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NS 660 Exam 2 Questions and Answers (100% Correct Answers) Already Graded A+

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NS 660 Exam 2 Questions and Answers (100% Correct Answers) Already Graded A+

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NS 660 Exam 2 Questions and Answers
(100% Correct Answers) Already Graded
A+
Which statement would indicate the need for further teaching?




A. If skin area gets red but red goas away after turning, I should
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report it to the nurse
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B. Putting foam pads under the heels or other bony prominences
can help decrease pressure




C. If a person cannot turn himself in bed, someone should help
them change position every 4 hours




D. Skin should be washed with only warm water (not hot) and
lotion put on wile it is still little whet [ANS:] C. If a person cannot
turn himself in bed, someone should help them change position
every 4 hours




Rationale:

This should happen every 2 hrs.

, 2
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Wound draining thick yellow material. What type of drainage?
[ANS:] Purulent

Client enters ED after motor cycle accident, resulting in skidding
across pavement. Client wearing shorts, so large areas skin ripped
off. Best describe this wound as:




A. Abrasion
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B. Approximated
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C. Laceration




D. Eschar [ANS:] C. Laceration




Key word: Ripped




Laceration because large amounts of skin ripped off.




Although abrasion is usually related to road rash, the large
amount of skin damaged is why it is considered a laceration

, 3
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Nurse caring for patients with variety of wounds. Which wound will
most likely heal by primary intention?




A. Cut in skin from kitchen knife




B. Excoriated perineal area
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C. Abrasion of the skin
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D. Pressure ulcer [ANS:] A. Cut in skin from kitchen knife




3 other options will heal by secondary intention

Nurse preparing to measure depth of client's tunneled wound.
Which of the following tools should nurse use to measure depth
accurately?




A. Otic curette




B. Sterile tongue blade lubricated with water soluble gel

, 4
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C. Sterile flexible applicator moistened with saline




D. Small ruler [ANS:] C. Sterile flexible applicator moistened with
saline

Older patient is most likely to experience which of the following
changes with aging?
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A. Thinning of epidermis
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B. Thickening of epidermis




C. Oiliness of skin




D. Increased elasticity of skin [ANS:] A. Thinning of epidermis




Age causes thinning, decreased elasticity, and increased dryness.

Caring for client and notice a superficial ulcer on left hip that
appears shallow crater, red pink wound bed and no slough or

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