. - Hemostasis - > Inflammation - > Proliferate - > Maturation T/F: Serous-sanguinous drainage is blood mixed with pus. - False. What is sometimes common to see in evisceration? - Fistulas, total separation of the wound, caused by IAP (increased abdominal pressure) What is a partial-thickness wound with loss of epidermis and some dermis? - Stage 2 What is a full-thickness wound with loss of skin and visible subcutaneous tissue? - Stage 3 What is a full-thickness wound with loss of the skin and visible bone and undermining? - Stage 4 What is a wound that has more than 75% of the wound bed covered? - Unstageable
The Braden Scale includes sensory, moisture, activity, and _________________? - Mobility, nutrition, and friction/shear What are some interventions to reduce the risk for skin injury? - Elevate the bed no greater than 30-degrees; offload and reposition; control and inspect skin daily; encourage intake of protein, calories, minerals, and fluids. T/F: The wound assessment should include location, size, color, wound base, drainage, edges, and peri-wound skin. - True. What is an ABI (ankle-brachial index) test? - Determines the atrial flow, determines inadequate blood flow, determines delayed healing. T/F: Hand washing is the best way to prevent infection. - True. How much PSI is needed for proper wound irrigation? - 35 - 70 PSI What is an example of a laceration? - Skin tear What is an example of a portal of entry? - Blood T/F: Virulence is the power of the pathogen to cause disease. - True. T/F: Standard precaution should be used for all the patients. -
Tonometry T/F: Vasoconstriction can cause increased perfusion. - False. T/F: A patient who is 25-years-old needs an MRI. The nurse know it's important to ask about any tattoos. - False. T/F: A patient with kyphosis doesn't have any high-risk. - False. What should the nurse do when assisting with movement or mobility? - Face the movement. What causes shearing and friction injuries? - Opposite pulling of the skin. T/F: Traction should include skin and hygiene assessment. - True. The nurse should suspect ACS (acute compartment syndrome) when the patient complains of _______________. - Rapid, discoloration, pain worse than that of the fracture, weak pulse, and tightness. What fracture is complete with injury to the skin? - Open. T/F: The nurse can control bleeding form a fracture by applying pressure below the site.
T/F: A patient with musculoskeletal inflammation should avoid stretching activities. - False. T/F: The nurse should include in the education, ways to prevent falls. Some activities include removal or rugs and clutter. - True. T/F: Medication such as Ibuprofen can be used for arthritis. - True. The nurse is performing a general survey. What is a component to observe related to musculoskeletal? - Posture and abnormalities. As a nurse, you know that during aging a normal musculoskeletal change would be ____________. - Kyphotic posture T/F: Not bending forward at the waist or neck is a good way to have posture. - True. T/F: Using high-heels helps with posture. - False. Crepitus in osteoarthritis is due to ___________. - Loss of bone particles T/F: The abduction pillow is used to prevent internal rotation after hip surgery. - True.
T/F: Patient with lupus ha a high risk for kidney failure. - True. Calcinosis, Raynaud's, esophygeal dysmotility, sclerodacyly and telangiectasia is known as _________________. - CREST syndrome - a widespread connective tissue disease characterized by changes is the skin, blood vessels, skeletal muscles, and internal organs.