NSG 100 Exam 3 Questions With Correct
Answers
normal sleep patterns for teens - ANSWER✔✔✔--average requirement is 8 to 10
| | | | | | | | | | | |
hours. |
-an average of only 7 to 7.5 hours of sleep a night.
| | | | | | | | | | |
-Many adolescents do not get enough sleep.
| | | | | |
what is the major cause of pressure ulcer? - ANSWER✔✔✔-prolonged pressure
| | | | | | | | | | |
at a particular area of the body
| | | | | |
dark pigmented skin - ANSWER✔✔✔--may not demonstrate change in color.
| | | | | | | | | |
-assess skin in a well-lit setting.
| | | | | |
-avoid florescent light. | | |
-if there was a previous ulcer, that area of the skin may be lighter.
| | | | | | | | | | | | | |
-inflammation may be purple/blue instead of red. | | | | | | |
-stage 1 pressure ulcer might show low resilience.
| | | | | | |
risk factors for pressure ulcer development - ANSWER✔✔✔--external pressure
| | | | | | | |
-friction and shear | | |
-immobility |
-poor skin hygiene | | |
,| -diabetes mellitus | |
-diminished sensory perception | | |
-fractures |
-history of corticosteroid therapy
| | | |
-immunosuppression
-increased body temp. | |
-microvascular dysfunction | |
-multiple organ dysfunction syndrome
| | | |
-previous pressure injuries
| | |
-significant obesity or thinness | | | |
-terminal illness/end-of-life/dying process
| |
Stage 1 pressure ulcer - ANSWER✔✔✔-intact skin with nonblanchable redness
| | | | | | | | |
stage 2 pressure ulcer - ANSWER✔✔✔-partial thickness skin loss involving
| | | | | | | | | |
epidermis, dermis, or both | | |
stage 3 pressure ulcer - ANSWER✔✔✔-full thickness tissue loss with visible fat
| | | | | | | | | | |
stage 4 pressure ulcer - ANSWER✔✔✔-Full-thickness tissue loss with exposed
| | | | | | | | | |
bone, muscle, or tendon
| | |
, unstageable pressure ulcer - ANSWER✔✔✔-Full thickness tissue loss in which the
| | | | | | | | | |
base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or
| | | | | | | | | | | | | | | |
eschar (tan, brown or black) in the wound bed.
| | | | | | | |
Exudate - ANSWER✔✔✔-fluid that accumulates in a wound; may contain serum,
| | | | | | | | | | |
cellular debris, bacteria, and white blood cells
| | | | | |
granulation tissue - ANSWER✔✔✔-new tissue that is pink/red in color and
| | | | | | | | | | |
composed of fibroblasts and small blood vessels that fill an open wound when it
| | | | | | | | | | | | | |
starts to heal
| |
slough - ANSWER✔✔✔-yellow, tan, gray, green, or brown dead tissue
| | | | | | | | |
skills that can be delegated to a NAP for tissue integrity - ANSWER✔✔✔--
| | | | | | | | | | | |
changing incontinent clients | | |
-turning/repositioning clients | |
-applying moisturizers to fragile skin
| | | | |
-observe for irritation, bruising, and redness; report to nurse the findings
| | | | | | | | | |
purpose of using cold therapy - ANSWER✔✔✔--reduce blood flow to injured
| | | | | | | | | | |
body part, preventing edema formation; reduces inflammation
| | | | | | |
-reduces localized pain | | |
-reduces oxygen needs of tissues
| | | |
-promotes blood coagulation at injury site
| | | | | |
-relieves pain |
Answers
normal sleep patterns for teens - ANSWER✔✔✔--average requirement is 8 to 10
| | | | | | | | | | | |
hours. |
-an average of only 7 to 7.5 hours of sleep a night.
| | | | | | | | | | |
-Many adolescents do not get enough sleep.
| | | | | |
what is the major cause of pressure ulcer? - ANSWER✔✔✔-prolonged pressure
| | | | | | | | | | |
at a particular area of the body
| | | | | |
dark pigmented skin - ANSWER✔✔✔--may not demonstrate change in color.
| | | | | | | | | |
-assess skin in a well-lit setting.
| | | | | |
-avoid florescent light. | | |
-if there was a previous ulcer, that area of the skin may be lighter.
| | | | | | | | | | | | | |
-inflammation may be purple/blue instead of red. | | | | | | |
-stage 1 pressure ulcer might show low resilience.
| | | | | | |
risk factors for pressure ulcer development - ANSWER✔✔✔--external pressure
| | | | | | | |
-friction and shear | | |
-immobility |
-poor skin hygiene | | |
,| -diabetes mellitus | |
-diminished sensory perception | | |
-fractures |
-history of corticosteroid therapy
| | | |
-immunosuppression
-increased body temp. | |
-microvascular dysfunction | |
-multiple organ dysfunction syndrome
| | | |
-previous pressure injuries
| | |
-significant obesity or thinness | | | |
-terminal illness/end-of-life/dying process
| |
Stage 1 pressure ulcer - ANSWER✔✔✔-intact skin with nonblanchable redness
| | | | | | | | |
stage 2 pressure ulcer - ANSWER✔✔✔-partial thickness skin loss involving
| | | | | | | | | |
epidermis, dermis, or both | | |
stage 3 pressure ulcer - ANSWER✔✔✔-full thickness tissue loss with visible fat
| | | | | | | | | | |
stage 4 pressure ulcer - ANSWER✔✔✔-Full-thickness tissue loss with exposed
| | | | | | | | | |
bone, muscle, or tendon
| | |
, unstageable pressure ulcer - ANSWER✔✔✔-Full thickness tissue loss in which the
| | | | | | | | | |
base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or
| | | | | | | | | | | | | | | |
eschar (tan, brown or black) in the wound bed.
| | | | | | | |
Exudate - ANSWER✔✔✔-fluid that accumulates in a wound; may contain serum,
| | | | | | | | | | |
cellular debris, bacteria, and white blood cells
| | | | | |
granulation tissue - ANSWER✔✔✔-new tissue that is pink/red in color and
| | | | | | | | | | |
composed of fibroblasts and small blood vessels that fill an open wound when it
| | | | | | | | | | | | | |
starts to heal
| |
slough - ANSWER✔✔✔-yellow, tan, gray, green, or brown dead tissue
| | | | | | | | |
skills that can be delegated to a NAP for tissue integrity - ANSWER✔✔✔--
| | | | | | | | | | | |
changing incontinent clients | | |
-turning/repositioning clients | |
-applying moisturizers to fragile skin
| | | | |
-observe for irritation, bruising, and redness; report to nurse the findings
| | | | | | | | | |
purpose of using cold therapy - ANSWER✔✔✔--reduce blood flow to injured
| | | | | | | | | | |
body part, preventing edema formation; reduces inflammation
| | | | | | |
-reduces localized pain | | |
-reduces oxygen needs of tissues
| | | |
-promotes blood coagulation at injury site
| | | | | |
-relieves pain |
