NSG 100 FINAL EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
what are the 5 steps to the nursing process?
assessment
diagnoses
planning
implementation
evaluation
what's the assessment phase?
gathering information about pt's psychological, physiological, sociological, and spiritual
status;
gathered in pt interview; physical exams, hx, etc.
what's the diagnosing phase?
nurse makes an educated judgement about potential or actual health problem; include
actual description and whether or not patient is at risk for further issues
what's the planning phase?
patient and nurse agree on diagnoses and plan of action can be developed; assigned
clear, measurable goal for expected beneficial outcome
usually use evidence-based nursing outcome classification
what's the evidence-based nursing outcome classification?
,set of standardized terms and measurements for tracking patient wellness; may be used
as a resource for planning
what's the implementing phase?
nurse follows through on decided plan of action' specific to each patient and focuses on
achievable outcomes; can take place over hours, days, weeks, or months
what's the evaluation phase?
nurse determines if all goals for patient wellness have been met; patient's condition
improved, patient's condition stablished, and patient's condition deteriorated, died, or
discharged...
what are the functions of the skin?
protection
temperature regulation
sensation
vitamin d production
immunologic
absorption
elimination
what's the epidermis?
top layer of skin
helps with h20 production
what's the dermis?
second layer of skin
nerves, hair follicles, etc.
,what's the subcutaneous tissue?
third layer of skin, below dermis
helps with padding, warmth, etc.
lifespan considerations for infants (tissue)
thinner skin with less subcutaneous fat
milia on face
risk for dehydration
lifespan considerations for children (tissue)
thinner skin
larger body surface area than adults
lifespan considerations for adolescents (tissue)
increase in sweat and sebaceous glands
higher incidence of warts and fungal infections
acne, hygiene, etc.
lifespan considerations for adults (tissue)
skin thickens to 40-50s
lifespan considerations for pregnant women (tissue)
hyper pigmentation
striae (stretch marks)
pruritus (itching)
lifespan considerations for elderly (tissue)
decreased skin thickness
decreased collagen content (decrease elasticity)
, increase wrinkles, sagging skin
decreased subcutaneous tissue
dry sin from decreased swear glands
risk factors for press injury development?
-impaired mobility and partial mobility
-inadequate nutrition
-fecal/urinary incontinence
-decreased mental status
-diminished sensation
-excessive body heat
-advanced age
-chronic medical conditions
-shear/friction
complications of wound healing?
hemorrhage
infection
dehiscence
evisceration
what's hemorrhage?
excessive bleeding --hold pressure and DO NOT REMOVE DRESSING until surgeon
has been called & assessed
what's noted with infection in a wound?
COMPLETE SOLUTIONS VERIFIED
what are the 5 steps to the nursing process?
assessment
diagnoses
planning
implementation
evaluation
what's the assessment phase?
gathering information about pt's psychological, physiological, sociological, and spiritual
status;
gathered in pt interview; physical exams, hx, etc.
what's the diagnosing phase?
nurse makes an educated judgement about potential or actual health problem; include
actual description and whether or not patient is at risk for further issues
what's the planning phase?
patient and nurse agree on diagnoses and plan of action can be developed; assigned
clear, measurable goal for expected beneficial outcome
usually use evidence-based nursing outcome classification
what's the evidence-based nursing outcome classification?
,set of standardized terms and measurements for tracking patient wellness; may be used
as a resource for planning
what's the implementing phase?
nurse follows through on decided plan of action' specific to each patient and focuses on
achievable outcomes; can take place over hours, days, weeks, or months
what's the evaluation phase?
nurse determines if all goals for patient wellness have been met; patient's condition
improved, patient's condition stablished, and patient's condition deteriorated, died, or
discharged...
what are the functions of the skin?
protection
temperature regulation
sensation
vitamin d production
immunologic
absorption
elimination
what's the epidermis?
top layer of skin
helps with h20 production
what's the dermis?
second layer of skin
nerves, hair follicles, etc.
,what's the subcutaneous tissue?
third layer of skin, below dermis
helps with padding, warmth, etc.
lifespan considerations for infants (tissue)
thinner skin with less subcutaneous fat
milia on face
risk for dehydration
lifespan considerations for children (tissue)
thinner skin
larger body surface area than adults
lifespan considerations for adolescents (tissue)
increase in sweat and sebaceous glands
higher incidence of warts and fungal infections
acne, hygiene, etc.
lifespan considerations for adults (tissue)
skin thickens to 40-50s
lifespan considerations for pregnant women (tissue)
hyper pigmentation
striae (stretch marks)
pruritus (itching)
lifespan considerations for elderly (tissue)
decreased skin thickness
decreased collagen content (decrease elasticity)
, increase wrinkles, sagging skin
decreased subcutaneous tissue
dry sin from decreased swear glands
risk factors for press injury development?
-impaired mobility and partial mobility
-inadequate nutrition
-fecal/urinary incontinence
-decreased mental status
-diminished sensation
-excessive body heat
-advanced age
-chronic medical conditions
-shear/friction
complications of wound healing?
hemorrhage
infection
dehiscence
evisceration
what's hemorrhage?
excessive bleeding --hold pressure and DO NOT REMOVE DRESSING until surgeon
has been called & assessed
what's noted with infection in a wound?
