NSG 3100 EXAM 2 INFO
acute wound - ANSWER-wounds such as surgical incisions in which the edges can be approximated
together, this type of wound heals by primary intention with quick healing and minimal scar formation
afebrile - ANSWER-a person who maintains a normal body temperature of 97.6 to 99.5; age, exercise,
hormones, circadian rhythms, stress, and smoking may affect this.
airborne precautions - ANSWER-diseaseS: measles, varicella, TB, covid-19
what to wear: N95 mask
extra info: PT in negative pressure room, place regular mask on them if they need to leave the room
alginates - ANSWER-highly absorbent used on exudative and bleeding wounds
apical pulse - ANSWER-central pulse near apex of heart at point of maximal impulse
apical pulse site - ANSWER-at the apex of the heart, most accurate pulse for listening
apnea - ANSWER-absence of breathing
autolytic debridement - ANSWER-use of a dressing to trap drainage against dead tissue
axillary temperature - ANSWER-used when the oral and rectal sites are contraindicated or inaccessible;
sight frequently used for newborns
biological debridement - ANSWER-the use of sterile maggots to debride a wound
biot breathing - ANSWER-respirations abnormally shallow for two or three breaths followed by apnea
brachial pulse site - ANSWER-inner aspect of forearm at the antecubital space (crease at elbow)
braden scale - ANSWER-S -sensory perception
M-moisture
A- activity
M-mobility
N-nutrition
F-friction
bradycardia - ANSWER-slow heart rate; less than 60 bpm
bradypnea - ANSWER-decrease in breathing rate
carotid pulse site - ANSWER-side of neck, only site that should never be assessed bilaterally
chemical debridement - ANSWER-may use topical enzymes to induce changes in the substrate resulting
in the breakdown of necrotic tissue.
cheyne-stokes respirations - ANSWER-rhythmic respirations from very deep to very shallow
, NSG 3100 EXAM 2 INFO
chronic wound - ANSWER-wounds that do not heal easily and may remain open over time, this type of
wound heals by secondary intention with new tissue filling from the bottom and side until it is filled with
new tissue
clean contaminated wound - ANSWER-no infection, but the risk for infection is greater because of
surgical entry that may expose wound to bacteria
clean wound - ANSWER-no infection in wound and risk for infection is low
closed drains - ANSWER-when the drain is compressed and plugged it provides suction by pulling
drainage from the wound as it expands (Jackson Pratt, Hemovac drain)
closed wound - ANSWER-seen with bruising, skin still in tact
cold therapy - ANSWER-causes vasoconstriction; use on traumatic injury, pain, inflammation, muscle
spasm
colonized wound - ANSWER-one or more organisms are present on the surface of the wound when a
swab culture is obtained but there is no overt sign of an infection in the tissue below the surface
contact precautions - ANSWER-diseases: GI illness, C.Diff, MRSA, herpes, scabies
what to wear: gown and gloves
extra info: private room, remove PPE in room, disposable equipment
contaminated wound - ANSWER-break in a sterile technique that allows spillage of bacteria into wound
or from certain types of trauma
dehiscence - ANSWER-partial or total separation of wound layers
doffing - ANSWER-1. remove gloves
2. remove gown
3. wash hands
4. remove eyewear
5. remove mask
6. wash hands
donning - ANSWER-1. wash hands
2. gown on
3. mask on
4. eyewear on
5. gloves on
acute wound - ANSWER-wounds such as surgical incisions in which the edges can be approximated
together, this type of wound heals by primary intention with quick healing and minimal scar formation
afebrile - ANSWER-a person who maintains a normal body temperature of 97.6 to 99.5; age, exercise,
hormones, circadian rhythms, stress, and smoking may affect this.
airborne precautions - ANSWER-diseaseS: measles, varicella, TB, covid-19
what to wear: N95 mask
extra info: PT in negative pressure room, place regular mask on them if they need to leave the room
alginates - ANSWER-highly absorbent used on exudative and bleeding wounds
apical pulse - ANSWER-central pulse near apex of heart at point of maximal impulse
apical pulse site - ANSWER-at the apex of the heart, most accurate pulse for listening
apnea - ANSWER-absence of breathing
autolytic debridement - ANSWER-use of a dressing to trap drainage against dead tissue
axillary temperature - ANSWER-used when the oral and rectal sites are contraindicated or inaccessible;
sight frequently used for newborns
biological debridement - ANSWER-the use of sterile maggots to debride a wound
biot breathing - ANSWER-respirations abnormally shallow for two or three breaths followed by apnea
brachial pulse site - ANSWER-inner aspect of forearm at the antecubital space (crease at elbow)
braden scale - ANSWER-S -sensory perception
M-moisture
A- activity
M-mobility
N-nutrition
F-friction
bradycardia - ANSWER-slow heart rate; less than 60 bpm
bradypnea - ANSWER-decrease in breathing rate
carotid pulse site - ANSWER-side of neck, only site that should never be assessed bilaterally
chemical debridement - ANSWER-may use topical enzymes to induce changes in the substrate resulting
in the breakdown of necrotic tissue.
cheyne-stokes respirations - ANSWER-rhythmic respirations from very deep to very shallow
, NSG 3100 EXAM 2 INFO
chronic wound - ANSWER-wounds that do not heal easily and may remain open over time, this type of
wound heals by secondary intention with new tissue filling from the bottom and side until it is filled with
new tissue
clean contaminated wound - ANSWER-no infection, but the risk for infection is greater because of
surgical entry that may expose wound to bacteria
clean wound - ANSWER-no infection in wound and risk for infection is low
closed drains - ANSWER-when the drain is compressed and plugged it provides suction by pulling
drainage from the wound as it expands (Jackson Pratt, Hemovac drain)
closed wound - ANSWER-seen with bruising, skin still in tact
cold therapy - ANSWER-causes vasoconstriction; use on traumatic injury, pain, inflammation, muscle
spasm
colonized wound - ANSWER-one or more organisms are present on the surface of the wound when a
swab culture is obtained but there is no overt sign of an infection in the tissue below the surface
contact precautions - ANSWER-diseases: GI illness, C.Diff, MRSA, herpes, scabies
what to wear: gown and gloves
extra info: private room, remove PPE in room, disposable equipment
contaminated wound - ANSWER-break in a sterile technique that allows spillage of bacteria into wound
or from certain types of trauma
dehiscence - ANSWER-partial or total separation of wound layers
doffing - ANSWER-1. remove gloves
2. remove gown
3. wash hands
4. remove eyewear
5. remove mask
6. wash hands
donning - ANSWER-1. wash hands
2. gown on
3. mask on
4. eyewear on
5. gloves on
