NU 311 Exam 3 | University of South Alabama | Questions with 100% Verified
Answers | Latest Update
Question: A sterile dressing with no absorbent capacity that is
impermeable to fluids and bacteria and is used as prophylaxis for
high-risk intact skin (high risk friction areas), superficial wounds with
minimal or no exudate best describes:
Answer:
Transparent film
Question: When aseptic procedures are performed, the nurse must have
a sterile work area or sterile field. Which statement regarding
maintenance of sterile fields is true?
Answer:
Once a sterile field is outside of the vision of the nurse, the sterile field is considered
contaminated.
Question: The RN caring for a client following recent abdominal
surgery finds the wound edges of the incision well approximated. The
RN knows the wound is healing by:
Answer:
Primary intention
Question: Dr. Swanzy is at the bedside with a clinical student preparing
to perform a sterile procedure. The student makes an A in clinical for the
day when he/she:
Answer:
Opens the outermost flap of the sterile field away from the body, keeping arm outstretched and
avoiding crossing the sterile field.
Question: The nurse assesses a Stage I pressure injury as:
Answer:
intact skin with nonblanchable redness.
Question: When repositioning an immobile client, the student nurse
notices a deep red-maroon color over a bony prominence. When the area
is further assessed, it does not blanch indicating:
Answer:
a deep tissue pressure injury.
, Question: Which statement/s regarding the application of ice, or
cryotherapy is/are true?
Answer:
-Cold therapy is one of the most widely used therapeutic modalities in the management
of acute musculoskeletal injuries.
-Cold applications must be removed from areas that have turned red or blue during
therapy related to the possibility of worsening ischemia.
Question: The RN is caring for a client recovering from major
abdominal surgery 2 days ago. The RN realizes factors affecting
surgical wound healing include:
Answer:
-Nutritional status
-Diabetes
-Advanced age
-Wound Infection
Question: The RN is performing a pressure injury risk assessment using
the Braden Scale. The Braden Scale predicts client risk for pressure
injury by evaluating:
Answer:
Friction and Shear, Nutrition, Mobility, Activity, Moisture, and Sensory Perception.
Question: Serosanguineous drainage from a wound may be described
as:
Answer:
pale red, watery drainage.
Question: The RN finds the post cardiac catheterization client with a
large amount of bright red blood soaking the femoral dressing. What is
the priority action of the nurse?
Answer:
Look underneath the dressing and then apply pressure to the bleeding site.
Question: Which intervention is most beneficial in preventing pressure
injury in the immobile client?
Answer:
Reposition the client every 1-2 hours
Answers | Latest Update
Question: A sterile dressing with no absorbent capacity that is
impermeable to fluids and bacteria and is used as prophylaxis for
high-risk intact skin (high risk friction areas), superficial wounds with
minimal or no exudate best describes:
Answer:
Transparent film
Question: When aseptic procedures are performed, the nurse must have
a sterile work area or sterile field. Which statement regarding
maintenance of sterile fields is true?
Answer:
Once a sterile field is outside of the vision of the nurse, the sterile field is considered
contaminated.
Question: The RN caring for a client following recent abdominal
surgery finds the wound edges of the incision well approximated. The
RN knows the wound is healing by:
Answer:
Primary intention
Question: Dr. Swanzy is at the bedside with a clinical student preparing
to perform a sterile procedure. The student makes an A in clinical for the
day when he/she:
Answer:
Opens the outermost flap of the sterile field away from the body, keeping arm outstretched and
avoiding crossing the sterile field.
Question: The nurse assesses a Stage I pressure injury as:
Answer:
intact skin with nonblanchable redness.
Question: When repositioning an immobile client, the student nurse
notices a deep red-maroon color over a bony prominence. When the area
is further assessed, it does not blanch indicating:
Answer:
a deep tissue pressure injury.
, Question: Which statement/s regarding the application of ice, or
cryotherapy is/are true?
Answer:
-Cold therapy is one of the most widely used therapeutic modalities in the management
of acute musculoskeletal injuries.
-Cold applications must be removed from areas that have turned red or blue during
therapy related to the possibility of worsening ischemia.
Question: The RN is caring for a client recovering from major
abdominal surgery 2 days ago. The RN realizes factors affecting
surgical wound healing include:
Answer:
-Nutritional status
-Diabetes
-Advanced age
-Wound Infection
Question: The RN is performing a pressure injury risk assessment using
the Braden Scale. The Braden Scale predicts client risk for pressure
injury by evaluating:
Answer:
Friction and Shear, Nutrition, Mobility, Activity, Moisture, and Sensory Perception.
Question: Serosanguineous drainage from a wound may be described
as:
Answer:
pale red, watery drainage.
Question: The RN finds the post cardiac catheterization client with a
large amount of bright red blood soaking the femoral dressing. What is
the priority action of the nurse?
Answer:
Look underneath the dressing and then apply pressure to the bleeding site.
Question: Which intervention is most beneficial in preventing pressure
injury in the immobile client?
Answer:
Reposition the client every 1-2 hours
