Hondros Nursing Exam 2 with 100% Correct Answers, Exams of Advanced Education

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Hondros Nur 150 Exam 2 with 100%

Correct Answers 2023

Wound stage 1 - Correct Answer-no broken skin, redness Wound stage 2 - Correct Answer-blister or open wound, partial thickness loss Wound stage 3 - Correct Answer-in both dermis and epidermis, tunneling, unmining, slough, Wound stage 4 - Correct Answer-to the bone, slough, tunneling and unmining What puts a patient at risk for pressure sores? (7) - Correct Answer-immobility, chronic illness, poor nutrition, poor circulation, continence, same position What do you document with wound care? - Correct Answer-color, odor, consistency, amount (drainage), dressing we remove/put on, pain tolerance, dressing change completely, location, length, width, depth, teaching signs and symptoms, date and time Perulant - Correct Answer-yellow, green, brown (infection) serous - Correct Answer-clear sanguinous - Correct Answer-bloody Serosanguineous - Correct Answer-pink Braden Scale - Correct Answer-A tool for predicting pressure ulcer risk signs and symptoms of infection in the wound - Correct Answer-odor, redness, purlent, fever, WBC goes up, warmth, swelling -edema Nursing interventions to heal - Correct Answer-turn and reposition every 2 hours, use protective cream (at stage 1), good nutrients, float heels, water, pillows on bony prominences, keep skin dry and clean When to assess skin? - Correct Answer-in shower, beginning of shift, among admission Anaerobic specimen collection - Correct Answer-without oxygen, syringe Aerobic Specimen Collection - Correct Answer-with oxygen, swab (take drainage from inside wound)

What kind of lab test is done when you inspect infection? - Correct Answer-Culture and sensitivity What does heat help with? - Correct Answer-Pain, 20 mins on, barrier between heating pad What does cold help with? - Correct Answer-good for inflammation, 20 mins at a time for 24 to 48 hours 2 things used to check function ability? - Correct Answer-Katz (ADL) Lawton (IADL) Things used to check dementia? - Correct Answer-Montreal and mini cog Risk factors for dementia - Correct Answer-age, chronic illness, injury, social skills, depression, family history, chemicals Nutrition tips - Correct Answer-avoid eating oversized portions, half plate fruit/veggies, whole grains, low fat, lean protein, fresh food and water Normal BMI range - Correct Answer-19- dysphagia - Correct Answer-difficulty swallowing Pain PQRST - Correct Answer-provoke quality (description) radiate/region timing objective signs of pain - Correct Answer-grimacing, crying, limping, guarding anything you can see or measure subjective signs of pain - Correct Answer-whatever the patient tells you Reasons for physical assessment - Correct Answer-to get a baseline, check for issues/problems, check for fall risk on admission, helps create nursing interventions, LPN helps create care plan by taking data signs and symptoms (eating) - Correct Answer-cough, choke, might vomit, might gag, drooling Aspiration precautions - Correct Answer-high Fowler's, thickened liquids, no straw, chin tuck, pureed/ mech. soft diet, small bites NG/G tube feeding process - Correct Answer-check placement (sound and pH 0-4), check residual, flush with 30mls of lukewarm water, give feed or med, flush again 30mls lukewarn water

What is a possible complication with an NG tube? - Correct Answer-could be pulled out GI system check - Correct Answer-look, feel listen, 1 min if nothing 5 mins signs and symptoms of dehydration - Correct Answer-Dry mucous membranes in the mouth, decreased skin turgor, little to no urine trouble sleeping? - Correct Answer-dim lights, void before bed, routine, read, rid all noise Side effects of stress - Correct Answer-depressed, poor hygiene, poor nutrition, drugs Eye drop - Correct Answer-head up, eyelid pulled down Ear drop - Correct Answer-pull pinna up, head to side 6 rights of medication administration - Correct Answer-patient, time, dose, route, medication, documentation