NUR 143 Test 1 Questions With Complete Solutions
Cardiac exam
Supine or sitting
Rectal exam
Sims or flexed at hips leaning over
Prostate exam
Flexed at hips leaning over table
An infant being circumcised
CRIES SCALE
A preschooler scheduled for a tonsillectomy
FACES PAIN SCALE
A 20 year old scheduled for a wisdom tooth extraction.
Numeric 0-10
A confused elderly patient with a broken hip.
PAINADE
sanguineous drainage
consists of large numbers of red blood cells and looks like blood
Eschar
A thick leathery scab or dry crust that is necrotic and must be
removed for adequate healing to occur
, Open wounds
occurs from intentional or unintentional trauma. The skin
surface is broken, providing portal of entry for microorganisms.
Bleeding, tissue damage, and increased risk for infection and
delayed healing may accompany open wounds. EX: incisions
serosanguineous drainage
mixture of serum and red blood cells. light pink to blood tinged.
Exudate
fluid that accumulates in a wound; may contain serum, cellular
debris, bacteria, and white blood cells
Edema
Accumulation of fluid in extracellular spaces
Maceration
softening through liquid; over hydration
closed wounds
results from a blow, force, or strain caused by trauma such as a
fall, an assault, or MVA. The skin is not broken but soft tissue is
damaged, and internal injury and hemorrhage may occur EX:
ecchymos
unintentional wounds
Are accidental from unexpected trauma, such as from accidents,
injury & burns. Wound edges are usually jagged, multiple
traumas are common, and bleeding is uncontrolled.
Debridement
Cardiac exam
Supine or sitting
Rectal exam
Sims or flexed at hips leaning over
Prostate exam
Flexed at hips leaning over table
An infant being circumcised
CRIES SCALE
A preschooler scheduled for a tonsillectomy
FACES PAIN SCALE
A 20 year old scheduled for a wisdom tooth extraction.
Numeric 0-10
A confused elderly patient with a broken hip.
PAINADE
sanguineous drainage
consists of large numbers of red blood cells and looks like blood
Eschar
A thick leathery scab or dry crust that is necrotic and must be
removed for adequate healing to occur
, Open wounds
occurs from intentional or unintentional trauma. The skin
surface is broken, providing portal of entry for microorganisms.
Bleeding, tissue damage, and increased risk for infection and
delayed healing may accompany open wounds. EX: incisions
serosanguineous drainage
mixture of serum and red blood cells. light pink to blood tinged.
Exudate
fluid that accumulates in a wound; may contain serum, cellular
debris, bacteria, and white blood cells
Edema
Accumulation of fluid in extracellular spaces
Maceration
softening through liquid; over hydration
closed wounds
results from a blow, force, or strain caused by trauma such as a
fall, an assault, or MVA. The skin is not broken but soft tissue is
damaged, and internal injury and hemorrhage may occur EX:
ecchymos
unintentional wounds
Are accidental from unexpected trauma, such as from accidents,
injury & burns. Wound edges are usually jagged, multiple
traumas are common, and bleeding is uncontrolled.
Debridement
