NUR 242 MED:SURG EXAM 1 QUESTIONS WITH
VERIFIED ANSWERS; 100% CORRECT; GRADE A
Adaptive equipment - correct answer- buttonhook
extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
Airborne Precautions - correct answer- private room with negative
pressure airflow, keep door closed, N95 respirator, patient to wear
surgical mask when leaving room a clinical reason
M - measles
T - tuberculosis
V - varicella (including disseminated zoster)
cane teaching - correct answer- - be sure cane is at the height of the
patients wrist when the arm is placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
,- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
Care of Patient in Sickle Call Crisis - correct answer- Give prescribed
pain medication
hydrate with normal saline IV, encourage oral intake of fluids without
caffeine
administer oxygen
remove restrictive clothing, no blood pressure with external cuff
check circulation in extremities every hour
Cellulitis - correct answer- generalized infection with either
staphylococcus or streptococcus and involves deeper connection tissue
infection can spread by scratching or rubbing the skin
can result from a secondary bacterial infection of an open wound or
unrelated to skin trauma
localized area of inflammation that may enlarge rapidly if not treated
warm compresses to the area are recommended
treatment with IVABT
Central Line Access Devices - correct answer- All central line access
devices terminate in the superior vena cava (PICC line, implantable
ports, tunneled and non-tunneled catheters, and central lines)
, insertion requires informed consent
need to have a chest x-ray prior to use
Changes in Dark skin - Bleeding - correct answer- - Compare the
affected area with the same area on the unaffected body side for
swelling or skin darkening
- if the patient has thrombocytopenia, petechiae may be present on the
oral mucosa or conjunctiva
Changes in Dark skin - cyanosis - correct answer- - examine lips and
tongue for gray color
- examine nail beds, palms, and soles for blue tinge
- Examine conjunctiva for pallor
Changes in Dark skin - Inflammation - correct answer- - Compare
effective area with non affected area for increased warmth
-examine skin of affected area to determine whether it is shiny or taut or
pits with pressure
- Compare the skin color of affected area with the same area on the
opposite side of the body
- palpate the affected area and compare it with unaffected area to
determine whether texture is different (affected area may feel hard or
"woody"
VERIFIED ANSWERS; 100% CORRECT; GRADE A
Adaptive equipment - correct answer- buttonhook
extended shoehorn
plate guard and spork
gel pad
foam buildups
hook and loop fasteners
long-handled reacher
elastic shoelaces or velcro shoe closure
Airborne Precautions - correct answer- private room with negative
pressure airflow, keep door closed, N95 respirator, patient to wear
surgical mask when leaving room a clinical reason
M - measles
T - tuberculosis
V - varicella (including disseminated zoster)
cane teaching - correct answer- - be sure cane is at the height of the
patients wrist when the arm is placed at his or her side
- remind patient to place his or her strong hand on cane
- ensure that the patient's body is well balanced
,- move the cane and weaker leg forward at the same time
- move the stronger leg one step forward
- check balance and repeat the sequence
Care of Patient in Sickle Call Crisis - correct answer- Give prescribed
pain medication
hydrate with normal saline IV, encourage oral intake of fluids without
caffeine
administer oxygen
remove restrictive clothing, no blood pressure with external cuff
check circulation in extremities every hour
Cellulitis - correct answer- generalized infection with either
staphylococcus or streptococcus and involves deeper connection tissue
infection can spread by scratching or rubbing the skin
can result from a secondary bacterial infection of an open wound or
unrelated to skin trauma
localized area of inflammation that may enlarge rapidly if not treated
warm compresses to the area are recommended
treatment with IVABT
Central Line Access Devices - correct answer- All central line access
devices terminate in the superior vena cava (PICC line, implantable
ports, tunneled and non-tunneled catheters, and central lines)
, insertion requires informed consent
need to have a chest x-ray prior to use
Changes in Dark skin - Bleeding - correct answer- - Compare the
affected area with the same area on the unaffected body side for
swelling or skin darkening
- if the patient has thrombocytopenia, petechiae may be present on the
oral mucosa or conjunctiva
Changes in Dark skin - cyanosis - correct answer- - examine lips and
tongue for gray color
- examine nail beds, palms, and soles for blue tinge
- Examine conjunctiva for pallor
Changes in Dark skin - Inflammation - correct answer- - Compare
effective area with non affected area for increased warmth
-examine skin of affected area to determine whether it is shiny or taut or
pits with pressure
- Compare the skin color of affected area with the same area on the
opposite side of the body
- palpate the affected area and compare it with unaffected area to
determine whether texture is different (affected area may feel hard or
"woody"
