HONDROS NURSING NUR 150 : EXAM 2
EXAM WITH CORRECT ACTUAL QUESTIONS
AND CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
Organ that inacativates and metabolizes drugs - ANSWERS-Liver
Organ that eliminates the metabolites of the drug from the body - ANSWERS-
Kidneys
AC - ANSWERS-Before meals
PC - ANSWERS-After meals
Unstageable pressure ulcer - ANSWERS-Full thickness tissue loss, wound base
covered by slough and eschar therefor dull depth cannot be determined.
,Slough - ANSWERS-Fibrous tissue in wound bed that can be yellow, tan, gray,
green, or brown.
Nursing interventions to prevent pressure unlcers - ANSWERS-Reposition bed
bound pt every two hours, instruct pt in wheelchair to shift their weight every
hour. Use of cushions and barrier cream. Manage moisture, optimize nutrition
and hydration.
Cognition - ANSWERS-All the processes involved in human thought
External nutrition - ANSWERS-Nutrition support via tube feedings
Parenteral nutrition - ANSWERS-Nutrition supplied intravenously
DRI - ANSWERS-Refers to a set of nutritional based values that serve for both
assessing and planning diets
Three ways to confirm proper NG placement - ANSWERS-Chest x-ray, PH test
gastric contents, air bolus.
With tube feeding what must be monitored daily - ANSWERS-I/O, daily weight,
daily labs
Fatal risk of dysphagia - ANSWERS-Aspiration pneumonia
,Nectar thickened - ANSWERS-A little slower of the spoon than water
Honey thickened - ANSWERS-Very much slower off the spoon than water
Spoon thickened - ANSWERS-Will not drop off spoon
Puréed - ANSWERS-Pudding consistency such as mashed potatoes, vegetables,
pasta in pudding consistency
Mechanical soft - ANSWERS-All foods except hard, crunchy, or sticky
Stage 1 pressure ulcer - ANSWERS-Intact skin with nonblanchable redness
Stage 2 pressure ulcer - ANSWERS-Partial loss of dermis. Shallow open ulcer,
usually shiny, or dry. Red-pink wound bed without sloughing or bruising.
Stage 3 pressure ulcer - ANSWERS-Full thickness tissue loss, subcutaneous fat
may be visible. Possible undermining and tunneling.
Stage 4 pressure ulcer - ANSWERS-Full thickness tissue loss with exposed bone,
tendon,or muscle. Slough or eschar may be present as well as undermining and
tunneling.
, Dysphagia advanced - ANSWERS-Includes moist and soft foods such as cooked
cereal, canned fruit, noodles in sauce.
Cold therapy NC - ANSWERS-Recommended for first 24-48 hours after injury. Do
not apply to red or blue areas. Check condition of skin every 5 minutes when
using electrical cooling device.
What color should the contents be when aspirating an NG tube - ANSWERS-
Green, brown, or tan
Caution with digital impaction removal - ANSWERS-Cardiac patients
How many enemas should you do in a row - ANSWERS-Until everything comes
out clear, no more than 3
HILDA - ANSWERS-Pain assessment: how does pain feel? Intensity? Location?
Duration? Aggregating or alleviating factors?
The fifth vital sign - ANSWERS-Pain
EXAM WITH CORRECT ACTUAL QUESTIONS
AND CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+
Organ that inacativates and metabolizes drugs - ANSWERS-Liver
Organ that eliminates the metabolites of the drug from the body - ANSWERS-
Kidneys
AC - ANSWERS-Before meals
PC - ANSWERS-After meals
Unstageable pressure ulcer - ANSWERS-Full thickness tissue loss, wound base
covered by slough and eschar therefor dull depth cannot be determined.
,Slough - ANSWERS-Fibrous tissue in wound bed that can be yellow, tan, gray,
green, or brown.
Nursing interventions to prevent pressure unlcers - ANSWERS-Reposition bed
bound pt every two hours, instruct pt in wheelchair to shift their weight every
hour. Use of cushions and barrier cream. Manage moisture, optimize nutrition
and hydration.
Cognition - ANSWERS-All the processes involved in human thought
External nutrition - ANSWERS-Nutrition support via tube feedings
Parenteral nutrition - ANSWERS-Nutrition supplied intravenously
DRI - ANSWERS-Refers to a set of nutritional based values that serve for both
assessing and planning diets
Three ways to confirm proper NG placement - ANSWERS-Chest x-ray, PH test
gastric contents, air bolus.
With tube feeding what must be monitored daily - ANSWERS-I/O, daily weight,
daily labs
Fatal risk of dysphagia - ANSWERS-Aspiration pneumonia
,Nectar thickened - ANSWERS-A little slower of the spoon than water
Honey thickened - ANSWERS-Very much slower off the spoon than water
Spoon thickened - ANSWERS-Will not drop off spoon
Puréed - ANSWERS-Pudding consistency such as mashed potatoes, vegetables,
pasta in pudding consistency
Mechanical soft - ANSWERS-All foods except hard, crunchy, or sticky
Stage 1 pressure ulcer - ANSWERS-Intact skin with nonblanchable redness
Stage 2 pressure ulcer - ANSWERS-Partial loss of dermis. Shallow open ulcer,
usually shiny, or dry. Red-pink wound bed without sloughing or bruising.
Stage 3 pressure ulcer - ANSWERS-Full thickness tissue loss, subcutaneous fat
may be visible. Possible undermining and tunneling.
Stage 4 pressure ulcer - ANSWERS-Full thickness tissue loss with exposed bone,
tendon,or muscle. Slough or eschar may be present as well as undermining and
tunneling.
, Dysphagia advanced - ANSWERS-Includes moist and soft foods such as cooked
cereal, canned fruit, noodles in sauce.
Cold therapy NC - ANSWERS-Recommended for first 24-48 hours after injury. Do
not apply to red or blue areas. Check condition of skin every 5 minutes when
using electrical cooling device.
What color should the contents be when aspirating an NG tube - ANSWERS-
Green, brown, or tan
Caution with digital impaction removal - ANSWERS-Cardiac patients
How many enemas should you do in a row - ANSWERS-Until everything comes
out clear, no more than 3
HILDA - ANSWERS-Pain assessment: how does pain feel? Intensity? Location?
Duration? Aggregating or alleviating factors?
The fifth vital sign - ANSWERS-Pain