NURS 122 Exam 3 Exam Questions and Answers
What is oliguria? - AnswersUrine output less than 30ml per hour
What is the minimal acceptable amount of urinary output per hour - Answers30ml per hour
Why is a client who is unable to get out of bed at risk for pneumonia? - AnswersMucus can p...
Define dyspnea - Answers✓✓shortness of breath, difficulty breathing
What are stage one pressure sore characteristics? - Answers✓✓Erythema of intact skin, over
bony prominence, will not blanch
burning or tingling at the site
What are stage two pressure sore characteristics? - Answers✓✓Partial thickness loss, and
exposed dermis. Erythema surrounding skin break. blisters
What are stage three pressure sore characteristics? - Answers✓✓Full-thickness loss, including
damage to epidermis, dermis, and subcutaneous tissue.
What are stage four pressure sore characteristics? - Answers✓✓Full skin thickness loss,
involves deep tissue necrosis of muscle, fascia, tendon, joint capsule, and possibly bone
What are unstageable pressure sore characteristics? - Answers✓✓Full-thickness tissue loss,
unable to stage due to slough or eschar(hard dry dead tissue-leathery) obscure the wound bed
What delays wound healing? - Answers✓✓Smoking, inadequate nutrition, age, chronic illness,
decreased oxygen, other wounds, medications, tension, radiation, diabetes
What is crepitus? - Answers✓✓Air in the subcutaneous tissue in the chest wall, face or neck
What are interventions for incontinence? - Answers✓✓Drink less in the evening prior to going
to bed,
What is known as the continent ostomy? - Answers✓✓Kock pouch
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