Hondros Nursing Nur 150: Exam 2 Test Questions with 100%
Correct Answers Graded A+
Stage 1 pressure ulcer - ANSWER -Intact External nutrition - ANSWER -Nutrition
skin with nonblanchable redness support via tube feedings
Stage 2 pressure ulcer - ANSWER -Partial Parenteral nutrition - ANSWER -Nutrition
loss of dermis. Shallow open ulcer, usually shiny, supplied intravenously
or dry. Red-pink wound bed without sloughing or
bruising.
DRI - ANSWER -Refers to a set of
nutritional based values that serve for both
Stage 3 pressure ulcer - ANSWER -Full assessing and planning diets
thickness tissue loss, subcutaneous fat may be
visible. Possible undermining and tunneling.
Three ways to confirm proper NG placement -
ANSWER -Chest x-ray, PH test gastric
Stage 4 pressure ulcer - ANSWER -Full contents, air bolus.
thickness tissue loss with exposed bone,
tendon,or muscle. Slough or eschar may be
present as well as undermining and tunneling. With tube feeding what must be monitored daily -
ANSWER -I/O, daily weight, daily labs
Unstageable pressure ulcer - ANSWER -
Full thickness tissue loss, wound base covered Fatal risk of dysphagia - ANSWER -
by slough and eschar therefor dull depth cannot Aspiration pneumonia
be determined.
Nectar thickened - ANSWER -A little slower
Slough - ANSWER -Fibrous tissue in of the spoon than water
wound bed that can be yellow, tan, gray, green,
or brown.
Honey thickened - ANSWER -Very much
slower off the spoon than water
Nursing interventions to prevent pressure unlcers
- ANSWER -Reposition bed bound pt every
two hours, instruct pt in wheelchair to shift their Spoon thickened - ANSWER -Will not drop
weight every hour. Use of cushions and barrier off spoon
cream. Manage moisture, optimize nutrition and
hydration.
Puréed - ANSWER -Pudding consistency
such as mashed potatoes, vegetables, pasta in
Cognition - ANSWER -All the processes pudding consistency
involved in human thought
1/2
Correct Answers Graded A+
Stage 1 pressure ulcer - ANSWER -Intact External nutrition - ANSWER -Nutrition
skin with nonblanchable redness support via tube feedings
Stage 2 pressure ulcer - ANSWER -Partial Parenteral nutrition - ANSWER -Nutrition
loss of dermis. Shallow open ulcer, usually shiny, supplied intravenously
or dry. Red-pink wound bed without sloughing or
bruising.
DRI - ANSWER -Refers to a set of
nutritional based values that serve for both
Stage 3 pressure ulcer - ANSWER -Full assessing and planning diets
thickness tissue loss, subcutaneous fat may be
visible. Possible undermining and tunneling.
Three ways to confirm proper NG placement -
ANSWER -Chest x-ray, PH test gastric
Stage 4 pressure ulcer - ANSWER -Full contents, air bolus.
thickness tissue loss with exposed bone,
tendon,or muscle. Slough or eschar may be
present as well as undermining and tunneling. With tube feeding what must be monitored daily -
ANSWER -I/O, daily weight, daily labs
Unstageable pressure ulcer - ANSWER -
Full thickness tissue loss, wound base covered Fatal risk of dysphagia - ANSWER -
by slough and eschar therefor dull depth cannot Aspiration pneumonia
be determined.
Nectar thickened - ANSWER -A little slower
Slough - ANSWER -Fibrous tissue in of the spoon than water
wound bed that can be yellow, tan, gray, green,
or brown.
Honey thickened - ANSWER -Very much
slower off the spoon than water
Nursing interventions to prevent pressure unlcers
- ANSWER -Reposition bed bound pt every
two hours, instruct pt in wheelchair to shift their Spoon thickened - ANSWER -Will not drop
weight every hour. Use of cushions and barrier off spoon
cream. Manage moisture, optimize nutrition and
hydration.
Puréed - ANSWER -Pudding consistency
such as mashed potatoes, vegetables, pasta in
Cognition - ANSWER -All the processes pudding consistency
involved in human thought
1/2
