Term 2 Final Exam Unitek College 60
correct solutions.
Term 2 Final Exam Unitek College 60
correct solutions.
What does stage 1 pressure ulcer look like? what to do to help in that area? - ANSWER stage 1 localized
area of skin , typically bony prominence, that is intact with non-blanchable redness.
Turn the patient every 2 hours/ avoid full lateral position because it puts direct pressure on the
trochanteric region
stage II - ANSWER presents clinically as an abrasion , blister or SHALLOW crater
What intervention is most appropriate to prevent respiratory complications resulting from immobility?
What should you do to the patient? What is the immobilized patient at risk for? - ANSWER Pneumonia-
ask the patient to cough, deep breathe, reposition at least every 2 hours
What causes constipation in patients who have pressure injuries? - ANSWER -I never constipated i take
gentle laxatives every night -Immobility, dehydration, poor diet
a nurse is instructing a patient on performing isometric exercise. what instruction should the nurse
include? - ANSWER contract the muscle for several seconds, then relax the muscle for a few second and
contract it again
Patient has erythema around the sacrum area due to immobility. What is the nurses first priority? -
ANSWER Reposition the patient
When differentiating between delirium and dementia in a pt, what would a pt with dementia exhibit? -
ANSWER Forgets things relatively quickly and is unable to learn new things
Mother of a child asks if their child can get chickenpox more than once. What kind of immunity would be
most accurate? - ANSWER Active acquired immunity
, Term 2 Final Exam Unitek College 60
correct solutions.
What should you administer after a pt experience anaphylaxis? - ANSWER oxygen
Best way to prevent communicable diseases? - ANSWER Hand Washing
What do we call different animals that carry germs? - ANSWER Vector
What is the nursing priority for a patient who is immunocompromised? - ANSWER Protect them from
infection or illness
What illnesses would require you to take airborne precautions? - ANSWER TB, measles, Varicella,
Contact precaution illnesses? - ANSWER Would infection
Respiratory Infection
Kidney infection
Impetigo
Viral Conjunctiva
Cdiff
What does the impetigo look like? - ANSWER a honey colored crust over a thin-walled vesicle
You are giving blood to a patient and they start to have terrible chills. What should be the first course of
action? - ANSWER Stop IV and notify provider immediately
What is the best for a nurse to offer when encouraging a patient after a tonsillectomy to increase fluid
intake? - ANSWER Flavored popsicles to suck
What position do we need to have the patient in to perform thoracentesis? - ANSWER Sitting on the side
of the bed bent over the bedside table
correct solutions.
Term 2 Final Exam Unitek College 60
correct solutions.
What does stage 1 pressure ulcer look like? what to do to help in that area? - ANSWER stage 1 localized
area of skin , typically bony prominence, that is intact with non-blanchable redness.
Turn the patient every 2 hours/ avoid full lateral position because it puts direct pressure on the
trochanteric region
stage II - ANSWER presents clinically as an abrasion , blister or SHALLOW crater
What intervention is most appropriate to prevent respiratory complications resulting from immobility?
What should you do to the patient? What is the immobilized patient at risk for? - ANSWER Pneumonia-
ask the patient to cough, deep breathe, reposition at least every 2 hours
What causes constipation in patients who have pressure injuries? - ANSWER -I never constipated i take
gentle laxatives every night -Immobility, dehydration, poor diet
a nurse is instructing a patient on performing isometric exercise. what instruction should the nurse
include? - ANSWER contract the muscle for several seconds, then relax the muscle for a few second and
contract it again
Patient has erythema around the sacrum area due to immobility. What is the nurses first priority? -
ANSWER Reposition the patient
When differentiating between delirium and dementia in a pt, what would a pt with dementia exhibit? -
ANSWER Forgets things relatively quickly and is unable to learn new things
Mother of a child asks if their child can get chickenpox more than once. What kind of immunity would be
most accurate? - ANSWER Active acquired immunity
, Term 2 Final Exam Unitek College 60
correct solutions.
What should you administer after a pt experience anaphylaxis? - ANSWER oxygen
Best way to prevent communicable diseases? - ANSWER Hand Washing
What do we call different animals that carry germs? - ANSWER Vector
What is the nursing priority for a patient who is immunocompromised? - ANSWER Protect them from
infection or illness
What illnesses would require you to take airborne precautions? - ANSWER TB, measles, Varicella,
Contact precaution illnesses? - ANSWER Would infection
Respiratory Infection
Kidney infection
Impetigo
Viral Conjunctiva
Cdiff
What does the impetigo look like? - ANSWER a honey colored crust over a thin-walled vesicle
You are giving blood to a patient and they start to have terrible chills. What should be the first course of
action? - ANSWER Stop IV and notify provider immediately
What is the best for a nurse to offer when encouraging a patient after a tonsillectomy to increase fluid
intake? - ANSWER Flavored popsicles to suck
What position do we need to have the patient in to perform thoracentesis? - ANSWER Sitting on the side
of the bed bent over the bedside table
