155 Exam 3 Galen QUESTION AND ANSWERS GRADE A+ SOLUTIONS

T/F, When collecting a culture from a wound, do not use pus or pooled exudates. True To prevent skin trauma from shearing the nurse should consider using alcohol free barrier film Using the RYB color code of wounds, Red would what kind of dressing or treatment? cover with hydrocolloid dressing Using the RYB color code of wounds, YELLOW would what kind of dressing or treatment? clean to remove nonviable tissue Using the RYB color code of wounds, BLACK would what kind of dressing or treatment? debridement Normal movement is smooth and purposeful A patient wearing an abdominal binder is having difficulty breathing, what would the nurse do next? check the abdominal binder _____ turns are used to bandage cylindrical parts of the body that are fairly uniform in circumference spiral ___ turns are used to bandage cylindrical parts of the body that are not uniform in circumference spiral reverse You should exercise at least 30 minutes a day 5 days a week Isotonic (dynamic) muscle contraction + active movement. Swim, run, walk Isometric (static or setting) No joint movement (sit and squeeze) Isokinetic (resistive) Muscle contraction with resistance __ turns are used to cover distal parts of the body, such as the stump of an amputation. Recurrent Areobic requires oxygen Anarobic without oxygen Figure-8 turns are used to bandage the elbow, knee, or ankle because they... permit some movement after application Cold applications are used for ___ injuries because it provides reduction of __ & __ sports, swelling, bleeding Application of cold causes vasoconstriction A patient is asking for a heating pad who has a sprained ankle. What would you teach? 24 hours after trauma, heat increases bleeding and swelling When cleaning a sutured wound, the nurse would wipe in what order? sutures, distal, proximal This type of dressing would cover a central line Tegaderm A pt suffered a wrist injury. What acronym describes how to take care of this injury? RICE When assessing a wound the nurse notices clear, yellow drainage. How is this described? Serous The nurse notices a blue tinged thick drainage from the wound, this is called? Pus Venous Statis can lead to DVT (deep vein thrombosis) What is an example of a high flow oxygen system? venturi mask with large bore tubing T/F: A simple face mask delivers oxygen concentrations from 40 to 60% at 5-8 L/min True This is used when high humidity is needed and other oxygen delivery systems are not tolerated. Face tent This allows delivery of oxygen when the patient is eating nasal cannula A pt with COPD needs 35% oxygen, what will the nurse choose? Venturi Mask A pt is obtunded after a seizure & the tongue is obstructing the airway, what should be used? oropharyngeal airway An obturator is used with a tracheostomy when The trach becomes dislodged and needs to be reinserted Postural drainage is done when the patient is in what position? Prone The use of an incentive spirometer can expand collapsed alveoli You discover a COPD pt having SOB, what position would assist breathing for this pt? orthopneic position PCP says informed consent needs to be signed. RN was not present during this discussion. He should? say "What did the PCP tell you about this procedure?" RN notes that PCP has ordered unusually large dose of a med. What should he do? Notify prescriber RN administered the wrong dose, called the MD, client was monitored and had no adverse effects. Can the RN be sued? No, client was not harmed. UAP was asked by RN to insert the foley, What should the UAP say? RN will continue to implement all txs RN's partner undergoes surgery where RN works. What is the most appropriate? A. Because RN is employee, access to chart is allowed B. Relationship w/client gives RN special access to chart C. Access to chart requires signed release form D. RN can ask surgeon to discuss outcome of surgery C. Access to chart requires a signed release form When ethical issues arise, 1 of the most important nursing responsibilities is? to be able to defend morality of one's actions RN disagrees but will follow wishes to keep brain dead child on life support. Moral principle? respect for autonomy Which situation is violation of underlying nursing ethics principles? A. Literature supports & refutes a nsg practice B. RN says "I never look up a med. I just do what MD tells me." CONTINUED......