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Nursing 300 Test 2 – Questions With Clear Solutions

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Terms in this set (142)



Wound Healing Primary intention




tertiary/delayed primary closure




Secondary intention healing




Primary intention wound healing




secondary intention wound healing




Secondary intention healing

,Complication of wound healing Hemorrhage
Infection HAI wound infection erythema
Dehiscence partial or total separation of wound
Evisceration




Types of wound drainage Serous drainage


type of wound drainage Sanguine




Serosanguineous




B and D




Skin and Wound Assessment Sensation
Mobility
Nutrition
Continence
Wounds
Braden scale tool

, Braden Scale Sensory perception
Activity
Nutrition
Tool used to assess clients risk for pressure injury
Moisture
Mobility
Fricition & shear
Lower the score the greater the risk


SBAR stands for Situation, Background, Assessment,
Recommendation/Request


Nursing Process assessment, diagnosis, outcome identification,
planning, implementation, evaluation


Data clustering and finding patterns Your review and analysis of assessment data involve
critically organizing all data elements about a patient
into meaningful patterns


Nursing Diagnosis Nanda


Pes problem, etiology, signs and symptoms


SMART goals Specific, Measurable, Attainable, Realistic, Timely


Implementation Putting in action the plan nursing process


What is the purpose of stopping nasal Ensure the feeding has been properly absorbed. I
gastric tube feeding and checking need to measure acid residual volume every 4 to 6
gastric residual? hours in patients receiving continuous feedings
immediately before the feeding patient receiving
intermediate feedings.

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