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NUR 242 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS
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NUR 242 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS
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NUR 242 EXAM 1 QUESTIONS WITHCOMPLETE SOLUTIONS
PatriciadisdandRNdworkingdatdadrehabilitationdcenterdanddwitnessesdadnursedaiddstrugglingdt
odliftdanddrepositiondandelderly,dbeddriddendpatient.dShedexplainsdtodthednursedaidedthatdther
edisdadNodLiftdPolicydindplacedindthedestablishment.dWhatddoesdthisdpolicydentail?d-
dans✔✔Thedconceptdofdadno-
liftdpolicydisdadpledgedfromdadministratorsdthatdproperdequipment,dadequatelydmaintainedda
nddindsufficientdnumbers,dwilldbedavailabledtodcaredprovidersdtodreducedthedrisksdassociatedd
withdmanualdpatientdhandling
Immobilitydeffectsdmultipledbodydsystems.dWhatdaredsomedinterventionsdthatdyoudcandimple
mentdtoddecreasedthesedeffects?dSelectdalldthatdapply.
A.dUtilizingdwaffledmattressdtodreducedthedneeddfordrepositioning
B.dTeds/SCDs
C.dRubbingdreddeneddareas
D.dLimitingdfluiddintake
E.dROMdexercisesd-dans✔✔Answer:dBdanddE
Rational:d
-
Adisdincorrectdbecausedregardlessdofdimplementeddmattress,dpositioningdshoulddbedeveryd2
dhours
-
Cdisdincorrect.dYoudshoulddnotdrubdatdreddeneddareas.dThisdincreasesdthedriskdfordskindbrea
k.
-
Ddisdincorrect.dYoudshoulddencouragedproperdhydrationdtodpromotedwelldhydrateddanddheal
thydskin.
TruedordFalse:dNursesdshouldddodskindassessmentsdoncedadweek.d-dans✔✔False
Rational:dNursesdshouldddodfulldskindassessmentsdadminimumdofdoncedperdshift.
AdptdgoesdtodthedERdfordswellingdanddpaindindherdrightdcalf.dThedPTdstatesdthatditdoccurreddaf
terdshedaccidentallydcutdherself.dBaseddondherdsymptoms,dwhatdskindconditiondmightdthednu
rsedsuspectdthedpatientdhas?d-dans✔✔Cellulitis.
, Cellulitisdisdinflammationdofdthedskindanddsubqdtissue.
PtdAdisdadmitteddfromdadnursingdhomedwithdadstaged3dpressuredulcer.dWhendcreatingdhisdpla
ndofdcare,dwhodelsedwoulddbedinvolveddbesidesdthedprimarydcaredphysician?d-
dans✔✔Wounddcarednurse,dDietician,dPhysicaldtherapist.dOTdcandalsodbedincluded,dhowev
erdtheyddealdmoredwithdfinedmotordskills.
And85dyeardolddwomandisdadmitteddtodthedhospital.dWhenddoingdthedinitialdassessment,dwh
atdaredsomedfactorsdthatdyoudknowdputdherdatdriskdfordpressuredinjuries?d-dans✔✔-
ifdthedptdisdimmobile
-ifdthedptdisdincontinent
-ifdthedptdhasdcomorbiditiesdsuchdasddiabetesdordPVD
-ifdthedptdisdmalnourisheddorddehydrated
-ifdthedptdsuffersdfromddecreaseddsensorydperception
Thednursednoticesdadlocalizeddreddareadthatdisdnonblanchabledondthedthedpatient'sdcoccyx.d
Whatdstagedpressuredinjurydisdthisdrecognizeddas?d-dans✔✔Staged1
Staged1dpressuredinjurydmeansdthedskindisdintactdwithdadlocalizeddareadofdnonblanchableder
ythemad(fancydworddfordredness).
Adptdasksdyoudwhydwhatdhedeatsdhasdanythingdtoddodwithdwounddhealing.dWhatdisdyourdresp
onse?d-
dans✔✔Successfuldhealingdofdpressuredinjuriesddependsdondadequatedintakedofdcaloriesdp
rotein,dvitamins,dmineralsdanddwater.
Afterdreceivingdshiftdreport,dthednightdnursedlooksdatdthedlabdvaluesdfordadpatientdwithdcelluliti
s.dWhatdabnormaldlabdvaluesdmightdyoudsee?d-dans✔✔-WBCd-delevated
-Creatinine-delevated
-Bicarbonate-dlow
-Albumin-dlow
-Calcium-dlow
Whatdpaindratingdscaledmightdyoudusedfordadchilddordadnonverbaldpatient?d-
dans✔✔WongdBaker-FacesdScale
Whendassessingdadpt'sdpain.dHedtellsdyoudthatdthedpaindcomesdanddgoes.dWhatdpartdofdthed
paindassessmentdisdheddescribing?
A.dQuality
B.dIntensity
C.dOnsetdanddDuration
D.dLocationd-dans✔✔C.dOnsetdanddDuration
Whendexplainingdtodadptdwhatdandintraspinaldanalgesicdthedptdstatesd"Sodthedmedicationdwill
dbedgivendtodmedthroughdthedIVdindmydarm."dHowdwoulddyoudcorrectdhim?d-
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