Unitek College Term 2 Final Questions And Answers With Complete Quiz What does stage 1 pressure ulcer look like? what to do to help in that area? stage 1 localized area of skin , typically bony prominence, that is intact with non -blanchable redness. Turn the patient every 2 hours/ avoid full lateral position because it puts direct pressure on the trochanteric region stage II presents clinically as an abrasion , blister or SHALLOW crater What intervention is most appropriate to prevent respiratory complications resulting from immobility? What should you do to the patient? What is the immobilized patient at risk for? Pneumonia -ask the patient to cough, deep breathe, reposition at least every 2 hours What causes constipation in patients who have pressure injuries? -I never constipated i take gentle laxatives every night -Immobility, dehydration, poor diet a nurse is instructing a patient on performing isometric exercise. what instruction should the nurse include? contract the muscle for several seconds, then relax the muscle for a few second and contract it again Patient has erythema around the sacrum area due to immobility. What is the nurses first priority? Reposition the patient When differentiating between delirium and dementia in a pt, what would a pt with dementia exhibit? Forgets things relatively quickly and is unable to learn new things Mother of a child asks if their child can get chickenpox more than once. What kind of immunity would be most accurate? Active acquired immunity What should you administer after a pt experience anaphylaxis? oxygen Best way to prevent communicable diseases? Hand Washing What do we call different animals that carry germs? Vector What is the nursing priority for a patient who is immunocompromised? Protect them from infection or illness What illnesses would require you to take airborne precautions? TB, measles, Varicella, Contact precaution illnesses? Would infection Respiratory Infection Kidney infection Impetigo Viral Conjunctiva Cdiff What does the impetigo look like? a honey colored crust over a thin -walled vesicle You are giving blood to a patient and they start to have terrible chills. What should be the first course of action? Stop IV and notify provider immediately What is the best for a nurse to offer when encouraging a patient after a tonsillectomy to increase fluid intake? Flavored popsicles to suck What position do we need to have the patient in to perform thoracentesis? Sitting on the side of the bed bent over the bedside table What to do when your patient O2 sat is 85%. What action are you going to take? Semi Fowlers position What kind of medication is Propranolol? What is common side effect of the medication? Beta Blocker Orthostatic Hypotension Hypotension, Bradycardia, Dizzy, lightheaded, tired
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