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Exam (elaborations)

NURS 6011 Study Guide for Exam 3 Questions and Correct Answers/ Latest Update / Already Graded

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NURS 6011 Study Guide for Exam 3 Questions and Correct Answers/ Latest Update / Already Graded

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NURS 6011 Study Guide for Exam 3
Questions and Correct Answers/ Latest
Update / Already Graded
normal BP

Ans: 120/80


normal respiratory rate

Ans: 12-20


normal pulse rate

Ans: 60-100


Normal temperature

Ans: 97.8-99.1


debridement

Ans: cleaning away devitalized tissue and foreign matter from
a wound


dehiscence

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Ans: separation of layers of a surgical wound; may be partial,
superficial or a complete disruption of the surgical wound


desiccation

Ans: dehydration
the process of being rendered free from moisture


epithelialization

Ans: stage of wound healing in which epithelial cells form
across the surface of a wound; tissue color ranges from the
color of ground glass to pink


eschar

Ans: thick, leathery, scar or dry crust that is necrotic and must
be removed for adequate healing to occur


evisceration

Ans: protrusion of viscera through an incision


purulent drainage



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Ans: compromised of WBCs, liquefied dead tissue debris, and
both dead and live bacteria


an intentional wound is the result of?

Ans: planned invasive therapy or treatment
examples are wound resulting from surgery, IV therapy, and
lumbar puncture


in older adults what are age related changes that occur that could
affect wound healing

Ans: skin loses turgor and is more fragile


decreased secretion of enzymes and absorption of nutrients and
minerals may increase risk for delayed wound healing


risk of infection increases because:
-slower inflammatory response
-reduced antibody production and endocrine system function
-increased incidence of chronic illnesses, such as diabetes and
CV disease, that compromise circulation and tissue oxygenation




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You have a 6th grader who has been getting bad grades lately, rubs
their eyes frequently, visual acuity is poor what is the nursing
diagnosis?

Ans: ineffective role performance related to visual impairment


in an older adult the skin loses turgor and is more fragile what are some
nursing interventions to help with that?

Ans: maintain hydration and IV fluids as prescribed


maintain record of intake and output


use caution when removing tape


in older adults they experience decreased secretion of enzymes and
absorption of nutrients that increase their risk for delayed wound
healing what are some nursing interventions to combat this?

Ans: maintain intake of adequate calories


ensure that the diet is high in protein, vitamin A, vitamin C and
trace elements


monitor lab results such as serum albumin, total protein


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