NUR 242 MED SURG EXAM 3 CERTIFICATION
EVALUATION EXAMS SET LATEST VERSION
⩥ Safety. Answer: use assistance devices, clutter free roon, well light,
gait belt, dangle legs, keep walker close to body, assess for pain,
shortness of breath, medicate, move cane and weaker leg at the same
time.
⩥ assessment of skin. Answer: assess skin; color, warmth, moisture. (
blue/grey palms soles lips and tongue for cynotic s/s in darker patients)
reposition Q2HRS. pt in chairs lift for 10 sec every hour. use pressure
resistance equipment. high tops are good for prevention of drop foot.
⩥ dryness. Answer: age related ( dry thin) water exposure and weather
changes. chemical contact ( soaps, hot water, harsh chems. perfumes)
⩥ Pruritus. Answer: dry skin, contact dermatitis, scabies, lice, chiggers,
systemic disease ( liver, kidney, nerves) ezcema/psoriasis
⩥ Wound Management. Answer: stage 1- frequent positioning protective
cream.
stage 2- alleviate pressure, apply cream barrier dressings.
stage 3- dressing changes and application (wet to dry helps remove
necrotic tissue, less trauma to healing tissue
stage 4- same as stage 3, consider surgery
EVALUATION EXAMS SET LATEST VERSION
⩥ Safety. Answer: use assistance devices, clutter free roon, well light,
gait belt, dangle legs, keep walker close to body, assess for pain,
shortness of breath, medicate, move cane and weaker leg at the same
time.
⩥ assessment of skin. Answer: assess skin; color, warmth, moisture. (
blue/grey palms soles lips and tongue for cynotic s/s in darker patients)
reposition Q2HRS. pt in chairs lift for 10 sec every hour. use pressure
resistance equipment. high tops are good for prevention of drop foot.
⩥ dryness. Answer: age related ( dry thin) water exposure and weather
changes. chemical contact ( soaps, hot water, harsh chems. perfumes)
⩥ Pruritus. Answer: dry skin, contact dermatitis, scabies, lice, chiggers,
systemic disease ( liver, kidney, nerves) ezcema/psoriasis
⩥ Wound Management. Answer: stage 1- frequent positioning protective
cream.
stage 2- alleviate pressure, apply cream barrier dressings.
stage 3- dressing changes and application (wet to dry helps remove
necrotic tissue, less trauma to healing tissue
stage 4- same as stage 3, consider surgery
