HONDROS NUR150 EXAM 2 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Used to treat inflammatory responses- decreases edema, muscle spasms, pain, and
decreases blood flow to the area. - ANSWER-Cold and Heat Therapy
when is cold and heat therapy recommended for an injury - ANSWER-first 24 to 48
hours
whose responsibility is it to evaluate proper application, adverse signs and symptoms
and is also responsible for the patient's safety - ANSWER-LPN
where should you not apply a cold pack to - ANSWER-red or blue areas
how often should you check the skin of a patient who is using an electrical cooling
device or an electrical heating device - ANSWER-every 5 minutes
what are common symptoms when using an electrical cooling device - ANSWER-
numbness and tingling
How long should you leave a cooling device in place - ANSWER-15 to 20 minutes
what are some adverse skin reactions when using a cooling device - ANSWER-mottling,
redness, burning, blistering and numbness
what should you record when using a cooling device or heating device - ANSWER-what
device you used, location, duration, patient response, patient teaching and patients
response to teaching
when should you immediately stop application of a cooling device - ANSWER-areas
become mottled, red or blue/purple, or if the patient Is complaining of pain/numbness
when should you immediately stop application of a heating device - ANSWER-skin
becomes reddened and sensitive to touch, extreme warmth noted at the area, and body
part becomes painful to move
How long should you leave the heating device in place - ANSWER-20 to 30 minutes or
as prescribed
whose responsibility is it to assess skin areas prior to applications of heating and
cooling device and assess for risks - ANSWER-LPN
, what is one of the nurse's highest priority of care - ANSWER-prevention and treatment
of skin impairment
how often should you reposition a chair bound patient - ANSWER-every hour
how often should you reposition a patient that is bed bound - ANSWER-every 2 hours at
a 30 degree angle
whose responsibility is it to properly collect a culture of the pressure ulcer - ANSWER-
nurse
how do you properly label a specimen - ANSWER-patients name, medical record
number, date of birth, date and time of collection, what the collection is for, your name
and initials. send as quickly as possible to the lab
what are anaerobic collections of - ANSWER-inside of body cavities
what are aerobic collections of - ANSWER-wound secretions
occurs when the tissue layers of skin slide on each other , causing subcutaneous blood
vessels to kink or stretch resulting in an interruption of blood flow to the skin -
ANSWER-shearing force
the rubbing of skin against another surface produces what - ANSWER-friction
what are the 2 mechanical factors that play a common role in the development of
pressure ulcers - ANSWER-shearing force and friction
which patients are at risk for pressure ulcers - ANSWER-chronically ill, debilitated,
older, disabled, or incontinent patients, patients with spinal cord injuries, circulatory
impairment or poor overall nutrition
how can the nurse assess a patients skin for skin impairment - ANSWER-blanching the
area
a pressure ulcer in a localized area of skin, typically over a bony prominence , that is
intact with nonblanchable redness. Areas may be painful, firm, soft, warm or cool
compared with adjacent tissue. difficult to detect in patients with dark skin tones -
ANSWER-Stage 1
partial thickness loss of dermis. shallow open ulcer, usually shiny or dry, with a red-pink
wound bed without slough or bruising. some may present as serum- filled blisters -
ANSWER-Stage 2
AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Used to treat inflammatory responses- decreases edema, muscle spasms, pain, and
decreases blood flow to the area. - ANSWER-Cold and Heat Therapy
when is cold and heat therapy recommended for an injury - ANSWER-first 24 to 48
hours
whose responsibility is it to evaluate proper application, adverse signs and symptoms
and is also responsible for the patient's safety - ANSWER-LPN
where should you not apply a cold pack to - ANSWER-red or blue areas
how often should you check the skin of a patient who is using an electrical cooling
device or an electrical heating device - ANSWER-every 5 minutes
what are common symptoms when using an electrical cooling device - ANSWER-
numbness and tingling
How long should you leave a cooling device in place - ANSWER-15 to 20 minutes
what are some adverse skin reactions when using a cooling device - ANSWER-mottling,
redness, burning, blistering and numbness
what should you record when using a cooling device or heating device - ANSWER-what
device you used, location, duration, patient response, patient teaching and patients
response to teaching
when should you immediately stop application of a cooling device - ANSWER-areas
become mottled, red or blue/purple, or if the patient Is complaining of pain/numbness
when should you immediately stop application of a heating device - ANSWER-skin
becomes reddened and sensitive to touch, extreme warmth noted at the area, and body
part becomes painful to move
How long should you leave the heating device in place - ANSWER-20 to 30 minutes or
as prescribed
whose responsibility is it to assess skin areas prior to applications of heating and
cooling device and assess for risks - ANSWER-LPN
, what is one of the nurse's highest priority of care - ANSWER-prevention and treatment
of skin impairment
how often should you reposition a chair bound patient - ANSWER-every hour
how often should you reposition a patient that is bed bound - ANSWER-every 2 hours at
a 30 degree angle
whose responsibility is it to properly collect a culture of the pressure ulcer - ANSWER-
nurse
how do you properly label a specimen - ANSWER-patients name, medical record
number, date of birth, date and time of collection, what the collection is for, your name
and initials. send as quickly as possible to the lab
what are anaerobic collections of - ANSWER-inside of body cavities
what are aerobic collections of - ANSWER-wound secretions
occurs when the tissue layers of skin slide on each other , causing subcutaneous blood
vessels to kink or stretch resulting in an interruption of blood flow to the skin -
ANSWER-shearing force
the rubbing of skin against another surface produces what - ANSWER-friction
what are the 2 mechanical factors that play a common role in the development of
pressure ulcers - ANSWER-shearing force and friction
which patients are at risk for pressure ulcers - ANSWER-chronically ill, debilitated,
older, disabled, or incontinent patients, patients with spinal cord injuries, circulatory
impairment or poor overall nutrition
how can the nurse assess a patients skin for skin impairment - ANSWER-blanching the
area
a pressure ulcer in a localized area of skin, typically over a bony prominence , that is
intact with nonblanchable redness. Areas may be painful, firm, soft, warm or cool
compared with adjacent tissue. difficult to detect in patients with dark skin tones -
ANSWER-Stage 1
partial thickness loss of dermis. shallow open ulcer, usually shiny or dry, with a red-pink
wound bed without slough or bruising. some may present as serum- filled blisters -
ANSWER-Stage 2
