Medical-Surgical Nursing Concepts ss ss
100% Guarantee passing score of 90% or higher
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Consist of 50 Questions with Answers
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1. Patricia is an RN working at a rehabilitation center and witnesses a nurse aid
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struggling to lift and reposition an elderly, bed ridden patient. She
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ss explains to the nurse aide that there is a No Lift Policy in place in the
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establishment. What does this policy entail
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: Answer The concept of a no-lift policy is a pledge from adminis- trators
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that proper equipment, adequately maintained and in sufficient numbers, will be
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ss available to care providers to reduce the risks associated with manual patien
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ss handling
2. Immobility effects multiple body systems.What are some interventions
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that you can implement to decrease these effects? Select all that
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ss apply.
A. Utilizing waffle mattress to reduce the need for repositioning
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B. Teds/SCDs
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,C. Rubbing reddened areas ss ss
D. Limiting fluid intake ss ss
E. ROM exercises ss
: Answer: B and E
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Rational:
-A is incorrect because regardless of implemented mattress, positioning should
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ss be every 2 hours
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-C is incorrect.You should not rub at reddened areas.This increases the risk for
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skin break.
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-D is incorrect.You should encourage proper hydration to promote well hydrated
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and healthy skin.
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3. True or False: Nurses should do skin assessments once a week
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: Answer False
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Rational: Nurses should do full skin assessments a minimum of once per
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ss shift.
4. A pt goes to the ER for swelling and pain in her right calf.The PT states
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ss that it occurred after she accidentally cut herself. Based on her
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ss symptoms, what skin condition might the nurse suspect the patient
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ss has
: Answer Cellulitis.
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Cellulitis is inflammation of the skin and subq tissue.
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, 5. Pt A is admitted from a nursing home with a stage 3 pressure ulcer.
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ss When creating his plan of care, who else would be involved besides
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ss the primary care physician
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: Answer Wound care nurse, Dietician, Physical therapist. OT can also be
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s s included, however they deal more with fine motor skills.
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6. An 85 year old woman is admitted to the hospital. When doing the
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ss initial assessment, what are some factors that you know put her at risk
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ss for pressure injuries
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: Answer -if the pt is immobile
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-if the pt is incontinent
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