Final Exam: NR224/ NR 224 Fundamentals – Skills Final Exam Comprehensive Review| Guide with Verified Answers| 2023/2024 New Update| 100% Correct |Chamberlain

Final Exam: NR224/ NR 224 Fundamentals – Skills Final Exam Comprehensive Review| Guide with Verified Answers| 2023/2024 New Update| 100% Correct |Chamberlain QUESTION A nurse educator is reviewing the wound healing process with a group of nurses. Which of the following should be included in the information regarding what wounds heal by secondary intention? (Select all that apply) A. Stage III pressure injury B. Sutured surgical incision C. Casted bone fracture D. Laceration sealed with adhesive E. Open burn area Answer: A. Stage III pressure injury E. Open burn area QUESTION A nurse is caring for patients with a variety of wounds. Which wound will most likely heal by primary intention? Cut in the skin from a kitchen knife Excoriated perianal area Abrasion of the skin Pressure ulcer Answer: QUESTION Cut in the skin from a kitchen knife QUESTION A postoperative patient arrives at an ambulatory care center and states, "I am not feeling good . " Upon assessment, you note an elevated temperature. What other indication would indicate the wound is infected? A. it has no odor. B. a culture is negative. C. the edges reveal the presence of fluid. D. it shows purulent drainage coming from the incision site. Answer: D. it shows purulent drainage coming from the incision site. QUESTION Systems involved in mobility Answer: Musculoskeletal & Neurological QUESTION Respiratory immobility interventions Answer: -Deep breathing and coughing -Incentive spirometer -Positioning changes -Oxygen therapy -Chest physiotherapy (Chest PT) -Suctioning -Hydration (oral or IV fluids) QUESTION Cardiovascular immobility interventions Answer: -Anti-embolitic Stockings (TED hose) -Change position q2hr -Anticoagulants (heparin, Lovenox, etc. ) -Dangle patient when sitting or prior to standing QUESTION Musculoskeletal immobility interventions Answer: -Active and passive ROM -Isometric exercises -Physical therapy -Braces & supports to prevent foot drop and contractures -Use of assistive devices -Positioning QUESTION Integumentary immobility interventions Answer: -Frequent skin assessments -Turn client q2hr -Use therapeutic bed or mattress -Use of corrective devices -Use of supportive devices -Monitor diet and fluid intake -Skin care; keep client clean and dry QUESTION URINARY/KIDNEY/RENAL immobility interventions Answer: -Positioning of client -I/O -Hydration status -Potential for alternative nutrition QUESTION The effects of immobility on the cardiac system include which of the following? (Select all that apply) A. Thrombus formation B. Increased cardiac workload C. Weak peripheral pulses