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NUR 150 FINAL EXAM QUESTIONS AND ANSWERS 2024/2025

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NUR 150 FINAL EXAM QUESTIONS AND ANSWERS 2024/2025

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NUR 150 FINAL EXAM QUESTIONS AND
ANSWERS 2024/2025
Inflammation - Answer-the bodys response to a foreign antigen (Swelling)

Tissue integrity - Answer-forms a natural barrier to infection

Stress and coping - Answer-makes the immune system more vulnerable to damage,
and less able to respond effectively to disease

Nutrition - Answer-this is necessary for the body to respond to an active infection
treatments, and help the immune system

Standard Precautions PPE (HIV)(AIDS)(HEP C) - Answer-Hand hygiene, Gloves( when
in contact with blood or bodily fluids)

Contact Precautions PPE (MRSA)(LICE)(SCABIES) - Answer-Gowns, Gloves

C.DIFF PPE - Answer-Soap, water, gown and gloves

Droplet Precautions PPE(INFLUENZA A/B, MUMPS, RUBELLA) - Answer-Gown,
Gloves, Mask, Eye Shield or goggles

Airbourne Precautions PPE(TUBERCLOSIS)(COVID) - Answer-Gown, Gloves, N95
mask or respirator

Donning PPE (Put ON) - Answer-Gown, Mask, Goggles, Gloves

Doffing PPE(Take OFF) - Answer-Gloves, Goggles, Gown, Mask

Restraints - Answer-Tied to moveable part of bed frame with a quick release knot.
NEVER to bed rails. MUST have a provider order.

When to check on patient with a restraint - Answer-* Every 15 mins to make sure safe
* Every hr, check circulation ( Capillary refill)
* Every 2 hrs, if patient safe, do ROM, AND RELEASE

Verbal Communication - Answer-communication by speaking

Nonverbal communication - Answer-communication using body language, facial
expressions, and eye movements

Stage 1 - Answer-Skin is intact, reddened, and non-blanchable

, Stage 2 - Answer-Partial thickness, Skin loss with serous drainage

Stage 3 - Answer-Full thickness skin loss down to the SubQ layer

Stage 4 - Answer-Full thickness skin loss down to the muscle & bone

Deep tissue injury (DTI) - Answer-purple or maroon localized area of discolored intact
skin or blood filled blister

Unstageable - Answer-stage is not clear; yellow dead tissue visible

Serous drainage) - Answer-Watery plasma that is mostly clear, but may have some pink
or yellow tinge to it

Sanguineous drainage - Answer-bright red; indicates active bleeding

Serosanguineous drainage - Answer-Pale, red, watery; mixture of serous and
sanguineous

Purulent drainage - Answer-thick, yellow, green, tan, or brown indicates infection

Whats the braden scale used for? - Answer-Helps the nurse determine the patients risk
for pressure ulcers

Whats the Katz and Lawtons Scale used for? - Answer-Rate the level of functioning of
an elderly person. (ADL)

3 ways to confirm NG tube placement - Answer-*Xray
* Swoosh of Air
* Measurment

Tube feed should always be administered to what temp? - Answer-Room temperature

What position do you administer tube feed at? - Answer-high-flowers to avoid aspiration

Dysphagia - Answer-difficulty swallowing

Nectar - Answer-thickened liquids are little slower off the spoon

Honey - Answer-thickened liquids are much slower off the spoon

Spoon thick liquids - Answer-do not drip off the spoon

Pureed diet - Answer-Pudding consistency: hot cereals, mashed potatoes vegetables,
and pasta

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