NSG 3100 EXAM 2
5 inflammatory response signs - ANSWER-pain
swelling
redness
heat
loss of function
a too narrow cuff will give what type of BP reading - ANSWER-a erroneously high BP
a too wide cuff will give you what type of BP reading? - ANSWER-a erroneously low
Albumin and infection - ANSWER-Less than 3.5 poor nutrition affecting would healing
autolytic wound debridement - ANSWER-Use a dressing to trap wound drainage against dead tissue so
body enzymes can slowly degrade the necrotic tissue
Braden scale at risk - ANSWER-Below 18 considered at risk
causes of dehiscence - ANSWER-Obesity
Diabetes
Steroid use
Immune deficiency
Malnutrition
Chemical wound debridement - ANSWER-Use of enzyme to break down dead tissue( gel)
Closed drain rules? - ANSWER-Never compress when it is capped
Ensure drain remains below level of wound to prevent back flow
Ensure collection container is properly compressed
Contraindications to cold - ANSWER-Allergy or hypersensitivity to cold
Contraindications to heat - ANSWER-First 24 hrs-increased bleeding and swelling
Active hemmorage
Non inflammatory edema
Skin disorder thst causes redness of blisters
Contraindications to hot and cold packs - ANSWER-Neurosensory impairment
Impaired mental status
Impaired circulation
Open wounds
, NSG 3100 EXAM 2
Deep tissue pressure ulcer - ANSWER-Intact skin is purple or maroon
Unable to see wound bed
dehinscence - ANSWER-Sutured wound ruptured and layers separate
Do we recap needles? - ANSWER-Never
Evisceration - ANSWER-Protrusion of internal viscera through an incision
factors affecting blood temperature - ANSWER-age
exercise
hormones
cardiac rhythm
stress
environment
smoking
Factors affecting skin integrity ? - ANSWER-Genetics
Age
Chronic illness
Medications
Fecal incontinence
Urinary incontinence
Nutrition status
Trauma
Factors affecting would healing. ? - ANSWER-Poor wound management
Lifestyle
Age
Impaired nutritional status
Dehydration
Diabetes
Impaired blood supply
Medications
5 inflammatory response signs - ANSWER-pain
swelling
redness
heat
loss of function
a too narrow cuff will give what type of BP reading - ANSWER-a erroneously high BP
a too wide cuff will give you what type of BP reading? - ANSWER-a erroneously low
Albumin and infection - ANSWER-Less than 3.5 poor nutrition affecting would healing
autolytic wound debridement - ANSWER-Use a dressing to trap wound drainage against dead tissue so
body enzymes can slowly degrade the necrotic tissue
Braden scale at risk - ANSWER-Below 18 considered at risk
causes of dehiscence - ANSWER-Obesity
Diabetes
Steroid use
Immune deficiency
Malnutrition
Chemical wound debridement - ANSWER-Use of enzyme to break down dead tissue( gel)
Closed drain rules? - ANSWER-Never compress when it is capped
Ensure drain remains below level of wound to prevent back flow
Ensure collection container is properly compressed
Contraindications to cold - ANSWER-Allergy or hypersensitivity to cold
Contraindications to heat - ANSWER-First 24 hrs-increased bleeding and swelling
Active hemmorage
Non inflammatory edema
Skin disorder thst causes redness of blisters
Contraindications to hot and cold packs - ANSWER-Neurosensory impairment
Impaired mental status
Impaired circulation
Open wounds
, NSG 3100 EXAM 2
Deep tissue pressure ulcer - ANSWER-Intact skin is purple or maroon
Unable to see wound bed
dehinscence - ANSWER-Sutured wound ruptured and layers separate
Do we recap needles? - ANSWER-Never
Evisceration - ANSWER-Protrusion of internal viscera through an incision
factors affecting blood temperature - ANSWER-age
exercise
hormones
cardiac rhythm
stress
environment
smoking
Factors affecting skin integrity ? - ANSWER-Genetics
Age
Chronic illness
Medications
Fecal incontinence
Urinary incontinence
Nutrition status
Trauma
Factors affecting would healing. ? - ANSWER-Poor wound management
Lifestyle
Age
Impaired nutritional status
Dehydration
Diabetes
Impaired blood supply
Medications
