NURS 171 final exam 2025 Comprehensive Questions And Verified
NURS 171 final exam
Answers/ Complete Solutions With Rationales |Get It 100% Accurate!
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1. Define medical -Medical asepsis: Infection control practice common in health care, such as basic
asepsis and sur- hand washing (Peripheral IV insertion)
gical asepsis and -Surgical asepsis: Techniques used to destroy all pathogenic organisms, also called
give an example sterile technique (foley catheter insertion)
of each
2. What are the in- Common indications include: inability to void because of retention, the need for
dications for uri- close hemodynamic monitoring, and post-surgical recovery. Standards of practice
nary catheteriza- encourage the removal of a Cather asap
tion
3. What strategies -Always use sterile technique when placing a foley
should I use to -Give appropriate and thorough perineal care
help keep pts -Assess equipment carefully to ensure a closed system
from developing -Intervene to prevent prolonged Cath use
UTIs -Bladder scanners have eliminated the need for in and out caths
4. What is the aver- -Adult: 14 to 16 french
age size for a uri- -Child: 8 to 10 French
nary Cath for an
adult and for a
child between the
ages of 4-8 years
old
5. When applying 1/I 8 inch
a new ostomy
appliance, how
much larger than
the stoma should
the barrier be cut
, NURS 171 final exam
Study online at https://quizlet.com/_gmy68d
to avoid constric-
tion
6. When is the best When the pouch is 1/3-1/2 full, or when bowel is least active: 2-4 hours after
time to empty an a meal. Be cautious with emptying right before a meal because the smell can
ostomy pouch sometimes ruin a pt's appetite
7. Why is pt edu- Teaching about ostomy management begins in the preoperative period and con-
cation so impor- tinues after surgery. Specific care for the various ostomy types in an integral part
tant after ostomy of all ostomy care activities. Instructional strategies include describing each step
surgery of the procedure performed, encouraging participation in ostomy care, answering
questions, and providing resources until pts are comfortable with performing the
procedure independently
8. Determine the 67 mL/hr
flow rate for
the following IV
being adminis-
tered by infu-
sion pump: Clin-
damycin 600 mg
in 100 mL D5W
over 1.5 hours
9. Infuse ampicillin 60 gtt/min
1 gram that has
been diluted in 40
mL 0.9% NS, to
infuse in 40 min-
utes. Drop fac-
tor is 60 gtt/mL.
At which rate
, NURS 171 final exam
Study online at https://quizlet.com/_gmy68d
in gtt/min should
the IV infuse
10. Describe the -The national pressure ulcer advisory panel pressure ulcer staging system is used
stages of pres- to describe the severity of pressure ulcers. Recently revised, the guidelines define
sure ulcers six different classifications.
-Suspected deep tissue injury is the first category. Although not considered a stage,
it pertains to an area of discolored but intact skin caused by damage to underlying
tissue
-Stage 1: is defined as non-blanch able redness caused by pressure typically over
a bony prominence
-Stage 2: Involves partial thickness skin loss with a visible ulcer or fluid filled blister
-Stage 3: Involves full thickness tissue loss without exposed bone, muscle, tendon
and the possibility of undermining or tunneling.
-Stage 4: Involves full thickness tissue loss with exposed bone, muscle, the possi-
bility of undermining or tunneling, and sometimes eschar (black scab like material)
or slough (white, yellow dead tissue)
-The final category is the "unstageable" variety of ulcers whose stage cannot be
determined because eschar and slough obscures the wound
11. What do you -Your physical assessment of wounds involves the use of several senses as you note
need to include visually perceived changes, temperature and textural change, and odors.
in your physical -Your visual assessment includes location, shape, size, colors, exudate, bleeding,
assessment of a any tissue that impairs healing (necrosis, erthymatous, or infected tissue, tunnel-
wound ing, undermining, edema) and any tissue that helps with healing (granulating
tissue, clean wound edges).
-Temperature changes range from very warm (typical with infection) to very cold
(vascular compromise).
-Textural changes includes roughened or raised wounds or deep wounds that
interrupt the natural contour of the skin
-Odors, a very important component of wound assessment, can help you detect
specific infectious organisms or suggest the cause of the wound.
NURS 171 final exam
Answers/ Complete Solutions With Rationales |Get It 100% Accurate!
Study online at https://quizlet.com/_gmy68d
1. Define medical -Medical asepsis: Infection control practice common in health care, such as basic
asepsis and sur- hand washing (Peripheral IV insertion)
gical asepsis and -Surgical asepsis: Techniques used to destroy all pathogenic organisms, also called
give an example sterile technique (foley catheter insertion)
of each
2. What are the in- Common indications include: inability to void because of retention, the need for
dications for uri- close hemodynamic monitoring, and post-surgical recovery. Standards of practice
nary catheteriza- encourage the removal of a Cather asap
tion
3. What strategies -Always use sterile technique when placing a foley
should I use to -Give appropriate and thorough perineal care
help keep pts -Assess equipment carefully to ensure a closed system
from developing -Intervene to prevent prolonged Cath use
UTIs -Bladder scanners have eliminated the need for in and out caths
4. What is the aver- -Adult: 14 to 16 french
age size for a uri- -Child: 8 to 10 French
nary Cath for an
adult and for a
child between the
ages of 4-8 years
old
5. When applying 1/I 8 inch
a new ostomy
appliance, how
much larger than
the stoma should
the barrier be cut
, NURS 171 final exam
Study online at https://quizlet.com/_gmy68d
to avoid constric-
tion
6. When is the best When the pouch is 1/3-1/2 full, or when bowel is least active: 2-4 hours after
time to empty an a meal. Be cautious with emptying right before a meal because the smell can
ostomy pouch sometimes ruin a pt's appetite
7. Why is pt edu- Teaching about ostomy management begins in the preoperative period and con-
cation so impor- tinues after surgery. Specific care for the various ostomy types in an integral part
tant after ostomy of all ostomy care activities. Instructional strategies include describing each step
surgery of the procedure performed, encouraging participation in ostomy care, answering
questions, and providing resources until pts are comfortable with performing the
procedure independently
8. Determine the 67 mL/hr
flow rate for
the following IV
being adminis-
tered by infu-
sion pump: Clin-
damycin 600 mg
in 100 mL D5W
over 1.5 hours
9. Infuse ampicillin 60 gtt/min
1 gram that has
been diluted in 40
mL 0.9% NS, to
infuse in 40 min-
utes. Drop fac-
tor is 60 gtt/mL.
At which rate
, NURS 171 final exam
Study online at https://quizlet.com/_gmy68d
in gtt/min should
the IV infuse
10. Describe the -The national pressure ulcer advisory panel pressure ulcer staging system is used
stages of pres- to describe the severity of pressure ulcers. Recently revised, the guidelines define
sure ulcers six different classifications.
-Suspected deep tissue injury is the first category. Although not considered a stage,
it pertains to an area of discolored but intact skin caused by damage to underlying
tissue
-Stage 1: is defined as non-blanch able redness caused by pressure typically over
a bony prominence
-Stage 2: Involves partial thickness skin loss with a visible ulcer or fluid filled blister
-Stage 3: Involves full thickness tissue loss without exposed bone, muscle, tendon
and the possibility of undermining or tunneling.
-Stage 4: Involves full thickness tissue loss with exposed bone, muscle, the possi-
bility of undermining or tunneling, and sometimes eschar (black scab like material)
or slough (white, yellow dead tissue)
-The final category is the "unstageable" variety of ulcers whose stage cannot be
determined because eschar and slough obscures the wound
11. What do you -Your physical assessment of wounds involves the use of several senses as you note
need to include visually perceived changes, temperature and textural change, and odors.
in your physical -Your visual assessment includes location, shape, size, colors, exudate, bleeding,
assessment of a any tissue that impairs healing (necrosis, erthymatous, or infected tissue, tunnel-
wound ing, undermining, edema) and any tissue that helps with healing (granulating
tissue, clean wound edges).
-Temperature changes range from very warm (typical with infection) to very cold
(vascular compromise).
-Textural changes includes roughened or raised wounds or deep wounds that
interrupt the natural contour of the skin
-Odors, a very important component of wound assessment, can help you detect
specific infectious organisms or suggest the cause of the wound.
