NUR 101- FINAL EXAM COMPLETE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |100% ACCURATE!! TEST!!

NUR 101- FINAL EXAM COMPLETE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |100% ACCURATE!! TEST!! how does the venous system work Answer veins return deoxygenated blood back to the heart and the arteries take oxygenated blood away from the heart and to the body. What is the relationship between edema and the venous system? Answer edema is the build up of lymph fluid caused by poor circulation. Be familiar with all pulse sites, including the carotid artery. How does this assessment differ? Answer radial, brachial, popliteal, femoral, petal, posterial tibialis, carotid. Don't assess the carotid artery on both sides at the same time but you can with every other pulse. peripheral artery disease (PAD). Answer atherosclerosis occurring in the lower extremities, such as in the feet, calves, or legs, or in the arms PAD risk factors Answer Cigarette smoking & diabetes, HTN, total levels of cholesterol, obesity & chronic kidney disease PAD signs and symptoms Answer swelling, leg pain, cramps, discoloration in the legs(long term) peripheral vascular disease (PVD Answer a condition in which the legs, feet, arms, or hands do not have enough blood circulation caused by blockages or build up of fatty deposits; narrow blood vessels restrict the blood flow PVD signs and symptoms Answer smoking, obesity, chronic kidney disease, numbness, tingling, skin discoloration, edema, clubbing of the fingers, poor blood flow venous disease (venous insufficiency) Answer blood flow through the veins, varicose veins, vein is dilated because the vein is trying to compensate for the blood flow and the blood is trying to get through but it can't which causes the vein dilation venous insufficiency risk factors Answer genetics, pregnancy, obesity; Prolonged standing, sitting, or bed rest due to decrease milking action that walking accomplishes How does the client present when venous stasis is present? Answer the blood has a harder time getting back to the heart; varicose veins, swelling/edema, tingling, poor capillary refill in the feet, pain in the legs, sores, seeping from the legs caused by the swelling, can be the result of venous insuffieciency Clinical presentation of a client with chronic arterial disease(PAD). Answer Leg pain or cramps (especially intermittent claudication), skin changes on arms or legs, swelling in arms or legs, lymph node enlargement the lymphatic system functions Answer drain excess lymph fluid from the body and return it to the blood (occurs in capillary beds); fluid balance, transport of waste or toxins, carries white blood cells that are responsible for fighting infection, lymphatic nodes inspected and palpated during assessment. Answer palpate lymph nodes for any swelling (infection); the neck, armpits (axillae), groin (inguinal area), and sometimes behind the ears What are infection control measures used by nursing to prevent catheter-associated infections? Answer hand washing, ensure the patient's perineal area is clean, keep urinary bag below the patient's bladder, secured on the leg, maintain sterility during the insertion process What is the single most important infection control measure that healthcare providers can take? Answer hand hygiene; hand sanitizer or washing the hands with soap and water for twenty minutes. Review proper infection control measures related to PICC line dressing care. Answer scrub the hub, semipermeable dressing changed every 48 hours or 7 days for clear dressing, changing the dressing is a sterile procedure able to identify in what circumstances the nurse would use each assessment technique, including light versus deep palpation. Answer inspection: looking for any discoloration, using eyesight to determine any abnormalities, palpation- light: tenderness, temperature, crepitus, lesions. Deep: assess and find the organs, (don't perform over inflames spleen or appendix) percussion- assessing density or identifying fluid in the body auscultation-listening to heart sounds, lung sounds, and bowel sounds. What are the infection control measures that must be taken when taking care of a client with C. diff? Answer hand washing kills spores and hand sanitizer doesn't, special contact precautions, gown and gloves, the nurse must wash hands with soap and water after caring for the patient. Why are time-management skills important in nursing? Answer make time for interruptions, delegation, say no, prioritize the things you have to do by most important to least important.