NUR 155 Exam 3, with complete solutions...
NUR 155 Exam 3
Study online at https://quizlet.com/_btvp87
1. Which patients are at a higher risk for 48 hours post op, diabetes, incontinence, fever,
wounds? elderly
2. While doing an assessment, you find continue assessment and look for more wounds.
a stage 2-3 wound on the back of the measure diameter, tunneling, width, take patients
head, what is the first thing you do? vitals, use stethoscope, temp, pulse ox, and BP cuff
3. What kind of nutrients will you include Protein, zinc, and vitamins
for someone with a wound?
4. What is dehissance? When inside organs are exposed, this can happen
at any time.
5. What is an evisceration? When organs come out of the body, usually will
happen within 48 hours post op. It is an inflamma-
tory response.
6. When assessing a wound, what color Red and beefy
should it be?
7. If you open a wound that is not red Go back to the previous assessment of the wound
and beefy what should you do? to check if it was red and beefy. Call upon new
findings.
8. What if a wound is grey/black? Call a doctor, this means that the tissue is dead and
must be removed
9. What is a Jackson-Pratt drain? a closed drainage system that uses a bulb to vacu-
um exudate
10. What is a hemovac drain? uses suction and drains into container
11. where do transparent wound dress- IV site, 1st stage pressure ulcer, skin tears
ings go?
1/8
Page 1
, NUR 155 Exam 3, with complete solutions...
NUR 155 Exam 3
Study online at https://quizlet.com/_btvp87
12. Where do hydrocolloid dressings go? Stages II-IV, burns
13. Silver Alginate chemical debrieder, type of gauze, used on pres-
sure ulcers
14. When to use hot therapy? Chronic, vasodilation, to increase cap refill, arthritis,
do not use in first 24 hours.
15. When to use cold therapy? Acute, for vasoconstriction
16. primary intention Stitch, staple, suture, little to no tissue lost
17. secondary intention wound wound that's left open
18. tertiary intention left open at first, then closed
19. What happens to the musculoskeletal Atrophys, stiffens
system in patients with prolonged im-
mobility?
20. What is plantar flexion? bending the foot and toes downward, also known
as "foot drop"
21. How to prevent plantar flexion (foot By using dorsal flexion, or a foot board.
drop)?
22. What does immobility do to pres- Low blood pressure/hypotension
sures?
23. To prevent atrophy of muscles, what Range of motion
should patients do?
24. How often should your patient per- twice a day, three times each joint
form range of motion
2/8
Page 2
NUR 155 Exam 3
Study online at https://quizlet.com/_btvp87
1. Which patients are at a higher risk for 48 hours post op, diabetes, incontinence, fever,
wounds? elderly
2. While doing an assessment, you find continue assessment and look for more wounds.
a stage 2-3 wound on the back of the measure diameter, tunneling, width, take patients
head, what is the first thing you do? vitals, use stethoscope, temp, pulse ox, and BP cuff
3. What kind of nutrients will you include Protein, zinc, and vitamins
for someone with a wound?
4. What is dehissance? When inside organs are exposed, this can happen
at any time.
5. What is an evisceration? When organs come out of the body, usually will
happen within 48 hours post op. It is an inflamma-
tory response.
6. When assessing a wound, what color Red and beefy
should it be?
7. If you open a wound that is not red Go back to the previous assessment of the wound
and beefy what should you do? to check if it was red and beefy. Call upon new
findings.
8. What if a wound is grey/black? Call a doctor, this means that the tissue is dead and
must be removed
9. What is a Jackson-Pratt drain? a closed drainage system that uses a bulb to vacu-
um exudate
10. What is a hemovac drain? uses suction and drains into container
11. where do transparent wound dress- IV site, 1st stage pressure ulcer, skin tears
ings go?
1/8
Page 1
, NUR 155 Exam 3, with complete solutions...
NUR 155 Exam 3
Study online at https://quizlet.com/_btvp87
12. Where do hydrocolloid dressings go? Stages II-IV, burns
13. Silver Alginate chemical debrieder, type of gauze, used on pres-
sure ulcers
14. When to use hot therapy? Chronic, vasodilation, to increase cap refill, arthritis,
do not use in first 24 hours.
15. When to use cold therapy? Acute, for vasoconstriction
16. primary intention Stitch, staple, suture, little to no tissue lost
17. secondary intention wound wound that's left open
18. tertiary intention left open at first, then closed
19. What happens to the musculoskeletal Atrophys, stiffens
system in patients with prolonged im-
mobility?
20. What is plantar flexion? bending the foot and toes downward, also known
as "foot drop"
21. How to prevent plantar flexion (foot By using dorsal flexion, or a foot board.
drop)?
22. What does immobility do to pres- Low blood pressure/hypotension
sures?
23. To prevent atrophy of muscles, what Range of motion
should patients do?
24. How often should your patient per- twice a day, three times each joint
form range of motion
2/8
Page 2
