QUESTIONS WITH WELL DETAILED CORRECT ANSWERS|GRADED
Used to treat inflammatory responses- decreases edema, muscle spasms, pain, and
decreases blood flow to the area. - ANSWER Cold and Heat Therapy
when is cold and heat therapy recommended for an injury - ANSWER first 24 to 48 hours
whose responsibility is it to evaluate proper application, adverse signs and symptoms and is
also responsible for the patient's safety - ANSWER LPN
where should you not apply a cold pack to - ANSWER red or blue areas
how often should you check the skin of a patient who is using an electrical cooling device or
an electrical heating device - ANSWER every 5 minutes
what are common symptoms when using an electrical cooling device - ANSWER
numbness and tingling
How long should you leave a cooling device in place - ANSWER 15 to 20 minutes
what are some adverse skin reactions when using a cooling device - ANSWER mottling,
redness, burning, blistering and numbness
what should you record when using a cooling device or heating device - ANSWER what
device you used, location, duration, patient response, patient teaching and patients
response to teaching
1
,when should you immediately stop application of a cooling device - ANSWER areas
become mottled, red or blue/purple, or if the patient Is complaining of pain/numbness
when should you immediately stop application of a heating device - ANSWER skin
becomes reddened and sensitive to touch, extreme warmth noted at the area, and body
part becomes painful to move
How long should you leave the heating device in place - ANSWER 20 to 30 minutes or as
prescribed
whose responsibility is it to assess skin areas prior to applications of heating and cooling
device and assess for risks - ANSWER LPN
what is one of the nurse's highest priority of care - ANSWER prevention and treatment of
skin impairment
how often should you reposition a chair bound patient - ANSWER every hour
how often should you reposition a patient that is bed bound - ANSWER every 2 hours at a
30 degree angle
whose responsibility is it to properly collect a culture of the pressure ulcer - ANSWER
nurse
what are anaerobic collections of - ANSWER inside of body cavities
how do you properly label a specimen - ANSWER patients name, medical record number,
date of birth, date and time of collection, what the collection is for, your name and initials.
send as quickly as possible to the lab
2
, what are aerobic collections of - ANSWER wound secretions
occurs when the tissue layers of skin slide on each other , causing subcutaneous blood
vessels to kink or stretch resulting in an interruption of blood flow to the skin - ANSWER
shearing force
the rubbing of skin against another surface produces what - ANSWER friction
what are the 2 mechanical factors that play a common role in the development of pressure
ulcers - ANSWER shearing force and friction
which patients are at risk for pressure ulcers - ANSWER chronically ill, debilitated, older,
disabled, or incontinent patients, patients with spinal cord injuries, circulatory impairment
or poor overall nutrition
a pressure ulcer in a localized area of skin, typically over a bony prominence , that is intact
with nonblanchable redness. Areas may be painful, firm, soft, warm or cool compared with
adjacent tissue. difficult to detect in patients with dark skin tones - ANSWER Stage 1
how can the nurse assess a patients skin for skin impairment - ANSWER blanching the
area
partial thickness loss of dermis. shallow open ulcer, usually shiny or dry, with a red-pink
wound bed without slough or bruising. some may present as serum- filled blisters -
ANSWER Stage 2
full tissue thickness loss in which subcutaneous fat is sometimes visible, but bone, tendon,
and muscle are not exposed. if slough is present it does not obscure the depth of tissue loss.
possible undermining and tunneling - ANSWER Stage 3
3
Used to treat inflammatory responses- decreases edema, muscle spasms, pain, and
decreases blood flow to the area. - ANSWER Cold and Heat Therapy
when is cold and heat therapy recommended for an injury - ANSWER first 24 to 48 hours
whose responsibility is it to evaluate proper application, adverse signs and symptoms and is
also responsible for the patient's safety - ANSWER LPN
where should you not apply a cold pack to - ANSWER red or blue areas
how often should you check the skin of a patient who is using an electrical cooling device or
an electrical heating device - ANSWER every 5 minutes
what are common symptoms when using an electrical cooling device - ANSWER
numbness and tingling
How long should you leave a cooling device in place - ANSWER 15 to 20 minutes
what are some adverse skin reactions when using a cooling device - ANSWER mottling,
redness, burning, blistering and numbness
what should you record when using a cooling device or heating device - ANSWER what
device you used, location, duration, patient response, patient teaching and patients
response to teaching
1
,when should you immediately stop application of a cooling device - ANSWER areas
become mottled, red or blue/purple, or if the patient Is complaining of pain/numbness
when should you immediately stop application of a heating device - ANSWER skin
becomes reddened and sensitive to touch, extreme warmth noted at the area, and body
part becomes painful to move
How long should you leave the heating device in place - ANSWER 20 to 30 minutes or as
prescribed
whose responsibility is it to assess skin areas prior to applications of heating and cooling
device and assess for risks - ANSWER LPN
what is one of the nurse's highest priority of care - ANSWER prevention and treatment of
skin impairment
how often should you reposition a chair bound patient - ANSWER every hour
how often should you reposition a patient that is bed bound - ANSWER every 2 hours at a
30 degree angle
whose responsibility is it to properly collect a culture of the pressure ulcer - ANSWER
nurse
what are anaerobic collections of - ANSWER inside of body cavities
how do you properly label a specimen - ANSWER patients name, medical record number,
date of birth, date and time of collection, what the collection is for, your name and initials.
send as quickly as possible to the lab
2
, what are aerobic collections of - ANSWER wound secretions
occurs when the tissue layers of skin slide on each other , causing subcutaneous blood
vessels to kink or stretch resulting in an interruption of blood flow to the skin - ANSWER
shearing force
the rubbing of skin against another surface produces what - ANSWER friction
what are the 2 mechanical factors that play a common role in the development of pressure
ulcers - ANSWER shearing force and friction
which patients are at risk for pressure ulcers - ANSWER chronically ill, debilitated, older,
disabled, or incontinent patients, patients with spinal cord injuries, circulatory impairment
or poor overall nutrition
a pressure ulcer in a localized area of skin, typically over a bony prominence , that is intact
with nonblanchable redness. Areas may be painful, firm, soft, warm or cool compared with
adjacent tissue. difficult to detect in patients with dark skin tones - ANSWER Stage 1
how can the nurse assess a patients skin for skin impairment - ANSWER blanching the
area
partial thickness loss of dermis. shallow open ulcer, usually shiny or dry, with a red-pink
wound bed without slough or bruising. some may present as serum- filled blisters -
ANSWER Stage 2
full tissue thickness loss in which subcutaneous fat is sometimes visible, but bone, tendon,
and muscle are not exposed. if slough is present it does not obscure the depth of tissue loss.
possible undermining and tunneling - ANSWER Stage 3
3
