Final Exam NSG 101 Questions With Complete Solutions
- distractions or persistent noise
- comfort of the room
- room facilities and available equipment Correct Answers
teaching environment
- economic status / occupation / educational level
- living / cooking arrangements
- mental status changes
- problems with ADLs
- change in eating habits
- difficulty or painful swallowing
- look at albumin / prealbumin / transferrin
- Can affect every organ (neuromuscular / nails, hair, skin /
Musculoskeletal) Correct Answers malnutrition assessment
- use nonverbal communication
- make sure pt has an interpreter Correct Answers language
barriers
-All wounds are cleansed with a mild soap or surgical
disinfectant, and then rinsed with warm tap water.
-Hydrotherapy assists with cleansing and removal of tissue;
however, the patient is not immersed in water because
immersion has a significant potential for cross-contamination of
wounds.
Instead, water is allowed to flow over the wounds and is
immediately drained away.
,-All previously applied topical agents, necrotic tissue, exudate,
and fibrous debris are removed from the wound to expose
healthy tissue, to control bacterial proliferation, and to promote
healing.
-Loose eschar and wound debris are debrided with washcloths or
gauze sponges, scissors, and forceps.
-Mechanical trauma and damage from aggressive cleansing of
newly formed epithelial skin buds or healing granulation tissue
must be avoided. Correct Answers wound care for burns
-blood/body fluids
-toxic chemicals
-electrical hazards
-fire
-workplace violence
-injury to self and patients Correct Answers safety risks
-bony prominences
-large amount of cartilage
-tubes and wires
-orthopedic devices Correct Answers risk for skin breakdown
-Hepatotoxicity
-Liver necrosis
(both at high doses) Correct Answers acetaminophen adverse
effects
-Nailcare: Podiatrist, cut nail straight across.
-Wear Clean Cotton Socks/Closed Shoes
, -Do not soak feet or wear ointments Correct Answers diabetic
foot care
*inability to void
*restlessness and diaphoresis
*lower abdominal pain
*distended bladder
*hypertension
*on percussion, bladder sounds like a drum Correct Answers
urinary retention assessment
*role model clear communication
*use, simple concrete statements
*seek clarification and validate content
*verbalize the implied Correct Answers impaired
communication interventions
• Are you allergic to any medications?
• Are you allergic to any foods, environmental substances (e.g.,
pollen or seasonal allergies), tape, soaps, or cleansers?
• What specifically happens when you experience an allergy?
Correct Answers questions to ask when assessing for allergies
0.5-1.1 mg/dL Correct Answers lab value for creatinine
1-1/2 inch (23-25 gauge) Correct Answers needle size for IM
1. Prepare a basin with comfortable, safe water temperature and
place at bedside.
- distractions or persistent noise
- comfort of the room
- room facilities and available equipment Correct Answers
teaching environment
- economic status / occupation / educational level
- living / cooking arrangements
- mental status changes
- problems with ADLs
- change in eating habits
- difficulty or painful swallowing
- look at albumin / prealbumin / transferrin
- Can affect every organ (neuromuscular / nails, hair, skin /
Musculoskeletal) Correct Answers malnutrition assessment
- use nonverbal communication
- make sure pt has an interpreter Correct Answers language
barriers
-All wounds are cleansed with a mild soap or surgical
disinfectant, and then rinsed with warm tap water.
-Hydrotherapy assists with cleansing and removal of tissue;
however, the patient is not immersed in water because
immersion has a significant potential for cross-contamination of
wounds.
Instead, water is allowed to flow over the wounds and is
immediately drained away.
,-All previously applied topical agents, necrotic tissue, exudate,
and fibrous debris are removed from the wound to expose
healthy tissue, to control bacterial proliferation, and to promote
healing.
-Loose eschar and wound debris are debrided with washcloths or
gauze sponges, scissors, and forceps.
-Mechanical trauma and damage from aggressive cleansing of
newly formed epithelial skin buds or healing granulation tissue
must be avoided. Correct Answers wound care for burns
-blood/body fluids
-toxic chemicals
-electrical hazards
-fire
-workplace violence
-injury to self and patients Correct Answers safety risks
-bony prominences
-large amount of cartilage
-tubes and wires
-orthopedic devices Correct Answers risk for skin breakdown
-Hepatotoxicity
-Liver necrosis
(both at high doses) Correct Answers acetaminophen adverse
effects
-Nailcare: Podiatrist, cut nail straight across.
-Wear Clean Cotton Socks/Closed Shoes
, -Do not soak feet or wear ointments Correct Answers diabetic
foot care
*inability to void
*restlessness and diaphoresis
*lower abdominal pain
*distended bladder
*hypertension
*on percussion, bladder sounds like a drum Correct Answers
urinary retention assessment
*role model clear communication
*use, simple concrete statements
*seek clarification and validate content
*verbalize the implied Correct Answers impaired
communication interventions
• Are you allergic to any medications?
• Are you allergic to any foods, environmental substances (e.g.,
pollen or seasonal allergies), tape, soaps, or cleansers?
• What specifically happens when you experience an allergy?
Correct Answers questions to ask when assessing for allergies
0.5-1.1 mg/dL Correct Answers lab value for creatinine
1-1/2 inch (23-25 gauge) Correct Answers needle size for IM
1. Prepare a basin with comfortable, safe water temperature and
place at bedside.
