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NUR 242 Exam 1 New Questions With Verified Answers Rated (A+)
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NUR 242 Exam 1 New 2023-2024 Questions WithVerified Answers Rated (A+)
Quiz :Patricia is an RN working at a rehabilitation center and witnesses a nurse
aid struggling to lift and reposition an elderly, bed ridden patient. She explains
to the nurse aide that there is a No Lift Policy in place in the establishment.
What does this policy entail? - Answer :The concept of a no-lift policy is a
pledge from administrators that proper equipment, adequately maintained
and in sufficient numbers, will be available to care providers to reduce the risks
associated with manual patient handling
Quiz :Immobility effects multiple body systems. What are some interventions
that you can implement to decrease these effects? Select all that apply.
A. Utilizing waffle mattress to reduce the need for repositioning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limiting fluid intake
E. ROM exercises - Answer :Answer: B and E
Rational:
-A is incorrect because regardless of implemented mattress, positioning should
be every 2 hours
-C is incorrect. You should not rub at reddened areas. This increases the risk for
skin break.
-D is incorrect. You should encourage proper hydration to promote well
hydrated and healthy skin.
Quiz :True or False: Nurses should do skin assessments once a week. - Answer
:False
Rational: Nurses should do full skin assessments a minimum of once per shift.
Quiz :A pt goes to the ER for swelling and pain in her right calf. The PT states
that it occurred after she accidentally cut herself. Based on her symptoms,
what skin condition might the nurse suspect the patient has? -
Answer :Cellulitis.
Cellulitis is inflammation of the skin and subq tissue.
, Quiz :Pt A is admitted from a nursing home with a stage 3 pressure ulcer.
When creating his plan of care, who else would be involved besides the
primary care physician? - Answer :Wound care nurse, Dietician, Physical
therapist. OT can also be included, however they deal more with fine motor
skills.
Quiz :An 85 year old woman is admitted to the hospital. When doing the initial
assessment, what are some factors that you know put her at risk for pressure
injuries? - Answer :-if the pt is immobile
-if the pt is incontinent
-if the pt has comorbidities such as diabetes or PVD
-if the pt is malnourished or dehydrated
-if the pt suffers from decreased sensory perception
Quiz :The nurse notices a localized red area that is nonblanchable on the the
patient's coccyx. What stage pressure injury is this recognized as? -
Answer :Stage 1
Stage 1 pressure injury means the skin is intact with a localized area of
nonblanchable erythema (fancy word for redness).
Quiz :A pt asks you why what he eats has anything to do with wound healing.
What is your response? - Answer :Successful healing of pressure injuries
depends on adequate intake of calories protein, vitamins, minerals and water.
Quiz :After receiving shift report, the night nurse looks at the lab values for a
patient with cellulitis. What abnormal lab values might you see? - Answer :-
WBC - elevated
-Creatinine- elevated
-Bicarbonate- low
-Albumin- low
-Calcium- low
Quiz :What pain rating scale might you use for a child or a nonverbal patient? -
Answer :Wong Baker-Faces Scale
Quiz :When assessing a pt's pain. He tells you that the pain comes and goes.
What part of the pain assessment is he describing?
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