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Term 2 Final UN ITEK College Exam Questions and Answers
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What does stage 1 pressure ulcer look like? what to do to help in that area? - Answer-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 trochante...

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  • October 13, 2024
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  • 2024/2025
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Term 2 Final UN ITEK College Exam
Questions and Answers
What does stage 1 pressure ulcer look like? what to do to help in that area? - Answer-
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 - Answer-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? - Answer-Pneumonia-ask the patient to cough, deep breathe, reposition at least
every 2 hours

What causes constipation in patients who have pressure injuries? - Answer--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? - Answer-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? - Answer-Reposition the patient

When differentiating between delirium and dementia in a pt, what would a pt with
dementia exhibit? - Answer-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? - Answer-Active acquired immunity

What should you administer after a pt experience anaphylaxis? - Answer-oxygen

Best way to prevent communicable diseases? - Answer-Hand Washing

What do we call different animals that carry germs? - Answer-Vector

What is the nursing priority for a patient who is immunocompromised? - Answer-Protect
them from infection or illness

What illnesses would require you to take airborne precautions? - Answer-TB, measles,
Varicella,

, Contact precaution illnesses? - Answer-Would infection
Respiratory Infection
Kidney infection
Impetigo
Viral Conjunctiva
Cdiff

What does the impetigo look like? - Answer-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? - Answer-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? - Answer-Flavored popsicles to suck

What position do we need to have the patient in to perform thoracentesis? - Answer-
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? -
Answer-Semi Fowlers position

What kind of medication is Propranolol?
What is common side effect of the medication? - Answer-Beta Blocker
Orthostatic Hypotension
Hypotension, Bradycardia, Dizzy, lightheaded, tired

how to educate a patient who is on propranolol for HTN? - Answer-Ask the patient to sit
down on the side of the bed before getting up. If the patient feels dizzy have them lay
down because of HTN

what an adverse effect from the prescription of Captopril is? - Answer-Neutropenia,
Hyperkalemia, Nephrotoxicity(hypotension)

what is tinnitus? - Answer-Ringing in the ears caused by Aspirin toxicity

The primary reason for instructing patient to avoid over used decongestants? - Answer-
Hypertension

A patient at sports camp is complaining of itchy and watery eyes, coughing, and
sneezing when outdoors. The patients chart states that he has an allergy to grasses.
Which medication will the nurse administer? - Answer-Antihistamine

Which is a common expectorant in over the counter medications? - Answer-Guaifenesin

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