NURC 1001 Exam #3 With 100% Correct And Verified Answers, Exams of Advanced Education

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NURC 1001 Exam #3 With 100% Correct

And Verified Answers

Skin Tear - Correct Answer-a break or rip in the outer layers of the skin; the epidermis separates from the underlying tissues Stage 1 pressure ulcer - Correct Answer-intact skin with nonblanchable redness (does not turn white when pressured is applied) stage 2 pressure ulcer - Correct Answer-Skin no longer intact, fleshy pink base with a break in skin integrity This is where Blistering is stage 3 pressure ulcer - Correct Answer-Yellow fatty tissue seen at the base stage 4 pressure ulcer - Correct Answer-Bright Red Muscle or Bone is seen clear liquid diet - Correct Answer-a diet that consists of foods that are liquid at room temperature and leave little residue in the intestine. Ex: Water, Sprite, Ginger Ale, all beverages without any residue, broth, Jello Full Liquid Diet - Correct Answer-Foods liquid at room temp or melt at body temperature; Foods on clear liquid diet PLUS custard, eggnog, strained soups & fruit, vegetable juices; milk & milk shakes; strined cooked cereals; plain ice cream and sherbet; pudding; yogurt nectar thick liquids - Correct Answer-Easily pourable and are comparable to apricot nectar or thicker cream soups honey thick liquids - Correct Answer-slightly thicker, less pourable, drizzle from a cup or bowl pudding thick liquids - Correct Answer-Hold their own shape, not pourable, usually eaten with a spoon dysphagia - Correct Answer-difficulty swallowing taut - Correct Answer-tight alopecia - Correct Answer-hair loss Nutrition - Correct Answer-the process by which the body takes in and uses food aspiration - Correct Answer-Breathing fluid, food, vomitus, or an object into the lungs

Convert ounce to ml/cc - Correct Answer-30 ml = 1oz. Hypoglycemia - Correct Answer-low blood sugar hyperglycemia - Correct Answer-high blood sugar gastrostomy tube - Correct Answer-a surgically placed feeding tube from the exterior of the body into the stomach Objective Observation - Correct Answer-an indication of a health condition that can be clearly observed; also called a sign (such as pulse, rate, minutes) Subjective Observation - Correct Answer-An observation is based on how an individual perceives reality, rather than reality itself. Therefore, this observation could change wildly based on the person making the observation. Dehydration - Correct Answer-An abnormally low amount of water in the body. seizure - Correct Answer-a sudden surge of electrical activity in the brain that affects how a person feels or acts for a short time Perineal/Pericare - Correct Answer-Perineal: cleaning the patient's gential (female) Pericare: cleaning the patient's gential (male) affected side - Correct Answer-a weakened side from a stroke or injury unaffected side - Correct Answer-side of body with normal strength and functional ability incontinence - Correct Answer-inability to control urination shearing of skin - Correct Answer-An applied force or pressure exerted against the surface and layers of the skin. regurgitation - Correct Answer-the return of swallowed food into the mouth CVA - Correct Answer-cerebrovascular accident (stroke) coma - Correct Answer-state of profound unconsciousness Urethra - Correct Answer-tube leading from the urinary bladder to the outside of the body uncircumcised - Correct Answer-glans is covered by foreskin (penis)

Circumcised - Correct Answer-The fold of skin (foreskin) covering the glans of the penis was surgically removed coccyx and sacrum - Correct Answer-tail bone prone position - Correct Answer-lying face down supine position - Correct Answer-lying face up Lateral - Correct Answer-side Fowler's position - Correct Answer-a semi-sitting position; the head of the bed is raised between 45 and 60 degrees How can skin tears be prevented? - Correct Answer--Nails short -No rings or bracelets -Dress carefully -Move, reposition, and turn patients carefully What are the characteristics of aging skin? - Correct Answer--skin becomes less elastic -skin loses strength -fewer nerve endings affect temperature, pressure, and pain sensation -fatty layer is lost -skin thins and sags -folds, lines, and wrinkles appear -dry and itchy How does affect healing? - Correct Answer-The healing process slows down What are the stages of a pressure sore? - Correct Answer-Stage 1 Redness of skin and possible dent created when cross legs, for example. Usually fades fast. If skin stays red, is painful, hot to touch it's stage 1. If skin turns white that's bc blood flow is compromised and there is tissue damage. Stage 2 Looks like a blister, abrasion, or shallow crater. The epidermis is cracked open, creates a portal of entry, and the dermis may also be worn. Stage 3 Epidermis and dermis gone. Subcutaneous fat may be visible and there may be wound drainage. Stage 4 The crater of damaged tissue extends to muscles or bone.

How can pressure areas be prevented? - Correct Answer-1) Avoid allowing person to remain in one position for long period of time

2. Use observational skills
3. Provide good skin care
4. Provide good perineal care
5. Anticipate toileting needs
6. Encourage mobility
7. Minimize skin injury caused by friction or shearing
8. Encourage good nutrition and hydration
9. Use pressure-reducing devices How often should a resident change position? - Correct Answer-2 HOURS How are pressure areas treated? - Correct Answer-PUTTING BANDAGES How do injuries to the skin affect the elderly? - Correct Answer-They get skin breakdowns What are common skin and hair conditions that you might encounter when providing care for a resident? - Correct Answer-Alopecia, hirsutism, dandruff, pediculosis, scabies, etc. What is the definition of nutrition? - Correct Answer-the process of providing or obtaining the food necessary for health and growth. How does a poor diet affect the LTCF resident? - Correct Answer-A poor diet can compromise the health of an LTCF resident. Poor hydration and nutrition can mess up the digestive system, skin, happiness. Going off your diet can compromise your health by creating a choking hazard, or risk of edema/swelling. What factors may affect the nutrition of an older person? - Correct Answer-Culture, religion, finances, appetite What foods (nutrients) would help wounds to heal? - Correct Answer-Proteins and Vitamin C What is meant by MyPlate? - Correct Answer-The MyPlate symbol encourages healthy and eating from 5 food groups. Fruits, grains, vegetables, protein, and dairy. Review dysphasia and care of the resident with dysphasia. - Correct Answer-Dysphagia means difficulty swallowing. When feeding a person with dysphagia, feed the person according to the care plan, follow their diet, know the signs and symptoms. What is meant by swallowing precautions? - Correct Answer-Precautions take place to prevent choking or suffocation. Such as positioning the person upright and following the care plan, checking the person's mouth, or looking for signs of aspiration.

What is the difference between a clear liquid and full liquid diet? - Correct Answer-A full liquid diet is when you introduce dairy to a clear liquid diet. A clear liquid diet is foods that can be poured at room temperature and can be seen through. How many mL in 1 oz? - Correct Answer-30 ml in 1 oz What is diabetes? What are the symptoms? - Correct Answer-Type 1 diabetes is when there is no insulin production in the pancreas, and insulin injections are needed Type 2 is when there is poor insulin production, and oral meds are needed to control sugar levels Symptoms include: polydypsia, polyurea, frequent hunger and thirst, unexpected weight lost, frequent urination, hetoasidosis (fruity-smelling breath) Hypoglycemia vs Hyperglycemia: symptons - Correct Answer-Hypoglycemia: low blood sugar Symptoms: sudden onset, bizarre behaviors, pale, clammy skin, seizures Hyperglycemia: high blood sugar Symptoms: Gradual onset, hot dry skin, tired, acetone on breath, Kussmauls breathing What is a gastrostomy tube? How do you care of a resident with a gastrostomy tube? Know precautions with the care of a resident with a g-tube. - Correct Answer-A feeding tube is inserted into surgically created openings (stomy) in the stomach (gastro). Skincare prevents skin breakdown around the stoma. The skin is washed and dried and a skin barrier is applied around the stoma. Ostomy pouches are changed every 2- days and should be emptied when it is (1/3) or (1/2) FULl!!!