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NURS 122 Exam 3 Questions And 100% Correct Answers
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NURS 122 Exam 3 Questions And 100% Correct AnswersWhat is oliguria? -ANSWER Less than 30ml per hour urine output
What is the minimal acceptable amount of urinary output per hour -ANSWER 30ml per
hour
Why does a client have the risk to develop pneumonia if he/she is unable to get out of
bed? -ANSWER Mucus can collect in the lungs which promotes bacterial growth
Purulent fluid- ANSWER pus filled, thick yellow or green drainage- sign of infection
What is sanguineous drainage? - ANSWER bright red, bloody drainage
What is serous drainage? - ANSWER pale, yellow drainage
What is serosaguineous drainage? - ANSWER blood and clear drainage present, pink
color
What position should a patient be in to receive an enema? - ANSWER Left lateral side
lying postion
Abrasion- Skin has been scraped away
Example: road rash
Define dyspnea -Shortness of breath, difficulty breathing
, What are stage one pressure sore characteristics? -Erythema of intact skin, over bony
prominence, will not blanch
burning or tingling at the site
What are stage two pressure sore characteristics? -Partial thickness loss, and exposed
dermis. Erythema surrounding skin break. blisters
What are stage three pressure sore characteristics? - ANSWER Full-thickness loss,
including damage to epidermis, dermis, and subcutaneous tissue.
What are stage four pressure sore characteristics? - ANSWER Full skin thickness loss,
involves deep tissue necrosis of muscle, fascia, tendon, joint capsule, and possibly bone
What are unstageable pressure sore characteristics? - ANSWER Full-thickness tissue
loss, unable to stage due to slough or eschar(hard dry dead tissue-leathery) obscure the
wound bed
What impairs wound healing? - ANSWER Tobacco, poor nutrition, age, chronic disease,
reduced oxygen, other wounds, medications, stress, radiation, diabetes
What is crepitus? - ANSWER Air in the subcutaneous tissue in the thoracic wall, face or
neck
What are interventions for incontinence? - ANSWER Limit fluids in the evening before
bedtime,
What is referred to as the continent ostomy? - ANSWER Kock pouch
What are characteristics of deep tissue pressure injuries? - ANSWER may be intact or
non intact, deep red, maroon or purple does not blanch
May form a blood blister or think blister that overlies a dark wound bed
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