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NUR 204 EXAM 2 QUESTIONS WITH 100% CORRECT ANSWERS

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NUR 204 EXAM 2 QUESTIONS WITH 100% CORRECT ANSWERS

Institution
NURS 204
Course
NURS 204

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How many mL in a tbsp?


Give this one a try later!


15mL= 1 tbsp




How many lb in 1 kg?


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2.2 lb = 1 kg




What is the treatment for stage 4 pressure injuries?

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clean/debride w/ prescribed dressing, surgical intervention, proteolytic
enzymes
non-adherent dressing changes q12h
skin grafts or specialized/hyperbaric therapy
nutritional supplements
analgesics
antimicrobials




What is the ABCDE principle?


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Airway/cervical spine
Breathing
Circulation
Disability
Exposure




What is a risk nursing diagnosis?


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risk for _______aeb_______
**NO related factors

eg = risk for infection aeb inadequate vaccination and immunosuppression




What is subjective data collected in the nursing process? (10)

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1. Biographical data
2. chief complaint
3. HPI
4. client's perception of health
5. Past medical history
6. Family history
7. Social history
8. medication history
9. complementary/alternative medicine
10. review of body systems




ET feeding 101


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1. high fowler's to avoid aspiration
2. measure from nose to ear to xiphoid process
3. check nares for skin breakdown
4. communication during placement (signal for pt)
5. coughing = check placement
6. 5 rights (client, dose, feeding, route, frequency)




With Sally, you prepare to teach the Essermans about pressure ulcer prevention.
Which of the following approaches is best?
A. Provide printed material "Preventing Pressure Ulcers: A Guide for Patients"
B. Spend time with the Essermans explaining pressure ulcer prevention
C. A combination of both of the above


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, C. A combination of both of the above




What are the signs of a healing pressure injury?


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decreased redness
granulation - tissue filling back in
approximation




When can restraints be placed without prescription/provider assessment? For how
long?


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emergency situation when there is immediate risk to client or others
usually within 1 HOUR




What are the stages of wound healing?


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1. inflammatory
2. proliferative
3. maturation/remodeling

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Institution
NURS 204
Course
NURS 204

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