Nursing arts and science EXAM #1 with
complete solution
What percent of infectious disease are transmitted by touch? - ANSWER-80%
Contact precautions - ANSWER-MRSA, VRSA, VRE, HIV
Airborne precautions - ANSWER-TB, Varicella, Measles
Droplet precautions - ANSWER-Diptheria, mumps, rubella, pertussis, flu
what is the Braden scale? - ANSWER-Assess the patient for pressure injuries
What are some potential problems with someone who is immobile - ANSWER--
Pressure Injuries
- Falls
- Confusion
- Atelectasis or PNA
- DVT and pulmonary emboli
Pressure Ulcers - ANSWER-Localized areas of injury to the skin, and possibly and
underlying tissue, usually over a boney prominence
Intrinsic factors that cause pressure ulcers - ANSWER--skin/tissue integrity
- oxygen delivery capabilities
- impaired sensation
Extrinsic factors that cause pressure ulcers - ANSWER-- friction
- shearing
- moisture
- compression
Stage 1 pressure ulcer - ANSWER-Localized area of intact skin with nonblanchable
redness, usually over a bony prominence
, Stage 2 pressure ulcer - ANSWER-Involves partial - thickness loss of dermis
- Open but shallow and red pink wound bed
- no slough
- serum filled blister may be present
Stage 3 pressure ulcer - ANSWER-A deep crater characterized by full thickness skin
loss with damage or necrosis of subcutaneous tissue
- May extend down to, but not through underlying facia
- undermining
- bone / tendon is not visible or directly palpable
Stage 4 pressure ulcer - ANSWER-Involves full-thickness skin loss with extensive
destruction, tissue necrosis or damage to muscle, bone, or support structures
- exposed bone / tendon is visible or directly palpable
- slough or eschar may be present
- undermining and sinus tracts
CAM - ANSWER-The confusion assessment method
What are the different kinds of nursing knowledge? - ANSWER-- Theoretical knowledge
- Practical knowledge
- Self-knowledge
The nursing process - ANSWER-- assessment
- diagnoses
- plan
- implementation
- evaluation
Health problem - ANSWER-is any condition that requires intervention to promote
wellness or to prevent or treat disease or illness
Nursing diagnosis - ANSWER-is a statement of client health status that nurses can
identify, prevention, or treat independently
Human response - ANSWER-reactions to disease, injury, or other stressors, and it can
be either a problem or a strength.
Can you predict a patients nursing diagnosis just by knowing their medical diagnosis or
pathology? - ANSWER-No
complete solution
What percent of infectious disease are transmitted by touch? - ANSWER-80%
Contact precautions - ANSWER-MRSA, VRSA, VRE, HIV
Airborne precautions - ANSWER-TB, Varicella, Measles
Droplet precautions - ANSWER-Diptheria, mumps, rubella, pertussis, flu
what is the Braden scale? - ANSWER-Assess the patient for pressure injuries
What are some potential problems with someone who is immobile - ANSWER--
Pressure Injuries
- Falls
- Confusion
- Atelectasis or PNA
- DVT and pulmonary emboli
Pressure Ulcers - ANSWER-Localized areas of injury to the skin, and possibly and
underlying tissue, usually over a boney prominence
Intrinsic factors that cause pressure ulcers - ANSWER--skin/tissue integrity
- oxygen delivery capabilities
- impaired sensation
Extrinsic factors that cause pressure ulcers - ANSWER-- friction
- shearing
- moisture
- compression
Stage 1 pressure ulcer - ANSWER-Localized area of intact skin with nonblanchable
redness, usually over a bony prominence
, Stage 2 pressure ulcer - ANSWER-Involves partial - thickness loss of dermis
- Open but shallow and red pink wound bed
- no slough
- serum filled blister may be present
Stage 3 pressure ulcer - ANSWER-A deep crater characterized by full thickness skin
loss with damage or necrosis of subcutaneous tissue
- May extend down to, but not through underlying facia
- undermining
- bone / tendon is not visible or directly palpable
Stage 4 pressure ulcer - ANSWER-Involves full-thickness skin loss with extensive
destruction, tissue necrosis or damage to muscle, bone, or support structures
- exposed bone / tendon is visible or directly palpable
- slough or eschar may be present
- undermining and sinus tracts
CAM - ANSWER-The confusion assessment method
What are the different kinds of nursing knowledge? - ANSWER-- Theoretical knowledge
- Practical knowledge
- Self-knowledge
The nursing process - ANSWER-- assessment
- diagnoses
- plan
- implementation
- evaluation
Health problem - ANSWER-is any condition that requires intervention to promote
wellness or to prevent or treat disease or illness
Nursing diagnosis - ANSWER-is a statement of client health status that nurses can
identify, prevention, or treat independently
Human response - ANSWER-reactions to disease, injury, or other stressors, and it can
be either a problem or a strength.
Can you predict a patients nursing diagnosis just by knowing their medical diagnosis or
pathology? - ANSWER-No
