NUR 155 EXAM 2 q
NUR 155 EXAM 2
Study online at https://quizlet.com/_9gld81
1. Risks for pressure ulcers? - Incontinence
- Chronic Illness (Diabetes)
- Elderly / Infants
- Immobile
- Poor circulation
- Poor nutrition
2. What is the PH for gastric contents? 2-4 PH for stomach contents
3. What interventions are used to help - Low lights
a patient sleep. better? - Low noise
- No exercise
- Take to restroom
- Reduce fluid intake
- Give light snack
4. How do you document a wound? -Does the patient have pain?
**SELECT ALL THAT APPLY** -Is there drainage on the old dressing?
-Document the dressing was changed
-Time & date of the change
5. If you have a partial thickness with Stage 2
serous drainage, what stage ulcer do
you have? **skin is broken**
6. If you are educating a new mom and Primary
you want to make sure she utilizes
what promotion concept? **IMMU-
NIZATIONS**
7. What scale determines if the patient Braden Scale
is at increased risk for pressure ul-
cers?
1/9
1 of 9
, NUR 155 EXAM 2 q
NUR 155 EXAM 2
Study online at https://quizlet.com/_9gld81
8. How do you ensure proper place- - air swoosh
ment of a NG tube? **SELECT ALL - stomach contents
THAT APPLY** - checking residual
- checking length/measurement for proper place-
ment
9. When we do an enema, what tem- Tepid or warm temperature
perature water should we use?
10. Who would be considered the high- Someone suffering from severe depression
est risk for functional impairment?
11. What could be issues identifying risk fever & infection
factors of cognitive impairment?
12. What is a side effect that a nurse respiratory depressions
would be aware of if someone is tak-
ing oxycontin?
13. ** SELECT ALL THAT APPLY** Accu- - measured objectively and subjectively
rate information about pain? - can be caused from grief and trauma
- can be controlled with pharmacological and non
pharmacological
14. If the client is being assessed for the nurse needs further education
pain, if the nurse says she will ask the
previous nurse about the patients
pain..
15. The secondary prevention tool for Montreal assessment
someone with dementia? The as-
sessment tool would be..
2/9
2 of 9
NUR 155 EXAM 2
Study online at https://quizlet.com/_9gld81
1. Risks for pressure ulcers? - Incontinence
- Chronic Illness (Diabetes)
- Elderly / Infants
- Immobile
- Poor circulation
- Poor nutrition
2. What is the PH for gastric contents? 2-4 PH for stomach contents
3. What interventions are used to help - Low lights
a patient sleep. better? - Low noise
- No exercise
- Take to restroom
- Reduce fluid intake
- Give light snack
4. How do you document a wound? -Does the patient have pain?
**SELECT ALL THAT APPLY** -Is there drainage on the old dressing?
-Document the dressing was changed
-Time & date of the change
5. If you have a partial thickness with Stage 2
serous drainage, what stage ulcer do
you have? **skin is broken**
6. If you are educating a new mom and Primary
you want to make sure she utilizes
what promotion concept? **IMMU-
NIZATIONS**
7. What scale determines if the patient Braden Scale
is at increased risk for pressure ul-
cers?
1/9
1 of 9
, NUR 155 EXAM 2 q
NUR 155 EXAM 2
Study online at https://quizlet.com/_9gld81
8. How do you ensure proper place- - air swoosh
ment of a NG tube? **SELECT ALL - stomach contents
THAT APPLY** - checking residual
- checking length/measurement for proper place-
ment
9. When we do an enema, what tem- Tepid or warm temperature
perature water should we use?
10. Who would be considered the high- Someone suffering from severe depression
est risk for functional impairment?
11. What could be issues identifying risk fever & infection
factors of cognitive impairment?
12. What is a side effect that a nurse respiratory depressions
would be aware of if someone is tak-
ing oxycontin?
13. ** SELECT ALL THAT APPLY** Accu- - measured objectively and subjectively
rate information about pain? - can be caused from grief and trauma
- can be controlled with pharmacological and non
pharmacological
14. If the client is being assessed for the nurse needs further education
pain, if the nurse says she will ask the
previous nurse about the patients
pain..
15. The secondary prevention tool for Montreal assessment
someone with dementia? The as-
sessment tool would be..
2/9
2 of 9
