PNR 207 Exam with Complete Solutions/ Correct -
Verified Answers Stage 1 pressure ulcer - ANSWER area of intact skin that is red, deep pink, or mottled that does not blanch? Stage 2 pressure ulcer - ANSWER Partial thickness skin loss involving the dermis, skin appears blistered or abraded or has a shallow crater, area surrounding damaged skin is red or will feel hot or warmer than normal. Stage 3 pressure ulcer - ANSWER Skin is ulcerated, there is a crater like ulcer and the underlying subcutaneous tissue is involved in the destruction process. Stage 4 pressure ulcer - ANSWER There is a deep ulceration and necrosis involving deeper underlying muscle and possibly bone tissue. ulcer can be dry, black and covered with a tough a ccumulation of necrotic tissue. 5 s/s of allergic reaction. - ANSWER Rash Hives Oral mucosa swelling Laryngeal edema full anaphylactic 2 weeks - ANSWER How long according to the CDC does a patient with the flu need to stay home? Tornado precautions - ANSWER Go indoors, Close all windows and doors. Care of patient with Vertigo - ANSWER Safety first Middle ear disorder caused by vasoconst riction, causes dizzy, order low sodium diet, no smoking, no alcohol Complications of immobility? - ANSWER Pressure ulcers, stiff joints, Turn patient q2 hr. use sheet when moving pt in the bed to avoid brush burn to skin. constipation -add dietary fiber to diet. What kind of communication to use for a telephone order? - ANSWER SBAR Situation Backround Assesment Recomendation What are Material safety data sheet? where are they found? - ANSWER Located on every unit Hold all info on every chemical on the floor and how to properly clean up the spill. airborn precautions - ANSWER measles, chicken pox, TB, herpes zoster, smallpox Require mask and neg pressure room Standard Precautions - ANSWER A strict form of infection control that is based on the assumpt ion that all blood and other body fluids are infectious.
Verified Answers Stage 1 pressure ulcer - ANSWER area of intact skin that is red, deep pink, or mottled that does not blanch? Stage 2 pressure ulcer - ANSWER Partial thickness skin loss involving the dermis, skin appears blistered or abraded or has a shallow crater, area surrounding damaged skin is red or will feel hot or warmer than normal. Stage 3 pressure ulcer - ANSWER Skin is ulcerated, there is a crater like ulcer and the underlying subcutaneous tissue is involved in the destruction process. Stage 4 pressure ulcer - ANSWER There is a deep ulceration and necrosis involving deeper underlying muscle and possibly bone tissue. ulcer can be dry, black and covered with a tough a ccumulation of necrotic tissue. 5 s/s of allergic reaction. - ANSWER Rash Hives Oral mucosa swelling Laryngeal edema full anaphylactic 2 weeks - ANSWER How long according to the CDC does a patient with the flu need to stay home? Tornado precautions - ANSWER Go indoors, Close all windows and doors. Care of patient with Vertigo - ANSWER Safety first Middle ear disorder caused by vasoconst riction, causes dizzy, order low sodium diet, no smoking, no alcohol Complications of immobility? - ANSWER Pressure ulcers, stiff joints, Turn patient q2 hr. use sheet when moving pt in the bed to avoid brush burn to skin. constipation -add dietary fiber to diet. What kind of communication to use for a telephone order? - ANSWER SBAR Situation Backround Assesment Recomendation What are Material safety data sheet? where are they found? - ANSWER Located on every unit Hold all info on every chemical on the floor and how to properly clean up the spill. airborn precautions - ANSWER measles, chicken pox, TB, herpes zoster, smallpox Require mask and neg pressure room Standard Precautions - ANSWER A strict form of infection control that is based on the assumpt ion that all blood and other body fluids are infectious.
