Galen College of Nursing-Louisville NUR 155
NUR 155 Exam 3 EXAM Questions and Verified Answers
, Which patients are at a higher risk for wounds?
48 hours post op, diabetes, incontinence, fever, elderly
While doing an assessment, you find a stage 2-3 wound on the back of the head, what is
the first thing you do?
continue assessment and look for more wounds. measure diameter, tunneling, width, take
patients vitals, use stethoscope, temp, pulse ox, and BP cuff
What kind of nutrients will you include for someone with a wound?
Protein, zinc, and vitamins
What is dehissance?
When inside organs are exposed, this can happen at any time.
What is an evisceration?
When organs come out of the body, usually will happen within 48 hours post op. It is an
inflammatory response.
When assessing a wound, what color should it be?
Red and beefy
NUR 155 Exam 3 EXAM Questions and Verified Answers
, Which patients are at a higher risk for wounds?
48 hours post op, diabetes, incontinence, fever, elderly
While doing an assessment, you find a stage 2-3 wound on the back of the head, what is
the first thing you do?
continue assessment and look for more wounds. measure diameter, tunneling, width, take
patients vitals, use stethoscope, temp, pulse ox, and BP cuff
What kind of nutrients will you include for someone with a wound?
Protein, zinc, and vitamins
What is dehissance?
When inside organs are exposed, this can happen at any time.
What is an evisceration?
When organs come out of the body, usually will happen within 48 hours post op. It is an
inflammatory response.
When assessing a wound, what color should it be?
Red and beefy
