NURS 155 EXAM 3 WITH CORRECT 130+
EXAM(ACTUAL EXAM) QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2024 ALREADY GRADED A+
How to promote lung expansion in a person who is immobile -
ANSWERS-lift the head of the bed
routine coughing
deep breathing exercises
use of an incentive spirometer
regular/routine repositioning or turning.
How to prevent formation of blood clots in an immobile patient
- ANSWERS-frequent passive and active range of motion
exercises while in bed
antiembolism host/TED hose
SCD-sequential compression devices
,*avoid crossing legs/ankles; this occludes blood flow
dementia - ANSWERS-a gradual and irreversible loss of
intellectual function
Hemiparesis - ANSWERS-weakness on one side of the body
Delirium - ANSWERS-Reversible state of confusion-usually
caused by a medical condition
Depression - ANSWERS-Mood disorder; sense of hopelessness
and persistent unhappiness
*damage from right side of the brain affects the left side of the
body and vis versa
Types of sensory deficits and examples - ANSWERS-Tactile:
touch; peripheral neuropathy
,Smell: Olfactory; anosmia
Taste: Gustatory; decreased gustatory cells
Hearing: Auditory; conductive hearing loss, sensorineural
hearing loss, and presbycusis (age related hearing loss)
Equilibrium: motion sickness or Meniere's disease
Vision: Visual; myopia, presbyopia (far sightedness-age related),
cataracts (lens of the eye affected), glaucoma (pressure on
optic nerve), diabetic retinopathy (blood vessels of eye are
damaged due to diabetes), and macular degeneration
If patient begins to complain of pair or if resistance to joint
movement is met, range of motion exercises should be_____ -
ANSWERS-Range of motion exercises should be stopped; never
hyperextend or flex a joint beyond position of comfort
, page 560 safety practice alert
The nurse is preparing to provide wound care to a client with a
stage 1 pressure injury. Which dressing would the nurse expect
to be prescribed in the treatment
of this wound?
1. Hydrogel dressing
2. Transparent dressing
3. Antimicrobial dressing
4. Calcium alginate dressing - ANSWERS-2. Transparent dressing
A stage 1 pressure injury is characterized by intact
skin with nonblanchable erythema. Dressings used to manage a
stage 1 pressure injury include transparent dressings,
hydrocolloid dressings, or no dressing and leaving the wound
open to air. The wound should resolve without epidermal loss
over a period of 7 to 14 days. Hydrogel dressings are used to
maintain a moist environment for wound healing. Calcium
alginate is absorbent and is used in stage 4 wounds or those
EXAM(ACTUAL EXAM) QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2024 ALREADY GRADED A+
How to promote lung expansion in a person who is immobile -
ANSWERS-lift the head of the bed
routine coughing
deep breathing exercises
use of an incentive spirometer
regular/routine repositioning or turning.
How to prevent formation of blood clots in an immobile patient
- ANSWERS-frequent passive and active range of motion
exercises while in bed
antiembolism host/TED hose
SCD-sequential compression devices
,*avoid crossing legs/ankles; this occludes blood flow
dementia - ANSWERS-a gradual and irreversible loss of
intellectual function
Hemiparesis - ANSWERS-weakness on one side of the body
Delirium - ANSWERS-Reversible state of confusion-usually
caused by a medical condition
Depression - ANSWERS-Mood disorder; sense of hopelessness
and persistent unhappiness
*damage from right side of the brain affects the left side of the
body and vis versa
Types of sensory deficits and examples - ANSWERS-Tactile:
touch; peripheral neuropathy
,Smell: Olfactory; anosmia
Taste: Gustatory; decreased gustatory cells
Hearing: Auditory; conductive hearing loss, sensorineural
hearing loss, and presbycusis (age related hearing loss)
Equilibrium: motion sickness or Meniere's disease
Vision: Visual; myopia, presbyopia (far sightedness-age related),
cataracts (lens of the eye affected), glaucoma (pressure on
optic nerve), diabetic retinopathy (blood vessels of eye are
damaged due to diabetes), and macular degeneration
If patient begins to complain of pair or if resistance to joint
movement is met, range of motion exercises should be_____ -
ANSWERS-Range of motion exercises should be stopped; never
hyperextend or flex a joint beyond position of comfort
, page 560 safety practice alert
The nurse is preparing to provide wound care to a client with a
stage 1 pressure injury. Which dressing would the nurse expect
to be prescribed in the treatment
of this wound?
1. Hydrogel dressing
2. Transparent dressing
3. Antimicrobial dressing
4. Calcium alginate dressing - ANSWERS-2. Transparent dressing
A stage 1 pressure injury is characterized by intact
skin with nonblanchable erythema. Dressings used to manage a
stage 1 pressure injury include transparent dressings,
hydrocolloid dressings, or no dressing and leaving the wound
open to air. The wound should resolve without epidermal loss
over a period of 7 to 14 days. Hydrogel dressings are used to
maintain a moist environment for wound healing. Calcium
alginate is absorbent and is used in stage 4 wounds or those
