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NURS 3632 University Of Texas - Arlington -Nurs 3632 Foundations - Exam 1 - ATI chapters assigned for Modules 1-4 Questions With Complete Solutions€17,13
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Nurs 3632 Foundations - Exam 1 - ATI chapters assigned for
Modules 1-4 Questions With Complete Solutions
_____ _____ are designed to maintain mobility and prevent or
minimize complications of immobility. Correct Answers
Nursing interventions
_____ is freedom and independence in purposeful movement
and refers to adapting to and having self-awareness of the
environment. Correct Answers Mobility
_____ is the inability to move freely and independently at will.
Correct Answers Immobility
›› Clarity/brevity Correct Answers - The shortest, simplest
communication
is usually most effective.
›› Denotative/connotative meaning Correct Answers - When
communicating, participants must share meanings.
›› Intonation Correct Answers - The tone of voice can
communicate a
variety of feelings.
›› Pacing Correct Answers - The rate of speech can
communicate an
unintended meaning to the receiver.
,›› Timing/relevance Correct Answers - Knowing when to
communicate allows the receiver to be more attentive to the
message.
›› Vocabulary Correct Answers - These are the words used to
communicate either a written or spoken message.
1. An adolescent client who has diabetes mellitus is recovering
from an appendectomy. This is the
third postoperative day. The client has been prescribed a regular
diet and is tolerating it well. He
has ambulated successfully around the unit with the help of his
parents and is requesting pain
medication every 6 to 8 hr while reporting pain at a 2 on a scale
of 0 to 10 after medication is given.
His incision is approximated and free of redness with scant
serous drainage noted on the dressing.
What type of healing process should the nurse expect this wound
to be undergoing? Explain. Correct Answers This wound is
healing by primary intentions because it is a surgical incision.
2. Which of the following diagnostic tests is relevant for
assessing the risk of developing a pressure ulcer
for an older adult client who has no major health issues?
A. Serum albumin
B. WBCs
C. RBCs
D. Serum potassium Correct Answers Serum albumin would
provide information regarding the adequacy of protein intake.
Inadequate protein poses a great risk for altered skin integrity
and ineffective healing. The
,other options are not indicative of this finding.
3. Which of the following findings may negatively impact
wound healing? (Select all that apply.)
1. Type 2 diabetes mellitus
2. Strict vegetarian
3. Cigarette smoker
4. Long-term use of glucocorticosteroids
5. Family history of pressure ulcers Correct Answers 1,2,3,4.
Diabetes mellitus negatively impacts the immune response. A
strict vegetarian may not have
adequate protein intake, which would negatively impact wound
healing, as would smoking
(because it impairs oxygenation) and the use of
glucocorticosteroids (because they depress
the immune response). A family history is not indicative of
developing pressure ulcers.
4. Which of the following term describes wound drainage that is
thick and yellow?
A. Serous
B. Sanguineous
C. Serosanguineous
D. Purulent Correct Answers D. Purulent
Wound exudate depends on the presence or absence of infection
- Uninfected wounds have
, serous (clear, thin, maybe slightly yellow) or serosanguineous
exudate (thin, blood tinged),
and infected wounds have purulent exudate. Purulent drainage is
thick and contains white
blood cells, tissue debris, and bacteria. The color varies among
infective organisms (yellow
with Staphylococcus and green with Pseudomonas).
6. What risk factors for poor healing does this client exhibit?
Correct Answers The client is obese, has diabetes mellitus,
smokes, and adequate nutritional intake is
impaired.
7. Later that day, the client becomes confused and pulls off her
surgical dressing. The nurse enters
the room and finds the client with an extensive dehiscence.
Which of the following nursing
interventions are appropriate? (Select all that apply.)
1. Repack the wound.
2. Call for help.
3. Assist the client to a chair.
4. Cover the wound with a sterile dressing moistened with
normal sterile
saline.
5. Stay with the client. Correct Answers 2, 4, 5.
It is appropriate for the nurse to call for help, stay with the
client, and cover the wound with
a sterile dressing that is moistened with normal sterile saline.
The nurse should not attempt
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