PNU 120 Test With
Solution
How determine if a patient is safe to ambulate or not? - ANSWER muscle
integrity, activity tolerance, abiliy to move and risk assessment
what will happen if you put restraint on someone loosely? - ANSWER pt
might be able to get out and interfere with care
what will happen if you put restraint on someone too tight? - ANSWER Pt.
might get bruising, skin tearing, redness, and irritation
PPE for contact precautions - ANSWER gown,glove, and mask
PPE for droplet precautions - ANSWER gown, gloves, face shield, mask
PPE for airborne precautions - ANSWER N95 mask
Steps for setting up a sterile field (DO NOT TOUCH OUTSIDE THE FIELD) -
ANSWER handwashing
, maintaining a sterile field
using sterile barrier(ppe)
using sterile equipment
Stage 1 pressure ulcer - ANSWER color change (bruising), with change of
temp and texture and sensation
Stage 2 pressure ulcer - ANSWER wound visible but not deep may appear as
a blister
Stage 3 pressure ulcer - ANSWER Full-thickness pressure ulcer extending into
the subcutaneous tissue and resembling a crater. May see subcutaneous fat
but not muscle, bone, or tendon.
Stage 4 pressure ulcer - ANSWER Full-thickness tissue loss with exposed
bone, muscle, or tendon, with tunneling visible and deep
unstageable pressure ulcer- ANSWER A full-thickness wound in which the
amount of necrotic tissue, or eschar, in the wound bed makes it impossible to
assess the depth of the wound or the involvement of underlying structures
what should be in pt's care plan if they have a pressure ulcer -ANSWER
Solution
How determine if a patient is safe to ambulate or not? - ANSWER muscle
integrity, activity tolerance, abiliy to move and risk assessment
what will happen if you put restraint on someone loosely? - ANSWER pt
might be able to get out and interfere with care
what will happen if you put restraint on someone too tight? - ANSWER Pt.
might get bruising, skin tearing, redness, and irritation
PPE for contact precautions - ANSWER gown,glove, and mask
PPE for droplet precautions - ANSWER gown, gloves, face shield, mask
PPE for airborne precautions - ANSWER N95 mask
Steps for setting up a sterile field (DO NOT TOUCH OUTSIDE THE FIELD) -
ANSWER handwashing
, maintaining a sterile field
using sterile barrier(ppe)
using sterile equipment
Stage 1 pressure ulcer - ANSWER color change (bruising), with change of
temp and texture and sensation
Stage 2 pressure ulcer - ANSWER wound visible but not deep may appear as
a blister
Stage 3 pressure ulcer - ANSWER Full-thickness pressure ulcer extending into
the subcutaneous tissue and resembling a crater. May see subcutaneous fat
but not muscle, bone, or tendon.
Stage 4 pressure ulcer - ANSWER Full-thickness tissue loss with exposed
bone, muscle, or tendon, with tunneling visible and deep
unstageable pressure ulcer- ANSWER A full-thickness wound in which the
amount of necrotic tissue, or eschar, in the wound bed makes it impossible to
assess the depth of the wound or the involvement of underlying structures
what should be in pt's care plan if they have a pressure ulcer -ANSWER
