Nursing arts and science EXAM -1 with complete solution
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Course
Nursing course
Institution
Nursing Course
What percent of infectious disease are transmitted by touch?
80%
Contact precautions
MRSA, VRSA, VRE, HIV
Airborne precautions
TB, Varicella, Measles
Droplet precautions
Diptheria, mumps, rubella, pertussis, flu
what is the Braden scale?
Assess the patient for press...
what is the Braden scale? - ANSWER-Assess the patient for pressure injuries
What are some potential problems with someone who is immobile - ANSWER--
Pressure Injuries
- Falls
- Confusion
- Atelectasis or PNA
- DVT and pulmonary emboli
Pressure Ulcers - ANSWER-Localized areas of injury to the skin, and possibly and
underlying tissue, usually over a boney prominence
Intrinsic factors that cause pressure ulcers - ANSWER--skin/tissue integrity
- oxygen delivery capabilities
- impaired sensation
Extrinsic factors that cause pressure ulcers - ANSWER-- friction
- shearing
- moisture
- compression
Stage 1 pressure ulcer - ANSWER-Localized area of intact skin with nonblanchable
redness, usually over a bony prominence
, Stage 2 pressure ulcer - ANSWER-Involves partial - thickness loss of dermis
- Open but shallow and red pink wound bed
- no slough
- serum filled blister may be present
Stage 3 pressure ulcer - ANSWER-A deep crater characterized by full thickness skin
loss with damage or necrosis of subcutaneous tissue
- May extend down to, but not through underlying facia
- undermining
- bone / tendon is not visible or directly palpable
Stage 4 pressure ulcer - ANSWER-Involves full-thickness skin loss with extensive
destruction, tissue necrosis or damage to muscle, bone, or support structures
- exposed bone / tendon is visible or directly palpable
- slough or eschar may be present
- undermining and sinus tracts
CAM - ANSWER-The confusion assessment method
What are the different kinds of nursing knowledge? - ANSWER-- Theoretical knowledge
- Practical knowledge
- Self-knowledge
The nursing process - ANSWER-- assessment
- diagnoses
- plan
- implementation
- evaluation
Health problem - ANSWER-is any condition that requires intervention to promote
wellness or to prevent or treat disease or illness
Nursing diagnosis - ANSWER-is a statement of client health status that nurses can
identify, prevention, or treat independently
Human response - ANSWER-reactions to disease, injury, or other stressors, and it can
be either a problem or a strength.
Can you predict a patients nursing diagnosis just by knowing their medical diagnosis or
pathology? - ANSWER-No
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