NSG 122 Exam 2 - Questions and Answers

Document Content and Description Below

NSG 122 Exam 2 - Questions and Answers Cleaning wounds with approximated edges - use standard precautions (sterile when applicable) - moisten a sterile gauze pad or swab with the prescribed cleansing agent - use a new swab or gauze for each downward stroke - clean from top to bottom - work outward from the incision in lines parallel to the wound - wipe from the clean area toward the less clean area - dry the area with clean gauze Cleaning wounds with unapproximated edges - use standard precautions (sterile when applicable) - moisten a sterile gauze pad or swab with the prescribed cleansing agent - use a new swab or gauze for each CIRCLE - clean the wound in full or half circles, beginning in the center and working toward the outside - if a dressing is not being applied, clean to at least 2 inches beyond the wound margins - dry the area with clean gauze Wound assessment includes - location - size - color - pain - inspection for sight and smell - palpation for appearance, drainage, and pain - presence of sutures, drains/tubes, complications Signs of wound infection - swelling - heat - redness - purulent drainage - foul odor - dehiscence Types of dressings - gauze - transparent film (clear) - hydrocolloid (brownish) - hydrogel (white) - telfa (non-stick) - wound vac Penrose drain - a flat, thin, rubber tube inserted into a wound to allow for fluid to flow from the wound - it has an open end that drains onto a dressing - sterile safety pin used to stop drain from slipping back into the wound - physician order indicates how much of tube to be cut off during drain care Closed drainage systems Jackson-Pratt and Hemovac Suture removal steps - hand hygiene - explain procedure to patient - clean incision from center outward - grasp knot - cut one side of suture below the knot close to skin - remove every other suture to ensure incision is healed - remove remaining sutures if incision is healed - reapply dressing depending on physician order - apply steri-strips if ordered When are silk sutures removed? 6-8 days What is most important for hot/cold treatments? Assessment (assess area of skin and temperature of item being applied) Lung compliance - the ease with which lungs can be expanded (stretchiness of lungs) - compliance decreases with age and emphysema Inspiration breathing in - active phase of ventilation Expiration breathing out - passive phase of ventilation Respiratory perfusion process by which oxygenated blood passes through body tissues Respiratory diffusion movement of oxygen and carbon dioxide between alveoli and red blood cells Hypoxia inadequate amount of oxygen available to the cells Hypoxemia inadequate oxygen in the blood Signs of hypoxia Remember: Early RAT is late to BED Early signs: - restlessness - anxiety - tachycardia and tachypnea Late signs: - bradycardia - extreme restlessness - dyspnea

[Show More]

Last updated: 2 years ago

Preview 1 out of 12 pages

Buy Now

Instant download