Hondros NUR150 Exam 2 Test Questions with 100% Verified
Answers Graded A+
Used to treat inflammatory responses- decreases device you used, location, duration, patient
edema, muscle spasms, pain, and decreases response, patient teaching and patients response
blood flow to the area. - ANSWER -Cold to teaching
and Heat Therapy
when should you immediately stop application of
when is cold and heat therapy recommended for a cooling device - ANSWER -areas become
an injury - ANSWER -first 24 to 48 hours mottled, red or blue/purple, or if the patient Is
complaining of pain/numbness
whose responsibility is it to evaluate proper
application, adverse signs and symptoms and is when should you immediately stop application of
also responsible for the patient's safety - a heating device - ANSWER -skin becomes
ANSWER -LPN reddened and sensitive to touch, extreme warmth
noted at the area, and body part becomes painful
to move
where should you not apply a cold pack to -
ANSWER -red or blue areas
How long should you leave the heating device in
place - ANSWER -20 to 30 minutes or as
how often should you check the skin of a patient prescribed
who is using an electrical cooling device or an
electrical heating device - ANSWER -every
5 minutes whose responsibility is it to assess skin areas
prior to applications of heating and cooling device
and assess for risks - ANSWER -LPN
what are common symptoms when using an
electrical cooling device - ANSWER -
numbness and tingling what is one of the nurse's highest priority of care
- ANSWER -prevention and treatment of
skin impairment
How long should you leave a cooling device in
place - ANSWER -15 to 20 minutes
how often should you reposition a chair bound
patient - ANSWER -every hour
what are some adverse skin reactions when
using a cooling device - ANSWER -
mottling, redness, burning, blistering and how often should you reposition a patient that is
numbness bed bound - ANSWER -every 2 hours at a
30 degree angle
what should you record when using a cooling
device or heating device - ANSWER -what whose responsibility is it to properly collect a
culture of the pressure ulcer - ANSWER -
, Hondros NUR150 Exam 2 Test Questions with 100% Verified
Answers Graded A+
nurse
a pressure ulcer in a localized area of skin,
how do you properly label a specimen - typically over a bony prominence , that is intact
ANSWER -patients name, medical record with nonblanchable redness. Areas may be
number, date of birth, date and time of collection, painful, firm, soft, warm or cool compared with
what the collection is for, your name and initials. adjacent tissue. difficult to detect in patients with
send as quickly as possible to the lab dark skin tones - ANSWER -Stage 1
what are anaerobic collections of - partial thickness loss of dermis. shallow open
ANSWER -inside of body cavities ulcer, usually shiny or dry, with a red-pink wound
bed without slough or bruising. some may
present as serum- filled blisters -
what are aerobic collections of - ANSWER - ANSWER -Stage 2
wound secretions
full tissue thickness loss in which subcutaneous
occurs when the tissue layers of skin slide on fat is sometimes visible, but bone, tendon, and
each other , causing subcutaneous blood muscle are not exposed. if slough is present it
vessels to kink or stretch resulting in an does not obscure the depth of tissue loss.
interruption of blood flow to the skin - possible undermining and tunneling -
ANSWER -shearing force ANSWER -Stage 3
the rubbing of skin against another surface full thickness loss with exposed bone, tendon, or
produces what - ANSWER -friction muscle. sometimes slough or eschar is present
on some parts of the wound. Includes
undermining and tunneling. - ANSWER -
what are the 2 mechanical factors that play a Stage 4
common role in the development of pressure
ulcers - ANSWER -shearing force and
friction which stage of pressure ulcer would put a patient
at risk for osteomyelitis - ANSWER -stage 4
pressure ulcer
which patients are at risk for pressure ulcers -
ANSWER -chronically ill, debilitated, older,
disabled, or incontinent patients, patients with the true depth and stage of this ulcer can not be
spinal cord injuries, circulatory impairment or determined. wound bed is covered by slough this
poor overall nutrition is yellow, tan, gray, green or brown. eschar
wound bed is tan, brown or black. stable eschar
on the heels provide a natural biologic cover. DO
how can the nurse assess a patients skin for skin NOT REMOVE IT! - ANSWER -
impairment - ANSWER -blanching the area unstageable/unclassified
Answers Graded A+
Used to treat inflammatory responses- decreases device you used, location, duration, patient
edema, muscle spasms, pain, and decreases response, patient teaching and patients response
blood flow to the area. - ANSWER -Cold to teaching
and Heat Therapy
when should you immediately stop application of
when is cold and heat therapy recommended for a cooling device - ANSWER -areas become
an injury - ANSWER -first 24 to 48 hours mottled, red or blue/purple, or if the patient Is
complaining of pain/numbness
whose responsibility is it to evaluate proper
application, adverse signs and symptoms and is when should you immediately stop application of
also responsible for the patient's safety - a heating device - ANSWER -skin becomes
ANSWER -LPN reddened and sensitive to touch, extreme warmth
noted at the area, and body part becomes painful
to move
where should you not apply a cold pack to -
ANSWER -red or blue areas
How long should you leave the heating device in
place - ANSWER -20 to 30 minutes or as
how often should you check the skin of a patient prescribed
who is using an electrical cooling device or an
electrical heating device - ANSWER -every
5 minutes whose responsibility is it to assess skin areas
prior to applications of heating and cooling device
and assess for risks - ANSWER -LPN
what are common symptoms when using an
electrical cooling device - ANSWER -
numbness and tingling what is one of the nurse's highest priority of care
- ANSWER -prevention and treatment of
skin impairment
How long should you leave a cooling device in
place - ANSWER -15 to 20 minutes
how often should you reposition a chair bound
patient - ANSWER -every hour
what are some adverse skin reactions when
using a cooling device - ANSWER -
mottling, redness, burning, blistering and how often should you reposition a patient that is
numbness bed bound - ANSWER -every 2 hours at a
30 degree angle
what should you record when using a cooling
device or heating device - ANSWER -what whose responsibility is it to properly collect a
culture of the pressure ulcer - ANSWER -
, Hondros NUR150 Exam 2 Test Questions with 100% Verified
Answers Graded A+
nurse
a pressure ulcer in a localized area of skin,
how do you properly label a specimen - typically over a bony prominence , that is intact
ANSWER -patients name, medical record with nonblanchable redness. Areas may be
number, date of birth, date and time of collection, painful, firm, soft, warm or cool compared with
what the collection is for, your name and initials. adjacent tissue. difficult to detect in patients with
send as quickly as possible to the lab dark skin tones - ANSWER -Stage 1
what are anaerobic collections of - partial thickness loss of dermis. shallow open
ANSWER -inside of body cavities ulcer, usually shiny or dry, with a red-pink wound
bed without slough or bruising. some may
present as serum- filled blisters -
what are aerobic collections of - ANSWER - ANSWER -Stage 2
wound secretions
full tissue thickness loss in which subcutaneous
occurs when the tissue layers of skin slide on fat is sometimes visible, but bone, tendon, and
each other , causing subcutaneous blood muscle are not exposed. if slough is present it
vessels to kink or stretch resulting in an does not obscure the depth of tissue loss.
interruption of blood flow to the skin - possible undermining and tunneling -
ANSWER -shearing force ANSWER -Stage 3
the rubbing of skin against another surface full thickness loss with exposed bone, tendon, or
produces what - ANSWER -friction muscle. sometimes slough or eschar is present
on some parts of the wound. Includes
undermining and tunneling. - ANSWER -
what are the 2 mechanical factors that play a Stage 4
common role in the development of pressure
ulcers - ANSWER -shearing force and
friction which stage of pressure ulcer would put a patient
at risk for osteomyelitis - ANSWER -stage 4
pressure ulcer
which patients are at risk for pressure ulcers -
ANSWER -chronically ill, debilitated, older,
disabled, or incontinent patients, patients with the true depth and stage of this ulcer can not be
spinal cord injuries, circulatory impairment or determined. wound bed is covered by slough this
poor overall nutrition is yellow, tan, gray, green or brown. eschar
wound bed is tan, brown or black. stable eschar
on the heels provide a natural biologic cover. DO
how can the nurse assess a patients skin for skin NOT REMOVE IT! - ANSWER -
impairment - ANSWER -blanching the area unstageable/unclassified
