Solutions
A new RN is helping a patient walk, you intervene when you
notice which of the following. 1. RN assess patient's ability to
walk safely 2. RN evaluate environment for safety 3. RN assists
patient to sitting position, dangling patient's legs over the side of
the bed 1 to 2 minutes before standing 4. RN provides support
by placing his/her hands at the patients waist so the patient's
center of gravity remains midline Correct Answers The correct
answer is 4. Support should be provided at the patient's waist
with the use of a gait belt.
A person's blood pressure must drop by how much to be
considered orthostatic hypotension? Correct Answers Systolic
= greater than or equal to 20mmHG/ Diastolic = greater than or
equal to 10mmHg
Abrasion? Correct Answers Superficial with little bleeding and
is considered a partial thickness wound
Blanchable Hyperemia? Correct Answers Redness on the skin
that turns lighter in color when pressure is applied, and the
erythema returns when finger is removed. It is transient and an
attempt to overcome the ischemic episode.
Cold applications benefit the body by? Correct Answers
Relieving inflammation & swelling, control bleeding, and
anesthetize the body part
, Debridement? Correct Answers the removal of nonviable,
necrotic tissue. necessary to rid the wound of a source of
infection, enable visualization of the wound bed, and provide a
clean base necessary for healing
Dehiscence? Correct Answers The partial or total separation of
would layer
Dorsal recumbent position? Correct Answers Patient lying
supine with legs bent
Evisceration? Correct Answers Protrusion of visceral organs
through a wound opening, occur with total separation of would
layers
Factors that affect activity and exercise? Correct Answers
Developmental changes, behavioral aspects, cultural
background, environmental issues, family and social support
For assisting patients with neurological deficits with ambulation,
which side side should you stand on? Affected or unaffected?
Correct Answers Stand on their affected side.
Heat applications benefit the body by? Correct Answers
Promoting circulation, relieving edema, promote consolidation
of purulent drainage
Hematoma? Correct Answers Localized collection of blood
underneath the tissues. appears as swelling, change in color,
sensation, or warmth that often takes on a bluish discoloration.