NUR 336 Exam 5 Questions With Complete Solutions
1st degree burn Correct Answers superficial thickness wound
heals in 2-6 days
redness
will blanch
mild edema/pain
no medical intervention
2nd degree burn Correct Answers partial thickness wound
-superficial partial thickness wound: painful; sensitive to air;
weepy; heals in 10-21 days
-deep partial thickness wound: don't usually have blisters;
edematous; heals in 2-6 weeks; worry about scarring (scars over
joints can cause contractions)
3rd degree burn Correct Answers full thickness wounds
will not heal; must be grafted
appears white
painless
wounds are black
no sensation
possible amputation
a client is diagnosed with a disorder involving the inner ear.
which is the most common client compliant? Correct Answers
tinnitus
acute primary glaucoma Correct Answers -primary angle-
closure glaucoma (PACG): angle between the iris and cornea is
decreased
,-rapid increase in intra-ocular pressure (medical emergency)
-symptoms: blurred vision, halos around lights, ocular erythema,
eye and face pain, N/V, pupils nonreactive to light
acute/chronic pain interventions Correct Answers IV
narcotics/fentanyl
CAM therapies
environmental changes - pt comfort and sleep
anesthesia for surgical excision of daily skin debridement (very
painful; removal of the skin)
age-related macular degeneration (AMD) Correct Answers -
deterioration of the macula (gradual central vision loss)
-AMD is most common cause of central vision loss in clients
over 40 years of age
allergic conjunctivitis Correct Answers -symptoms: edema,
burning, "bloodshot" eye appearance, excessive tears, and
itching
-treatment: vasoconstrictor and corticosteroid eye drops
anticipate transfer to burn unit when Correct Answers burns
cover more than 15-20% of BSA
depth of burn
age of client
presence of other chronic illness
appearance of the external ear Correct Answers -look at size,
contour, location
-any malformations?
-inspect canal for foreign body, drainage, redness, lesions
,-if ear wax is hardened, dry, or has an odor this can indicate an
infection
-pinna: hard, irregular, painless nodules are called (toe-fi) and
these can present with chronic gout
-small, crusted, ulcerated lesions could be cancer
assessment with the otoscope Correct Answers -this visualizes
the tympanic membrane
-eardrum should be pearly grey, shiny, translucent, no bulging,
light reflex
-cone of light should be clearly defined
-white area could be a scar from previous perforation
-if they have a bulging landmark this could be increased
pressure from an ear infection (otitis media)
astigmatism Correct Answers asymmetrical corneal surface
fuzzy
harder to correct
audiometry Correct Answers most reliable test
they will hear different tones
bacterial conjunctivitis (pink eye) Correct Answers -symptoms:
blood vessel dilation, edema, tears, and discharge
-watery discharge followed by thicker mucus present
-culture eye drainage: ophthalmic antibiotics are prescribed
-nursing interventions:
---prevent spread: VERY contagious
---wash hands after touching eye and before using eye drops
---discard eye makeup and contact lenses worn during the
infection
, basal cell carcinoma Correct Answers usually does not
metastasize
common on face
not dark
most common
begins with wound closure & ends when pt returns to highest
functioning (months - years - lifetime) Correct Answers -
psychosocial adjustment: permanent limitations, grieving
process
-prevention of scars and contractures: ROM, poisoning,
ambulating, and pressure garments
-finish cosmetic grafting: image changes for life
benign tumors Correct Answers cysts
seborrheic keratoses
keloids
nevi (moles)
bi-temporal hemianopsia Correct Answers patient can not see
peripheral visions
outer fields of vision are gone
blepharitis Correct Answers -inflamed, itchy and red
-greasy scales on brows and lids
-usually where the eyelashes grow
-causes: clogged oil glands; dry eyes (decreased tears leads to
bacteria growth; common in older adults)
-treatment: warm moist compresses; do not rub eyes..this could
spread the infection; if bacterial cause give antibiotics
1st degree burn Correct Answers superficial thickness wound
heals in 2-6 days
redness
will blanch
mild edema/pain
no medical intervention
2nd degree burn Correct Answers partial thickness wound
-superficial partial thickness wound: painful; sensitive to air;
weepy; heals in 10-21 days
-deep partial thickness wound: don't usually have blisters;
edematous; heals in 2-6 weeks; worry about scarring (scars over
joints can cause contractions)
3rd degree burn Correct Answers full thickness wounds
will not heal; must be grafted
appears white
painless
wounds are black
no sensation
possible amputation
a client is diagnosed with a disorder involving the inner ear.
which is the most common client compliant? Correct Answers
tinnitus
acute primary glaucoma Correct Answers -primary angle-
closure glaucoma (PACG): angle between the iris and cornea is
decreased
,-rapid increase in intra-ocular pressure (medical emergency)
-symptoms: blurred vision, halos around lights, ocular erythema,
eye and face pain, N/V, pupils nonreactive to light
acute/chronic pain interventions Correct Answers IV
narcotics/fentanyl
CAM therapies
environmental changes - pt comfort and sleep
anesthesia for surgical excision of daily skin debridement (very
painful; removal of the skin)
age-related macular degeneration (AMD) Correct Answers -
deterioration of the macula (gradual central vision loss)
-AMD is most common cause of central vision loss in clients
over 40 years of age
allergic conjunctivitis Correct Answers -symptoms: edema,
burning, "bloodshot" eye appearance, excessive tears, and
itching
-treatment: vasoconstrictor and corticosteroid eye drops
anticipate transfer to burn unit when Correct Answers burns
cover more than 15-20% of BSA
depth of burn
age of client
presence of other chronic illness
appearance of the external ear Correct Answers -look at size,
contour, location
-any malformations?
-inspect canal for foreign body, drainage, redness, lesions
,-if ear wax is hardened, dry, or has an odor this can indicate an
infection
-pinna: hard, irregular, painless nodules are called (toe-fi) and
these can present with chronic gout
-small, crusted, ulcerated lesions could be cancer
assessment with the otoscope Correct Answers -this visualizes
the tympanic membrane
-eardrum should be pearly grey, shiny, translucent, no bulging,
light reflex
-cone of light should be clearly defined
-white area could be a scar from previous perforation
-if they have a bulging landmark this could be increased
pressure from an ear infection (otitis media)
astigmatism Correct Answers asymmetrical corneal surface
fuzzy
harder to correct
audiometry Correct Answers most reliable test
they will hear different tones
bacterial conjunctivitis (pink eye) Correct Answers -symptoms:
blood vessel dilation, edema, tears, and discharge
-watery discharge followed by thicker mucus present
-culture eye drainage: ophthalmic antibiotics are prescribed
-nursing interventions:
---prevent spread: VERY contagious
---wash hands after touching eye and before using eye drops
---discard eye makeup and contact lenses worn during the
infection
, basal cell carcinoma Correct Answers usually does not
metastasize
common on face
not dark
most common
begins with wound closure & ends when pt returns to highest
functioning (months - years - lifetime) Correct Answers -
psychosocial adjustment: permanent limitations, grieving
process
-prevention of scars and contractures: ROM, poisoning,
ambulating, and pressure garments
-finish cosmetic grafting: image changes for life
benign tumors Correct Answers cysts
seborrheic keratoses
keloids
nevi (moles)
bi-temporal hemianopsia Correct Answers patient can not see
peripheral visions
outer fields of vision are gone
blepharitis Correct Answers -inflamed, itchy and red
-greasy scales on brows and lids
-usually where the eyelashes grow
-causes: clogged oil glands; dry eyes (decreased tears leads to
bacteria growth; common in older adults)
-treatment: warm moist compresses; do not rub eyes..this could
spread the infection; if bacterial cause give antibiotics
