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The nurse notices a localized red area that is nonblanchable on the the patient's coccyx. What
stage pressure injury is this recognized as? - CORRECT ANSWER-Stage 1
Stage 1 pressure injury means the skin is intact with a localized area of nonblanchable erythema
(fancy word for redness).
A pt asks you why what he eats has anything to do with wound healing. What is your response?
- CORRECT ANSWER-Successful healing of pressure injuries depends on adequate intake of
calories protein, vitamins, minerals and water.
After receiving shift report, the night nurse looks at the lab values for a patient with cellulitis.
What abnormal lab values might you see? - CORRECT ANSWER--WBC - elevated
-Creatinine- elevated
, -Bicarbonate- low
-Albumin- low
-Calcium- low
What pain rating scale might you use for a child or a nonverbal patient? - CORRECT ANSWER-
Wong Baker-Faces Scale
When assessing a pt's pain. He tells you that the pain comes and goes. What part of the pain
assessment is he describing?
A. Quality
B. Intensity
C. Onset and Duration
D. Location - CORRECT ANSWER-C. Onset and Duration
When explaining to a pt what an intraspinal analgesic the pt states "So the medication will be
given to me through the IV in my arm." How would you correct him? - CORRECT ANSWER-
instraspinal analgesics are delivered into the epidural space of the spine, also known as the
subarachnoid space.
When adjusting a TENs machine on a patient, how do you know the conduction of electricity
has reached a therapeutic level? - CORRECT ANSWER-The patient will verbalize feeling a
sensation of pins and needles.
Your pt verbalizes a pain of 2/10 and requests their dose of morphine. How would you educate
your pt? - CORRECT ANSWER-Morphine is an opioid analgesic used for moderate to severe pain.
What is the most common side effect of analgesic use and how can we prevent it? - CORRECT
ANSWER-Constipation.