(LATEST UPDATE) Hondros NUR 160
(Exam 1) QUESTIONS WELL
ANSWERED
Sanguineus Drainage - correct answer ✔✔Blood-red(a little is ok, a lot is bad)
Serosanguinous Drainage - correct answer ✔✔Pink-mix of blood and serous(This is ok)
Serous Drainage - correct answer ✔✔clear, watery fluid
Purulent Drainage - correct answer ✔✔Puss (assess for infection and notify MD)
Stage 1 pressure ulcer - correct answer ✔✔non blanch able
stage 2 pressure ulcer - correct answer ✔✔partial thickness skin loss
stage 3 pressure ulcer - correct answer ✔✔full thickness skin loss
stage 4 pressure ulcer - correct answer ✔✔Full thickness skin loss with exposed bone, muscle, or tendon
deep tissue injury - correct answer ✔✔caused by underlying soft tissue damage from pressure/shear
area maybe: painful, firm, mushy, boggy, warm, cool compared to surrounding tissue; wound is covered
with thin eschar
unstageable pressure ulcer - correct 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
, Signs and symptoms of infection/sepsis - correct answer ✔✔systolic <100, elevated WBC (5000-10,000),
high HR, high temp, decreased urine output, altered mental status(AMS, confusion)
More prone to infections: - correct answer ✔✔infants, elderly, immunocompromised(hiv, ra, aids,
chemotherapy)
gtt/min formula - correct answer ✔✔total mL times drop factor divided by minutes
mL/hr formula - correct answer ✔✔total mL divided by time in hours
Vision - correct answer ✔✔concept of safety, increased fall risk, perrla, snellen chart
Hearing - correct answer ✔✔anticonvulsants, tinnitus, diuretics, exposed to loud noises over period of
time
smell(olfactory) - correct answer ✔✔smoking, sinus infection, allergies, chemo, sniff test, nasal flaring
Taste(gustatory) - correct answer ✔✔malnutrition risks, antihistamines, sinus infection, allergies, drugs,
chemo
touch - correct answer ✔✔Romberg test, monofilament test
presbyopia - correct answer ✔✔farsightedness, loss of elasticity of the lens of the eye
Glaucoma - correct answer ✔✔increased intraocular pressure, damage to the retina and optic nerve
with loss of vision
Normal IOP - correct answer ✔✔10-21 mmHg
open angle glaucoma - correct answer ✔✔most common type of glaucoma, trabecular meshwork
gradually becomes blocked, buildup of pressure, subtle, silent type
(Exam 1) QUESTIONS WELL
ANSWERED
Sanguineus Drainage - correct answer ✔✔Blood-red(a little is ok, a lot is bad)
Serosanguinous Drainage - correct answer ✔✔Pink-mix of blood and serous(This is ok)
Serous Drainage - correct answer ✔✔clear, watery fluid
Purulent Drainage - correct answer ✔✔Puss (assess for infection and notify MD)
Stage 1 pressure ulcer - correct answer ✔✔non blanch able
stage 2 pressure ulcer - correct answer ✔✔partial thickness skin loss
stage 3 pressure ulcer - correct answer ✔✔full thickness skin loss
stage 4 pressure ulcer - correct answer ✔✔Full thickness skin loss with exposed bone, muscle, or tendon
deep tissue injury - correct answer ✔✔caused by underlying soft tissue damage from pressure/shear
area maybe: painful, firm, mushy, boggy, warm, cool compared to surrounding tissue; wound is covered
with thin eschar
unstageable pressure ulcer - correct 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
, Signs and symptoms of infection/sepsis - correct answer ✔✔systolic <100, elevated WBC (5000-10,000),
high HR, high temp, decreased urine output, altered mental status(AMS, confusion)
More prone to infections: - correct answer ✔✔infants, elderly, immunocompromised(hiv, ra, aids,
chemotherapy)
gtt/min formula - correct answer ✔✔total mL times drop factor divided by minutes
mL/hr formula - correct answer ✔✔total mL divided by time in hours
Vision - correct answer ✔✔concept of safety, increased fall risk, perrla, snellen chart
Hearing - correct answer ✔✔anticonvulsants, tinnitus, diuretics, exposed to loud noises over period of
time
smell(olfactory) - correct answer ✔✔smoking, sinus infection, allergies, chemo, sniff test, nasal flaring
Taste(gustatory) - correct answer ✔✔malnutrition risks, antihistamines, sinus infection, allergies, drugs,
chemo
touch - correct answer ✔✔Romberg test, monofilament test
presbyopia - correct answer ✔✔farsightedness, loss of elasticity of the lens of the eye
Glaucoma - correct answer ✔✔increased intraocular pressure, damage to the retina and optic nerve
with loss of vision
Normal IOP - correct answer ✔✔10-21 mmHg
open angle glaucoma - correct answer ✔✔most common type of glaucoma, trabecular meshwork
gradually becomes blocked, buildup of pressure, subtle, silent type
