PNL210 - TEST 1 QUESTIONS WITH ACCURATE ANSWERS
A patient's wound will be treated with hydrogel. What is the primary advantage of
the use of this product?
A) It provides an absorbent surface to collect wound drainage.
B) It decreases the incidence of skin maceration.
C) It provides protection from the external environment.
D) It provides moisture needed for wound healing. correct answer A) It provides
an absorbent surface to collect wound drainage.
Abrasion correct answer is superficial with little bleeding and is considered a
partial-thickness wound.
may appear "weepy"
ADPIE (types of documenting) correct answer Assessment
Diagnosis
Planning
Implementation
Evaluation
nursing process
Anuria correct answer absence of urine
kidneys aren't producing urine (pee) or that you aren't peeing (enuresis).
,Approximated correct answer well approximated = edges of wound that fit neatly
together
Assessment of Small Bore Tube (4) correct answer Assess for placement
Auscultate lung sounds
Assess any gagging, coughing
Assess glucose (if ordered) during initial titration
Average Size of Large Bore Tube for an Adult correct answer 12-18
BVM correct answer bag valve mask
patient not breathing or very poor
forcing oxygen into the patient
Cadexomer Iodine (Topic Treatment) correct answer orange colour; targets
bacteria only; less colour indicates less bacteria
Carbohydrates correct answer are the recommended main source of energy in
the diet
Care of Patient with a Chest Tube correct answer 1) keep drainage system 2-3 feet
below patients chest
,2) keep tubing patent make sure no kinks or clots present; o dependents loops
3) camps at bedside occlusive dressing
4) semi or high fowlers
Cascade (Coughing Techniques) correct answer Deep breath + hold couple second
then the patients has a series of coughs at progressively lower lung volume
Catheter Care correct answer - change according to hospital policy (weekly)
- The catheter may need immediate removal &/or replacement if obstructed, or
painful (consider irrigation)
- daily cleansing (especially after bowel movement's)
CBI correct answer continuous bladder irrigation
For patients that have had urological surgery
(Normally prostate surgery)
continous flow or normal saline into bladder
Chest Percussion correct answer involves striking the chest wall ove the area
being drained
, The hand is positioned so that the fingers and thumb touch and the hands are
cupped'
Percussion is contraindicated in patients with bleeding disorders, osteoporosis, or
fractured ribs
Closed Suctioning correct answer involves a multiple-use suction catheter
encased in a plastic sheath
Closed suctioning is most often used on patients who require mechanical
ventilation to support their respiratory efforts, because it permits continuous
delivery of oxygen while suction is performed, thus reducing the risk of oxygen
desaturation.
Complications Associated with Catherization correct answer Allergy/sensitivity to
latex
Urinary tract (CAUTI) or kidney infections
Sepsis
Urethral injury
Skin breakdown
A patient's wound will be treated with hydrogel. What is the primary advantage of
the use of this product?
A) It provides an absorbent surface to collect wound drainage.
B) It decreases the incidence of skin maceration.
C) It provides protection from the external environment.
D) It provides moisture needed for wound healing. correct answer A) It provides
an absorbent surface to collect wound drainage.
Abrasion correct answer is superficial with little bleeding and is considered a
partial-thickness wound.
may appear "weepy"
ADPIE (types of documenting) correct answer Assessment
Diagnosis
Planning
Implementation
Evaluation
nursing process
Anuria correct answer absence of urine
kidneys aren't producing urine (pee) or that you aren't peeing (enuresis).
,Approximated correct answer well approximated = edges of wound that fit neatly
together
Assessment of Small Bore Tube (4) correct answer Assess for placement
Auscultate lung sounds
Assess any gagging, coughing
Assess glucose (if ordered) during initial titration
Average Size of Large Bore Tube for an Adult correct answer 12-18
BVM correct answer bag valve mask
patient not breathing or very poor
forcing oxygen into the patient
Cadexomer Iodine (Topic Treatment) correct answer orange colour; targets
bacteria only; less colour indicates less bacteria
Carbohydrates correct answer are the recommended main source of energy in
the diet
Care of Patient with a Chest Tube correct answer 1) keep drainage system 2-3 feet
below patients chest
,2) keep tubing patent make sure no kinks or clots present; o dependents loops
3) camps at bedside occlusive dressing
4) semi or high fowlers
Cascade (Coughing Techniques) correct answer Deep breath + hold couple second
then the patients has a series of coughs at progressively lower lung volume
Catheter Care correct answer - change according to hospital policy (weekly)
- The catheter may need immediate removal &/or replacement if obstructed, or
painful (consider irrigation)
- daily cleansing (especially after bowel movement's)
CBI correct answer continuous bladder irrigation
For patients that have had urological surgery
(Normally prostate surgery)
continous flow or normal saline into bladder
Chest Percussion correct answer involves striking the chest wall ove the area
being drained
, The hand is positioned so that the fingers and thumb touch and the hands are
cupped'
Percussion is contraindicated in patients with bleeding disorders, osteoporosis, or
fractured ribs
Closed Suctioning correct answer involves a multiple-use suction catheter
encased in a plastic sheath
Closed suctioning is most often used on patients who require mechanical
ventilation to support their respiratory efforts, because it permits continuous
delivery of oxygen while suction is performed, thus reducing the risk of oxygen
desaturation.
Complications Associated with Catherization correct answer Allergy/sensitivity to
latex
Urinary tract (CAUTI) or kidney infections
Sepsis
Urethral injury
Skin breakdown
