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NUR 242 Exam 1 Unit 1 Galen College Of Nursing - Question and answers 100% correct
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NUR 242 Exam 1 Unit 1 Galen College Of Nursing - Question and answers 100% correct NUR 242 Exam 1 Unit 1, 2 and 3 Patricia is an RN working at a rehabilitation center and witnesses a nurse aid struggling to lift and reposition an elderly, bed ridden patient. She explains to the nurse aide that...

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  • October 22, 2024
  • 7
  • 2024/2025
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  • Questions & answers

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  • nur 242 exam 1 unit 1
  • nur 242 exam 1 unit 1 galen college of nursing
  • nur 242 exam 1 unit 1 galen college of nursing

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NUR 242 Exam 1 Unit 1, 2 and 3
Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
struggling to lift and reposition an elderly, bed ridden patient. She explains to
the nurse aide that there is a No Lift Policy in place in the establishment. What
does this policy entail? - correct answer ✔The concept of a no-lift policy is a
pledge from administrators that proper equipment, adequately maintained and
in sufficient numbers, will be available to care providers to reduce the risks
associated with manual patient handling


Immobility effects multiple body systems. What are some interventions that
you can implement to decrease these effects? Select all that apply.


A. Utilizing waffle mattress to reduce the need for repositioning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limiting fluid intake
E. ROM exercises - correct answer ✔Answer: B and E


Rational:
-A is incorrect because regardless of implemented mattress, positioning
should be every 2 hours
-C is incorrect. You should not rub at reddened areas. This increases the risk
for skin break.
-D is incorrect. You should encourage proper hydration to promote well
hydrated and healthy skin.


True or False: Nurses should do skin assessments once a week. - correct
answer ✔False

, Rational: Nurses should do full skin assessments a minimum of once per shift.


A pt goes to the ER for swelling and pain in her right calf. The PT states that it
occurred after she accidentally cut herself. Based on her symptoms, what skin
condition might the nurse suspect the patient has? - correct answer
✔Cellulitis.


Cellulitis is inflammation of the skin and subq tissue.


Pt A is admitted from a nursing home with a stage 3 pressure ulcer. When
creating his plan of care, who else would be involved besides the primary care
physician? - correct answer ✔Wound care nurse, Dietician, Physical
therapist. OT can also be included, however they deal more with fine motor
skills.


An 85 year old woman is admitted to the hospital. When doing the initial
assessment, what are some factors that you know put her at risk for pressure
injuries? - correct answer ✔-if the pt is immobile
-if the pt is incontinent
-if the pt has comorbidities such as diabetes or PVD
-if the pt is malnourished or dehydrated
-if the pt suffers from decreased sensory perception


The nurse notices a localized red area that is nonblanchable on the the
patient's coccyx. What stage pressure injury is this recognized as? - correct
answer ✔Stage 1


Stage 1 pressure injury means the skin is intact with a localized area of
nonblanchable erythema (fancy word for redness).

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