Term 2 Final Unitek College2024
What does stage 1 pressure ulcer look like? what to do to help in that area? - ANSstage 1
localized area of skin , typically bony prominence, that is intact with non-blanchable redness.
Turn the patient every 2 hours/ avoid full lateral position because it puts direct pressure on the
trochanteric region
stage II - ANSpresents clinically as an abrasion , blister or SHALLOW crater
What intervention is most appropriate to prevent respiratory complications resulting from
immobility? What should you do to the patient? What is the immobilized patient at risk for? -
ANSPneumonia-ask the patient to cough, deep breathe, reposition at least every 2 hours
What causes constipation in patients who have pressure injuries? - ANS-I never constipated i
take gentle laxatives every night -Immobility, dehydration, poor diet
a nurse is instructing a patient on performing isometric exercise. what instruction should the
nurse include? - ANScontract the muscle for several seconds, then relax the muscle for a few
second and contract it again
Patient has erythema around the sacrum area due to immobility. What is the nurses first
priority? - ANSReposition the patient
When differentiating between delirium and dementia in a pt, what would a pt with dementia
exhibit? - ANSForgets things relatively quickly and is unable to learn new things
Mother of a child asks if their child can get chickenpox more than once. What kind of immunity
would be most accurate? - ANSActive acquired immunity
What should you administer after a pt experience anaphylaxis? - ANSoxygen
Best way to prevent communicable diseases? - ANSHand Washing
What do we call different animals that carry germs? - ANSVector
What is the nursing priority for a patient who is immunocompromised? - ANSProtect them from
infection or illness
What illnesses would require you to take airborne precautions? - ANSTB, measles, Varicella,
Contact precaution illnesses? - ANSWould infection
Respiratory Infection
, Kidney infection
Impetigo
Viral Conjunctiva
Cdiff
What does the impetigo look like? - ANSa honey colored crust over a thin-walled vesicle
You are giving blood to a patient and they start to have terrible chills. What should be the first
course of action? - ANSStop IV and notify provider immediately
What is the best for a nurse to offer when encouraging a patient after a tonsillectomy to increase
fluid intake? - ANSFlavored popsicles to suck
What position do we need to have the patient in to perform thoracentesis? - ANSSitting on the
side of the bed bent over the bedside table
What to do when your patient O2 sat is 85%. What action are you going to take? - ANSSemi
Fowlers position
What kind of medication is Propranolol?
What is common side effect of the medication? - ANSBeta Blocker
Orthostatic Hypotension
Hypotension, Bradycardia, Dizzy, lightheaded, tired
how to educate a patient who is on propranolol for HTN? - ANSAsk the patient to sit down on
the side of the bed before getting up. If the patient feels dizzy have them lay down because of
HTN
what an adverse effect from the prescription of Captopril is? - ANSNeutropenia, Hyperkalemia,
Nephrotoxicity(hypotension)
what is tinnitus? - ANSRinging in the ears caused by Aspirin toxicity
The primary reason for instructing patient to avoid over used decongestants? -
ANSHypertension
A patient at sports camp is complaining of itchy and watery eyes, coughing, and sneezing when
outdoors. The patients chart states that he has an allergy to grasses. Which medication will the
nurse administer? - ANSAntihistamine
Which is a common expectorant in over the counter medications? - ANSGuaifenesin
What is antitussive medication used for? - ANSTo lessen the frequency of the cough
To suppress the cough
What does stage 1 pressure ulcer look like? what to do to help in that area? - ANSstage 1
localized area of skin , typically bony prominence, that is intact with non-blanchable redness.
Turn the patient every 2 hours/ avoid full lateral position because it puts direct pressure on the
trochanteric region
stage II - ANSpresents clinically as an abrasion , blister or SHALLOW crater
What intervention is most appropriate to prevent respiratory complications resulting from
immobility? What should you do to the patient? What is the immobilized patient at risk for? -
ANSPneumonia-ask the patient to cough, deep breathe, reposition at least every 2 hours
What causes constipation in patients who have pressure injuries? - ANS-I never constipated i
take gentle laxatives every night -Immobility, dehydration, poor diet
a nurse is instructing a patient on performing isometric exercise. what instruction should the
nurse include? - ANScontract the muscle for several seconds, then relax the muscle for a few
second and contract it again
Patient has erythema around the sacrum area due to immobility. What is the nurses first
priority? - ANSReposition the patient
When differentiating between delirium and dementia in a pt, what would a pt with dementia
exhibit? - ANSForgets things relatively quickly and is unable to learn new things
Mother of a child asks if their child can get chickenpox more than once. What kind of immunity
would be most accurate? - ANSActive acquired immunity
What should you administer after a pt experience anaphylaxis? - ANSoxygen
Best way to prevent communicable diseases? - ANSHand Washing
What do we call different animals that carry germs? - ANSVector
What is the nursing priority for a patient who is immunocompromised? - ANSProtect them from
infection or illness
What illnesses would require you to take airborne precautions? - ANSTB, measles, Varicella,
Contact precaution illnesses? - ANSWould infection
Respiratory Infection
, Kidney infection
Impetigo
Viral Conjunctiva
Cdiff
What does the impetigo look like? - ANSa honey colored crust over a thin-walled vesicle
You are giving blood to a patient and they start to have terrible chills. What should be the first
course of action? - ANSStop IV and notify provider immediately
What is the best for a nurse to offer when encouraging a patient after a tonsillectomy to increase
fluid intake? - ANSFlavored popsicles to suck
What position do we need to have the patient in to perform thoracentesis? - ANSSitting on the
side of the bed bent over the bedside table
What to do when your patient O2 sat is 85%. What action are you going to take? - ANSSemi
Fowlers position
What kind of medication is Propranolol?
What is common side effect of the medication? - ANSBeta Blocker
Orthostatic Hypotension
Hypotension, Bradycardia, Dizzy, lightheaded, tired
how to educate a patient who is on propranolol for HTN? - ANSAsk the patient to sit down on
the side of the bed before getting up. If the patient feels dizzy have them lay down because of
HTN
what an adverse effect from the prescription of Captopril is? - ANSNeutropenia, Hyperkalemia,
Nephrotoxicity(hypotension)
what is tinnitus? - ANSRinging in the ears caused by Aspirin toxicity
The primary reason for instructing patient to avoid over used decongestants? -
ANSHypertension
A patient at sports camp is complaining of itchy and watery eyes, coughing, and sneezing when
outdoors. The patients chart states that he has an allergy to grasses. Which medication will the
nurse administer? - ANSAntihistamine
Which is a common expectorant in over the counter medications? - ANSGuaifenesin
What is antitussive medication used for? - ANSTo lessen the frequency of the cough
To suppress the cough
