NUR2356; Multidimensional Care I Final Exam Review/MDC 1 Final Exam Review

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If a surgical wound was closed with sutures, what is the healing process called? (ANS - primary What is the medical term to describe thick, yellow drainage? (ANS - purulent Which of the follow... ing is correct management of cellulitis?  Use a tight bandage on the affected area  Do not apply heat to the affected area  Use a warm, moist towel on affected area  Use a cold, dry towel on affected area (ANS - Use a warm, moist towel on affected area Which of the following is the best intervention for a patient that experiences pain during a dressing change?  Teach patient nonpharmacological pain control methods  Administer pain medications as indicated per the MAR  Complete the dressing change quickly to decrease amount of time in pain  Educate patient on foods that promote healing (ANS - Administer pain medications as indicated per the MAR Wound healing is negatively impacted by poor nutrition (true/false) (ANS - true What type of injury is a patient at risk for if they are in a high fowler's position (skin layers shift in opposite directions)?  Shearing injury  Friction injury  Pressure injury  Traumatic injury (ANS - Shearing injury How can you help reduce the risk for friction and shear injuries for a patient that is bedridden?  Give a bed bath every other day  Elevate head of the bed to 45 degrees  Slide the patient up in bed by yourself  Use a mechanical lift to reposition the patient every 2 hours (ANS - Use a mechanical lift to reposition the patient every 2 hours A post-op abdominal incision patient just had a bowel movement and noted a sharp pain in his abdomen. The nurse noted his bowel protruding from the incision. What is this called?  Dehiscence  Evisceration  Laceration  Approximation (ANS - Evisceration What is the term to describe when the nurse presses down on an erythematous area of skin and the area becomes white?  Blanching  Warmth  Redness  Non-blanching (ANS - Blanching Which age related change do you expect in the elderly?  Loss of elasticity of the dermal layer  Increased activity of the sebaceous glands  Increased regeneration of healthy skin  Loss of vernix caseosa (ANS - Loss of elasticity of the dermal layer If a patient has HIV and then develops pneumonia, what type of infection is this?  Pathogenic infection  Opportunistic infection  Nosocomical infection  Fungal infection (ANS - Opportunistic infection What is the best intervention to use for a patient just diagnosed with HIV?  Discuss the patient's support system  Call the hospital chaplain  Discuss the legal requirement to talk to partners  Offer to discuss with family for the patient (ANS - Discuss the patient's support system What is a priority intervention for an immunocompromised patient?  Discuss whether this is short term or long term  Take vital signs every 4 hours  Teach patient/family that everyone should get the influenza vaccine yearly  Wash hands before entering patient's room (ANS - Wash hands before entering patient's room What type of immunity is when antibodies are passed from mother to fetus through the placenta? (ANS - natural passive immunity What type of precautions need to be taken for a patient admitted with TB? (ANS - airborne precautions What PPE is required to enter a room if the patient has MRSA? (ANS - gown and gloves (not sterile) What do you expect to see for lab values in a patient with HIV? Low or high CD4+ T cells? Low or high CD8+ T cells? (ANS - Lower than normal CD4+ T cells & Normal CD8+ T cells [Show More]

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