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Exam (elaborations)

NURS 108 - Exam #2 questions with verified answers graded A+

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NURS 108 - Exam #2 questions with verified answers graded A+

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NURS 108 - Exam #2 questions with verified
answers graded A+
1. Module 10 - Iden- 1. Age-related variations: young and old.
tify client po- 2. Impaired mobility: caused by conditions that require complete bed
tential for skin rest or that seriously limit activity.
breakdown 3. Nutrition and Hydration: adequate intake of protein, cholesterol,
(e.g., calories, fluid, vitamin C, and minerals is essential.
immobility, 4. Diminished sensation or cognition: patients with PVD, spinal cord
nutri- tional injury, di- abetes, CVA, trauma, or fractures often have diminished
status, in- tactile sense. Impaired cognition can be due to Alzheimer's disease,
continence). dementia, or altered LOC.
5. Impaired circulation: venous and arterial.
6. Medications: any med that causes pruritus (itching),
dermatoses (rashes), photosensitivity, alopecia, or pigmentation
changes.
7. Moisture on the skin: urine and bowel incontinence, fever.
8. Fever: sweating + increases metabolic rate.
9. Contamination or infection
10. Lifestyle: tanning, hygiene habits, regular exercise, nutritious diet,
smoking, body piercings and tattoos.

2. Module 10 - ~*Metabolic changes* - alter endocrine metabolism, calcium resorption, and
Identify the GI. Weight gain, negative nitrogen imbalance, constipation,
compli- decrease metabolic rate, calcium resorption
cations of ~*Respiratory changes* - lack of movementplaces patients at risk for
immo- bility respiratory complications like atelectasis, pneumonia, decreased
(e.g., skin oxygenation
breakdown, ~*Cardiovascular chnages* - increased caridac workload, thrombus
con- formation, hypotension, decreased circulating blood, clotting
tractures). ~*Musculoskeletal changes* - resticted mobillity can result in loss of
enderance, strength, stability, balance, and muslce mass. osteoporsis,
contracture, footdrop, decreased bone mass
~*Urinary elimination chnages* - when a patient is flat and not standing


, NURS 108 - Exam #2 questions with verified
answers graded A+
as much the kidneys
move more toward a level
plane. Urinary stasis,
renal calculi,
incontinence,
decreased fluid
intake/output
~*Integumentary chnages* -
immobility puts more
pressure on the skin and
can cause pressure ulcers,
decrease in tissue
circulation






,NURS 108 - Exam #2 questions with verified
answers graded A+
~*Psychosocial changes* - emotional and behaviroal responses, sensory
alter- ations, changes in coping, depression, increase worrying

3. Module 10 - Mobility - persons ability to move about
As- sess the freely Gait - a particular manner or style
client for of walking
mobility, gait,
strength and
mo- tor skills.

4. Module 10 - Evaluate patient outcomes and their response to what was implemented.
Eval- uate the Have the goals been met? Are the goals still relevent? Do the goals need
client's to be modified? How
response to inter- does the patient feel about the interventions being done? Hw can we
increase your
ventions to mobility? What activitie are you having trouble with? Which excercises are
pre- vent most helpful?
complica- tions
from immo-
bility.
Acute - wound that is orderly and timely reparative process that resluts in
5. Module 11 - sustained healing; usually a surgical incision or trauma
Wound
classifica- tions Chronic - Wound that fails to proceed through an orderly and timely
process
to produce healing; usually vascular compromise, chronic inflammtion,
repetive insults to tissue

6. Module 11 - Mon- When microorganisms invade the wound tissues it can get infected.
Symptoms
itor wounds for symp-
signs and


, NURS 108 - Exam #2 questions with verified
answers graded A+
niclude: erythema
toms of infection. -increased wound drainage (serous clear watery; purulent thick
yellow green tan brown; serosanguineous pale pink watery;
sanguineous bright red active bleed- ing)
-wound warmth
-pain
-edema

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