NU 136 Exam 2 Questions with Correct Answers

NU 136 Exam 2 Questions with Correct Answers Walker - Correct Answer a device used to assist with walking, 15-30degree while standing upright and grasping the handgrips, resting the body's weight on the axillary bar puts pressure on the vital nerves and can occlude blood vessels in the axilla causing temporary or permanent damage, including paralysis cane - Correct Answer assistive device used by the resident with weakness on one side, 15-30 degree crutches - Correct Answer Devices used to assist injured or weak patients with walking, 15-20 degrees, pad should be 3 to 4 fingerbreadths under the axilla, tips at 4-6 inches in front of the patients feet Wheelchair - Correct Answer Always lock the brakes when the wheels are not in motion, Neurovascular Assessment - Correct Answer Normally capillary refill is less than 3 seconds or within 5 second within an older adult Applying first aid splint - Correct Answer Cover any open wounds with material as clean as can be found to help prevent infection Pad bony prominences with soft material to prevent pressure wounds Check circulation distal to the injury and loosen the splint ties if the tissue becomes pale, cold, or blue Principles of traction - Correct Answer must be continuous, weights must be free hanging, nothing should interfere with the pulleys, patient must aligned correctly, check orders for amount of weights physical assesment - Correct Answer systematic examination of the patient for objective data to better define the patient's condition and to help the nurse in planning care, usually performed in a head-to-toe format; a collection of objective data about changes in the patient's body systems pressure sore - Correct Answer an ulcerated area in which prolonged pressure has caused tissue death gait - Correct Answer a person's manner of walking recurrent turns (bandages) - Correct Answer - type of turn that is used to cover distal parts of the body - ex: skull, stump of an amputation figure-eight turns (bandages) - Correct Answer - type of turn that is used to bandage and elbow, knee, or ankle because they permit movement after application spiral reverse turn - Correct Answer used to bandage body parts that are not uniform in circumference such as the lower leg or forearm Spiral turn bandage - Correct Answer Used to bandage parts of the body that are uniform in circumference circular turn bandage - Correct Answer -Bandage turn overlapping previous turn completely