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NURS 171 UNIT 4 EXAMS QUESTIONS AND ANSWERS FULLY SOLVED
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NURS 171 UNIT 4 EXAMS
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NURS 171 UNIT 4 EXAMSWhat is the family theory that focuses on outcomes rather than processes? - answer
STRUCTURAL -FUNCTIONAL THEORY
What are primary causes of maceration? - answer Fever and incontinence
The nurse assesses a stage 3 pressure ulcer on the coccyx of a client. The nurse notes
the wound bed is pink with pink to red drainage without odor. Which type of drainage
would the nurse document in the medical record? - answer Serosanguineous
Clear or straw colored fluid - answer Serous drainage
thick pus-filled drainage that has a bad odor - answer Purulent drainage
bloody-red drainage that results from capillary damage. There would be no pink tinge to
the color. - answer Sanguineous drainage
is a mixture of serous and sanguineous drainage that is light red or pink-tinged. -
answerSerosanguineous drainage
Which postoperative client is at highest risk for the development of postoperative
hemorrhage? - answerA client with cirrhosis
What are the roles of the circulating nurse? - answerResponds to emergencies
Attends to client during anesthesia induction
Communicates with family and staff outside the operating room
Which phases of surgical care are part of perioperative nursing care? -
answerPreoperative
Intraoperative
Postoperative
Which are ways pain is classified and described? - answerOrigin, intensity and quality
What should the nurse monitor in a client who is taking blood pressure medication? -
answerIschemia - Antihypertensives decrease the amount of pressure required to
occlude blood flow to an area, creating a risk for ischemia.
Who has the responsibility of obtaining informed consent prior to a procedure? -
answerThe Surgeon
, The nurse can assist in informing but not responsible for obtaining consent
Guided imagery - answeruses descriptive words, music, and thoughts to produce
images in the client's mind of places and positive thoughts.
Which factors should the perioperative nurse assess when caring for an older client
undergoing surgery? - answerRisk for infection
Impaired renal function
Impaired wound healing
Postoperative vital signs
Presence of drains and tubes
Location and type of intravenous lines - answerThe nurse working on a surgical
stepdown unit receives a report from the perioperative nurse about a new client who will
be admitted after undergoing a colectomy with a formation of an ileostomy. What
information should the nurse obtain from the perioperative nurse?
Which health-care worker would help the circulating nurse do a supply count throughout
the surgical procedure? - answerSCRUB NURSE
The registered nurse first assistant helps the surgeon during the surgery. Supply counts
are not performed by the first assistant. - answer
A client comes to the outpatient center for preoperative testing one week prior to the
elective procedure. When is the best time to perform perioperative teaching? -
answerDuring the preoperative appointment
What should be included in a perioperative client teaching plan? - answerWhat will
happen before, during, and after surgery
What can be done to prevent surgical site infection
Common concerns related to the procedure
Which phase of wound healing describes collagen fibers breaking down and
remodeling? - answerEpithelialization
The bacteria have overwhelmed body defenses. - answerThe nurse examines a wound
on a client's hip and notes purulent drainage. The wound culture report states it has
developed critical colonization. How should the nurse interpret these findings?
he nurse on the medical-surgical unit has noticed a client has edema. Why should the
nurse address this issue in the care plan? - answerPoor oxygen diffusion to the cells
can cause skin breakdown. Reduced elasticity due to edema interferes with oxygen
diffusion to the cells, which can result in skin breakdown and integrity issues.
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