RNSG 1261 Medical-Surgical Nursing/ Pre-Quiz Fundamentals:: Scenario 7 – Carl R. : all answers correct, latest Fall 2022/2023

Pre-Quiz Fundamentals: Scenario 7 – Carl R. Exposure to which body fluid places the patient at the highest risk for skin breakdown? A. Stool B. Gastric drainage C. Bile D. Saliva A physician h as prescribed an intermediate-acting insulin for a diabetic patient. Which medication fits this criterion? A. Insulin NPH B. Isophane insulin suspension C. Insulin detemir D. Insulin glargine Which potential problem is considered a disadvantage of moist compress applications? A. Increase in body fluid loss B. Inability to conform to most body areas C. Maceration of the skin D. Increased drying of the skin A nurse is using the Braden Scale to determine a patient's risk for pressure ulcer development. Which variables are considered with this scale? Select all that apply. A. Sensory perception B. Moisture C. Nutrition D. Mobility A nurse is preparing a warm soak for a patient's leg. What temperature should the solution be? A. 85 to 95 F (29.4 to 35 C) B. 105 to 110 F (40.6 to 43.3 C) C. 95 to 100 F (35 to 37.8 C) D. 100 to 110 F (37.8 to 43.3 C) Analgesic administration should be completed 15 to 30 minutes before potentially painful wound care treatments are initiated. A. False B. True A physician has ordered a serum albumin test for a patient with a pressure ulcer. Which serum albumin level promotes wound healing? A. 3.5 mg/100 mL B. 2.0 mg/100 mL C. 2.5 mg/100 mL D. 1.5 mg/100 mL A nurse is preparing to administer intravenous insulin to a patient. Which medication will be used? A. Insulin zinc suspension B. Insulin aspart C. Regular insulin D. Insulin aspart protamine When the body's energy needs are not met, will be formed from the breakdown of fatty acids. A. starches B. glucose C. pinocytosis D. ketones Post-Quiz Fundamentals: Scenario 7 – Carl R. 1. Carl Rogers is African American. When preparing to assess his skin for color changes, which area should be considered for use? A. The lower back B. Under the arms C. Behind the ears D. The anterior chest region 2. If Carl Rogers does not eat adequate amounts of food to maintain his blood glucose levels, will result. A. glycogenolysis B. glycogenesis C. gluconeogenesis D. glycomosis 3. Carl Rogers has been instructed to include adequate quantities of vitamin A in his diet to promote wound healing. Which food is the best source of vitamin A? A. Legumes B. Tomatoes C. Baked chicken D. Spinach 4. When assessing Carl Rogers' skin in the absence of natural light, what lighting environment provides the most accurate assessment? A. Fluorescent light B. Halogen light C. Blue light D. Black light 5. Carl Rogers' heel ulcer is described as stage II. Which description accurately describes this wound type? A. Nonblanchable redness of a localized area B. Partial-thickness skin loss involving the dermis, epidermis, or both C. The appearance of subcutaneous fat D. The presence of a small amount of tunneling 6. Carl Rogers' provider has ordered correction insulin. Mr. Rogers asks the nurse what correction insulin is. The nurse knows that correction insulin is . Select all that apply. A. regular insulin used temporarily to correct blood glucose levels B. rapid- or short-acting insulins used temporarily to correct blood glucose levels C. another term for an insulin pen D. also called sliding-scale insulin 7. Which vitamin has the greatest impact on wound healing? A. Vitamin B12 B. Vitamin B6 C. Vitamin D D. Vitamin C 8. Carl Rogers has regular insulin ordered twice daily. The nurse knows this insulin is . Select all that apply. A. the only insulin which can be administered IV B. an intermediate-acting insulin C. a long-acting insulin D. a short-acting insulin 9. When assisting Carl Rogers to select his diet, the nurse should remember which principle? A. Needs for energy increase with age. B. Metabolic needs increase with age. C. Vitamin and mineral requirements decrease with age. D. Vitamin and mineral requirements for older adults are the same as for middle-aged adults