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Exam (elaborations)

NUR352 Exam Questions And Answers 100% Pass

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  • NURS 352
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  • NURS 352

NUR352 Exam Questions And Answers 100% Pass Integument Physical Assessment Techniques - answer-Inspection -Palpaiton Integument health promotion - answer-Sunscreen -Monthly self-checks -diet (avoiding saturated fats and processed foods) Braden Scale - answerA tool for predicting pressure ulc...

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  • November 12, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 352
  • NURS 352
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Thebright
©THEBRIGHT EXAM SOLUTIONS

11/8/2024 12:08 PM


NUR352 Exam Questions And Answers
100% Pass


Integument Physical Assessment Techniques - answer✔-Inspection

-Palpaiton

Integument health promotion - answer✔-Sunscreen

-Monthly self-checks

-diet (avoiding saturated fats and processed foods)

Braden Scale - answer✔A tool for predicting pressure ulcer risk

-Out of 23, the lower the score the higher the risk

ABCDE - answer✔skin cancer screening

asymmetry, border, color, diameter, evolving

Expected skin color + temp findings - answer✔-color variation (scars, genetic, age, sun damage,
pregnancy)

-temperature (environmental or chronic perfusion issue)

Unexpected skin color +temp findings - answer✔-Color (pallor, cyanosis, jaundice, erythema,
ecchymosis, hematoma, petechiae)

-hypo or hyperthermia

Skin integrity expected - answer✔-scars

-good hygiene

-chart the beginning of any sores

Skin integrity unexpected - answer✔-Lesions; need investigation

-Primary lesions are the direct result of something (a burn)

-Secondary lesions occur when a primary is untreated

, ©THEBRIGHT EXAM SOLUTIONS

11/8/2024 12:08 PM

-Obtain subjective history of new changes

-ABCDE

-infestation

Pressure wound risk factors - answer✔- location

-mobility

-age

-weight

-nutrition

-chronic conditions (diabetes)

-moisture/friction

-Braden scale!

Braden scale categories - answer✔sensory perception, moisture, activity, mobility, nutrition, friction and
shear

Pressure wound staging - answer✔1. Nonblanchable; intact skin with redness

2. Partial loss on outermost layers; shiny

3.Full thickness loss through subQ

4.Full thickness loss with necrosis or damage to bone/muscle

-nurses cannot stage, and they cannot be staged if the bottom is not visible

Pressure wound care - answer✔-Advocate for pain control

-Administer pain meds before wound changes

Primary pressure wound interventions - answer✔-Turn every 2 hours

-Can be delegated after inspection

-Maintain diet and hygiene

Secondary pressure wound interventions - answer✔- wound care

-gel pads

-pillows

Pressure wound documentation - answer✔-time noticed

, ©THEBRIGHT EXAM SOLUTIONS

11/8/2024 12:08 PM

-care received

-depth/ size

Integument expected moisture/turgor/texture - answer✔-Age/genetics/weight change variations

-Trauma/procedures

-Age can contribute to dryness and decreased elasticity

Integument unexpected moisture/turgor/texture - answer✔-Profound dryness, flaking, roughness

-Velvety /thickening texture (thyroid)

-Diaphoresis

-Tenting

-Edema

hair expected findings - answer✔-evenly distributed

-adequate quantity

-good hygiene

hair unexpected findings - answer✔-hair loss; alopecia

-uneven distribution

nails expected findings - answer✔-symmetrical

-smooth

-color appropriate for ethnicity

- <3s cap refill

nail unexpected findings - answer✔-broken/missing

-clubbing (hypoxia)

->3s cap refill

-loosely attached

-color not appropriate

-brittle/thick

expected skin changes with age - answer✔-consider psychological impacted of visible changes

-sun exposure= skin cancer

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