MDC 1 Final Exam Review(updated 2023)verified

MDC 1 Final Exam Review(updated 2023)verified If a surgical wound was closed with sutures, what is the healing process called? primary What is the medical term to describe thick, yellow drainage? purulent Which of the following is correct management of cellulitis? Use a tight bandage on the affected area Do not apply heat to the affected area Use a warm, moist towel on affected area Use a cold, dry towel on affected area Use a warm, moist towel on affected area Which of the following is the best intervention for a patient that experiences pain during a dressing change? Teach patient nonpharmacological pain control methods Administer pain medications as indicated per the MAR Complete the dressing change quickly to decrease amount of time in pain Educate patient on foods that promote healing Administer pain medications as indicated per the MAR Wound healing is negatively impacted by poor nutrition (true/false) true What type of injury is a patient at risk for if they are in a high fowler's position (skin layers shift in opposite directions)? Shearing injury Friction injury Pressure injury Traumatic injury Shearing injury How can you help reduce the risk for friction and shear injuries for a patient that is bedridden? Give a bed bath every other day Elevate head of the bed to 45 degrees Slide the patient up in bed by yourself Use a mechanical lift to reposition the patient every 2 hours Use a mechanical lift to reposition the patient every 2 hours A post-op abdominal incision patient just had a bowel movement and noted a sharp pain in his abdomen. The nurse noted his bowel protruding from the incision. What is this called? Dehiscence Evisceration Laceration Approximation Evisceration What is the term to describe when the nurse presses down on an erythematous area of skin and the area becomes white? Blanching Warmth Redness Non-blanching Blanching Which age related change do you expect in the elderly? Loss of elasticity of the dermal layer Increased activity of the sebaceous glands Increased regeneration of healthy skin Loss of vernix caseosa Loss of elasticity of the dermal layer If a patient has HIV and then develops pneumonia, what type of infection is this? Pathogenic infection Opportunistic infection Nosocomical infection Fungal infection Opportunistic infection What is the best intervention to use for a patient just diagnosed with HIV? Discuss the patient's support system Call the hospital chaplain Discuss the legal requirement to talk to partners Offer to discuss with family for the patient Discuss the patient's support system What is a priority intervention for an immunocompromised patient? Discuss whether this is short term or long term Take vital signs every 4 hours Teach patient/family that everyone should get the influenza vaccine yearly Wash hands before entering patient's room Wash hands before entering patient's room What type of immunity is when antibodies are passed from mother to fetus through the placenta? natural passive immunity What type of precautions need to be taken for a patient admitted with TB? airborne precautions What PPE is required to enter a room if the patient has MRSA? gown and gloves (not sterile) What do you expect to see for lab values in a patient with HIV? Low or high CD4+ T cells? Low or high CD8+ T cells? Lower than normal CD4+ T cells & Normal CD8+ T cells What is the first step if you (the nurse) are stuck by a needle? Wash/flush the exposed skin with water What is a primary defense to infection? Inflammation Fever Phagocytosis Intact skin Intact skin If contact precautions are in place, what link in the chain of infection is broken? Mode of transmission If a patient recently traveled and developed a fever and cough, what type of isolation should the patient be placed in? Airborne precautions It is ok for a patient who is immunocompromised to have fresh flowers in his/her room (true/false) false Antiretroviral drugs are used to treat HIV and work by inhibiting viral replication (true/false) true A patient with systemic sclerosis (scleroderma) is likely to have what symptoms first? Joint pain Wrinkles Raynaud's phenomenon Hypertension Raynaud's phenomenon An intervention to avoid a Raynaud's flare up is to wear gloves in the winter (true/false) true What patient education is expected for a patient with fibromyalgia to help reduce symptoms? Establish a regular sleep pattern Do not exercise during a flare up High intensity interval training (HIIT) Increase calcium and caffeine intake Establish a regular sleep pattern A nurse is teaching a patient with debilitating rheumatoid arthritis about home safety. The following statement is appropriate: "There are many adaptive devices such as grab bars, reaching tools, grasping devices, and adaptive silverware available that may help you."(true/false) true What do you expect to see with the rheumatoid factor (lab) for a patient experiencing a flare up of her rheumatoid arthritis? Positive RF Negative RF Positive RF What assessment findings do you expect to see in a patient experiencing Raynaud's phenomenon? Cold and purple nailbeds Skin of hands may look white A patient just had shoulder surgery and has rheumatoid arthritis. What symptoms might prompt the nurse to call the provider immediately? Patient has gas and mild abdominal discomfort Patient has a minor headache Patient is completing physical therapy without her pain medication Patient has numbness and tingling in her fingers and intense pain that is worsening in her shoulder Patient has numbness and tingling in her fingers and intense pain that is worsening in her shoulder What would be most concerning for a patient with SLE? Butterfly rash BP of 130/84 Fatigue Urine output of 20 mL/hour Urine output of 20 mL/hour