Pressure ulcer stages - Study guides, Class notes & Summaries

Final Exam: NR224/ NR 224 Fundamentals – Skills Final Exam Study Guide | Complete Guide with Verified Answers| (2023/2024) New Update |Chamberlain Q: factors that influence pulse ox Answer: -outside light -jaundice -dark skin pigmentation -patient motion -carbon monoxide poisoning -intravascular dyes Q: factors influencing blood pressure Answer: Age Stress Ethnicity Gender Daily variation Medications Activity and Weight Smoking Q: risk factors for ortho...

Hesi Fundamentals Practice Which drug does a nurse anticipate may be prescribed to produce diuresis and inhibit formation of aqueous humor for a client with glaucoma? Chlorothiazide (Diuril) Acetazolamide (Diamox) Bendroflumethiazide (Naturetin) Demecarium bromide (Humorsol) A client receiving steroid therapy states, "I have difficulty controlling my temper which is so unlike me, and I don't know why this is happening." What is the nurse's best response? Tell the client i...

Types of prevention - answer-primary- car restraints, bicycle helmets, immunizations secondary- prevent for those with RF-pap, mammo tertiary-mgmt of established disease- meds, lifestyle Primary - answer-Preventing the health problem, most cost effective form of healthcare **IMMUNIZATIONS, ensuring adequate illumination at home (preventing falls) Secondary - answer-Detecting disease in early asymptomatic stages, screenings -Early cause finding of asymptomatic disease via the use of a sc...

What are 3 pressure related factors that contribute to pressure ulcer development? - ANSWER1. Pressure Intensity 2. Pressure Duration 3. Tissue Tolerance How does pressure lead to tissue ischemia? - ANSWERIf pressure applied over a capillary exceeds normal capillary pressure and the vessel is occluded for a prolonged time What occurs is tissue ischemia is left untreated? - ANSWERtissue death Does blanching occur in dark skinned patients? - ANSWERNo, blanching does not occur but color,...

60-100 - Answer-Normal HR per minute. 96.8-99.5 - Answer-Normal temperature in Fahrenheit. 12-20 - Answer-Normal respirations per minute. 120/80 - Answer-Normal BP. Pain - Answer-5th vital sign. Apical pulse - Answer-Vital signs that should be checked prior to giving digoxin. Sacrament of the Sick - Answer-For Roman Catholic's, what is important during severe illness or possible pending death? NREM - Answer-Type of sleep accounting for 75-80% of sleep during the night. Grieving - Answe...

Pressure Ulcer? -:- localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear. Pressure -:- the force per unit surface area that is applied vertically or perpendicular to the surface of the skin. It deforms underlying tissue and compresses small blood vessels hindering blood flow and nutrient supply. Tissues become ischemic and are damaged or die. ischemic -:- Disruption of the blood supp...

NSG-300 Exam 2 Questions And Answers (Verified And Updated) What are 3 pressure related factors that contribute to pressure ulcer development? - answer1. Pressure Intensity 2. Pressure Duration 3. Tissue Tolerance How does pressure lead to tissue ischemia? - answerIf pressure applied over a capillary exceeds normal capillary pressure and the vessel is occluded for a prolonged time What occurs is tissue ischemia is left untreated? - answertissue death Does blanching occur in dark skinned...

Nursing Process - -Assess: Encounter problem -Diagnoses: Collect Data -Identify Outcome: Analyze Data -Plan: Determine plan of action -Implement: Execute action plan -Evaluate: effectiveness of problem resolution Problem Solving - Assessment and analysis of a problem Decision Making - Choosing between options Qualities of a decision maker - -Self confident -Proactive -Flexible -Focused Accountable for actions -Current knowledge -Works with resources Priority Setting - Firs...

What is gamma globulin and when is it used? Gamma globulin, which is an immune globulin, contains most of the antibodies circulating in the blood. When injected into an individual, it prevents a specific antigen from entering a host cell. So the antigen is neutralized by the antibodies gamma globulin supplies. Used when a pt is exposed to Hep A A nurse is obtaining a health history from the newly admitted client who has chronic pain in the knee. What should the nurse include in the pa...

EXAM 2 test questions struggled on: 1. The main reason for checking fever= need for blanket or comfort 2. Conduction=bear 3. how to test for deep vein thrombosis= press on skin looking for redness and tenderness 4. Vital signs and temperature 5. Braden scale- what scale for low and high risk -A score of 23= no risk for developing a pressure ulcer. Lowest score=6 the severest risk for developing a pressure ulcer. -Very High Risk: Total Score 9 or less -High Risk: Total Score 1...