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Term 2 Final UnitekCollege with complete verified solutions 2025
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Term 2 Final UnitekCollege with complete verified solutions 2025
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Term 2 Final UnitekCollege withcomplete verified solutions 2025
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
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