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Exam (elaborations)

Hondros Nur 150 - Exam 2|Key Questions With Correct Answers

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Hondros Nur 150 - Exam 2|Key Questions With Correct Answers

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Hondros Nur 150 - Exam 2|Key
Questions With Correct Answers


What type of therapy helps to decrease swelling and edema.-correct-answer-Cold
therapy




You should never apply ___________ therapy to a bluish extremity.-correct-
answer-Cold




What tooling scale will help the nurse to determine a patients risk for skin
breakdown?-correct-answer-Braden scale




What type of assessment is a nurse responsible for completing upon admission?-
correct-answer-Skin Assesment




A nurse is caring for a patient recovering from a surgery. What nutrient should the
nurse emphasize in the patient's diet?-correct-answer-Protein

,2|Page


What type of proteins contain the nine essential amino acids?-correct-answer-
Complete Proteins




A deficiency of which mineral can cause an enlarged thyroid?-correct-answer-
Iodine




___________________ is a continuous process of building and breaking down
tissues.-correct-answer-Metabolism




which assessment tool is best for assessing IALD's / Independent living skills.-
correct-answer-Lawtons Scale




Using the telephone, shopping, food preparation, housekeeping, laundry, mode of
transportation, responsibility for own medication, and ability to handle finances,
are an example of what?-correct-answer-IALD's (Instrumental Activities of Daily
Living)




which assessment tool is best for assessing ADL's (Activities of Daily Living)?-
correct-answer-Katz Index

,3|Page


Bathing, dressing, toileting, transferring, continence, and feeding are examples of
what?-correct-answer-ADL's (Activities of Daily Living)




The ____________ is a simple screening tool that only takes 3 minutes to
administer. The tool can be used to detect cognitive impairment quickly, both
during routine visits and hospitalizations.-correct-answer-Mini-Cog




The ____________ takes approximately 10 minutes to administer, and can be
used in a variety of settings, from primary care to acute care.-correct-answer-
Montreal Cognitive Assessment




What are the nursing interventions for wounds?-correct-answer-Assessing the
size and depth of the ulcer, the amount and color of any exudation, and if there is
a presence of pain and odor.




Full thickness tissue loss with exposed muscle and bone.-correct-answer-Stage IV




Open lesion with subcutaneous tissue exposed.-correct-answer-Stage III

, 4|Page


Intact skin with non-blanchable redness.-correct-answer-Stage I




Partial thickness loss with serous drainage.-correct-answer-Stage II




Patients at increased risk for skin break down are...-correct-answer-The
chronically ill, elderly, obese, disabled, incontinent, those with poor nutrition, and
those with circulatory impairment.




Nursing interventions to reduce pressure ulcers are...-correct-answer-Reposition
at least every 2 hours in bed and every 1 hour in a chair. Moisture management,
Nutrition management, friction and shear management, protect bony
prominence, and use low-air loss bed.




If a patient receives a score of >18 on the Braden Scale, they are...-correct-
answer-A little to no risk for skin break down




If a patient receives a score of 15-18 on the Braden Scale, they are...-correct-
answer-At risk for skin break down

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