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Exam (elaborations)

NRSG 301 Final Exam – Questions With Trusted Solutions

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NRSG 301 Final Exam – Questions With Trusted Solutions

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NRSG 301 Final Exam – Questions With Trusted Solutions

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Practice questions for this set


Learn 1 /7 Study using Learn




oxygenation, perfusion, electrolytes, and acid/base balance



Choose an answer



1 What wounds should not be irrigated 2 Benefits of VAC therapy (7)



Steps to irrigate a wound with a wide
3 4 elements of cardiac ventricle stability 4
opening



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Terms in this set (95)



What wounds should not be irrigated wounds without a known endpoint


PSI of Irrigation tip 7-8


when is an irrigation tip used deep wounds with or without tunneling


Considerations for irrigation wear PPE
warm irrigation fluid
administer analgesic prior


Steps to irrigate a wound with a wide 1, using sterile technique, fill 20-30 ml syringe
opening 2. attach tip to syringe
3. hold tip 2.5 cm above end of wound
4. apply gentle continuous pressure
5. repeat until return is clear

, steps to irrigate a wound with a small 1. using sterile technique, fill 20-30 ml syringe
opening or tunneling 2. attach tip to syringe
3. insert tip 1 cm depth into wound
4. flush with slow continuous pressure
5. repeat until returns are clear


4 concepts of wound packing only use 1 peice of packing
cover entire wound bed and edges but not healthy tissue
do not pack tracts or undermining over 15 cm or with an
unknown endpoint
give analgesic 30 mins prior


Undermining defintion when a wound extends into subcutaneous tissue underneath


undermining considerations not entirely visible from wound surface so tissue damage
extent is not fully known


undermining causes infection, pressure ulcer, and improper wound care


sinus tracts/tunneling narrow opening/passageway underneath skin that extends in
any direction resulting in dead space and potential abscesses


Indications for VAC therapy acute/traumatic wounds, chronic wounds, abdominal wounds,
cardiothoracic wounds, orthopedic wounds, and burns


Benefits of VAC therapy (7) enhanced granulation tissue growth
removes excess interstitial fluid
increased vascularity
decreased bacterial colonization
accurate wound drainage amounts and assess
maintains optimal wound moisture
increases epithelization rate


VAC therapy - contraindications insufficient vascularity
necrotic wounds or 20-25% non viable tissue
bone involvement (osteomyelitis)
malignancy
unknown sinus tracts
fistulas present
increased risk of bleeding


VAC therapy - complications infection
tissue adherance
bleeding
foam retention
pain


Prevena Therapy single use for 2-7 days
convers and protects while negative pressure removes fluid
from surgical incision


PicoVac Therapy - indications wounds/incisions with small amounts of exudate
c-sections, tummy tucks, bilateral mastectomy


non adherent dressing - wound type & slightly more wet wounds and want dressing for slight
dressing purpose absorption

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