NUR 209 FINAL EXAM COMPLETE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |100% ACCURATE!! TEST!!

NUR 209 FINAL EXAM COMPLETE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |100% ACCURATE!! TEST!! what ppe is needed for contact precautions? Correct Answer gown and gloves bp cuff too large means Correct Answer low reading bp cuff too small means Correct Answer high reading used to auscultate; study that uses high-frequency sound waves for detection of blood flow within the vessels Correct Answer doppler ultrasound what tests are used to determine signs of an infection? Correct Answer wbc, sed rate, blood cultures The nurse performs this prior to physical assessment to find out about any health problems Correct Answer review of systems why is the older adult more susceptible to accidents? Correct Answer decreased muscle mass and strength, slower reaction time and reflexes, vision and hearing changes what should be avoided in bathing older adults to preserve skin integrity? Correct Answer harsh soaps and vigorous scrubbing uses audible reminders not to get up Correct Answer bed alarm what area is palpated to assess for urinary retention? Correct Answer suprapubic area typical volume of a hypertonic enema Correct Answer 70-130mL can help prevent atelectasis and pneumonia Correct Answer incentive spirometer this condition contributes to injury to skin and extremities in older adults Correct Answer decreased peripheral nerve function how to clean an approximated wound Correct Answer top to bottom center to outside The type of syringe that measures liquid in 1/100 mL Correct Answer tuberculin syringe NPH has a ______ opacity Correct Answer cloudy what is the recommended duration of a peripheral IV angiocatheter? Correct Answer as long as needed or 72-96 hours This type of documentation form is used to efficiently record nursing care over time. Correct Answer flow sheet someone attributes their own thoughts or impulses to someone else Correct Answer projection these recreational drugs can interfere with sexual function Correct Answer cocaine, alcohol, and marijuana how to you clean an open intentional wound? Correct Answer circles from center out what do defense mechanisms do? Correct Answer preserve ego what puts a patient at risk for UTI? Correct Answer urinary retention, BPH, pelvic surgery less than __mL in bladder is considered normal Correct Answer 50 mL what should the nurse do for a patient with a urinary retention? Correct Answer position patient, medications, straight cath what is a complication in older adults? Correct Answer decreased bone density what assessments are done when checking restraints? Correct Answer cap refill, peripheral pulses, pressure (edema), numbness, pain 120 ml most common, prep for colon exams Correct Answer fleets enema well approximated (surgical wounds), minimal tissue loss Correct Answer primary intention edges are not well approximated; large, open wounds, such as from burns or major trauma, which require more tissue replacement and are often contaminated Correct Answer secondary intention how do secondary intention wounds heal? Correct Answer bottom to top wounds left open for several days to allow edema or infection to resolve or fluid to drain, and then are closed Correct Answer tertiary intention what is the red tissue that means healing called? Correct Answer granulated tissue destroys all pathogenic organisms except spores Correct Answer disinfection destroys all microorganisms including spores Correct Answer sterilization airborne infections Correct Answer tuberculosis, varicella (chicken pox), and rubeola (measles) what are some airborne precautions? Correct Answer negative air pressure room, respirator, surgical mask on patient droplet infections Correct Answer rubella, mumps, diphtheria, adenovirus, meningitis, pneumonia droplet precautions Correct Answer private room, PPE, surgical mask on patient, 3 ft away the diffusion of heat; the body gives off waves of heat from uncovered surfaces Correct Answer radiation