NU 311 Exam 3 With
Correct Answers
A |sterile |dressing |with |no |absorbent |capacity |that |is |impermeable |to |fluids | and
bacteria |and |is |used |as |prophylaxis |for |high-risk |intact |skin |(high |risk |friction
|
areas), |superficial |wounds |with |minimal |or |no |exudate |best |describes:
|
- |ANSWER |Transparent |film
When |aseptic |procedures |are |performed, |the |nurse |must |have |a |sterile |work
area |or |sterile |field. |Which |statement |regarding |maintenance |of |sterile |fields
|
is |true? |- |ANSWER |Once |a |sterile |field |is |outside |of |the |vision |of |the |nurse,
|
| the |sterile |field |is |considered |contaminated.
The |RN |caring |for |a |client |following |recent |abdominal |surgery |finds |the |wound
edges |of |the |incision |well |approximated. |The |RN |knows |the |wound |is |healing
|
by: |- |ANSWER |Primary |intention
|
Dr. |Swanzy |is |at |the |bedside |with |a |clinical |student |preparing |to |perform |a
sterile |procedure. |The |student |makes |an |A |in |clinical |for |the |day |when |he/she:
|
- |ANSWER |Opens |the |outermost |flap |of |the |sterile |field |away |from |the |body,
keeping |arm |outstretched |and |avoiding |crossing |the |sterile |field.
|
The |nurse |assesses |a |Stage |I |pressure |injury |as: |- |ANSWER |intact |skin |with
nonblanchable |redness.
|
When |repositioning |an |immobile |client, |the |student |nurse |notices |a |deep
red-maroon |color |over |a |bony |prominence. |When |the |area |is |further
|
, assessed, |it |does |not |blanch |indicating: |- |ANSWER |a |deep |tissue |pressure
injury.
|
Which |statement/s |regarding |the |application |of |ice, |or |cryotherapy |is/are
true? |- |ANSWER |-Cold |therapy |is |one |of |the |most |widely |used |therapeutic
|
modalities |in |the |management |of |acute |musculoskeletal |injuries.
|
-Cold |applications |must |be |removed |from |areas |that |have |turned |red |or |blue
during |therapy |related |to |the |possibility |of |worsening |ischemia.
|
The |RN |is |caring |for |a |client |recovering |from |major |abdominal |surgery |2 |days
ago. |The |RN |realizes |factors |affecting |surgical |wound |healing |include: |-
|
ANSWER |-Nutritional |status
|
-Diabetes
-Advanced | age
-Wound |Infection
The |RN |is |performing |a |pressure |injury |risk |assessment |using |the |Braden | Scale.
The |Braden |Scale |predicts |client |risk |for |pressure |injury |by |evaluating: |-
|
ANSWER |Friction |and |Shear, |Nutrition, |Mobility, |Activity, |Moisture, |and
|
Sensory |Perception.
|
Serosanguineous |drainage |from |a |wound |may |be |described |as: |- |ANSWER |pale
red, |watery |drainage.
|
The |RN |finds |the |post |cardiac |catheterization |client |with |a |large |amount |of
bright |red |blood |soaking |the |femoral |dressing. |What |is |the |priority |action |of
|
the |nurse? |- |ANSWER |Look |underneath |the |dressing |and |then |apply |pressure |to
|
the |bleeding |site.
|
Correct Answers
A |sterile |dressing |with |no |absorbent |capacity |that |is |impermeable |to |fluids | and
bacteria |and |is |used |as |prophylaxis |for |high-risk |intact |skin |(high |risk |friction
|
areas), |superficial |wounds |with |minimal |or |no |exudate |best |describes:
|
- |ANSWER |Transparent |film
When |aseptic |procedures |are |performed, |the |nurse |must |have |a |sterile |work
area |or |sterile |field. |Which |statement |regarding |maintenance |of |sterile |fields
|
is |true? |- |ANSWER |Once |a |sterile |field |is |outside |of |the |vision |of |the |nurse,
|
| the |sterile |field |is |considered |contaminated.
The |RN |caring |for |a |client |following |recent |abdominal |surgery |finds |the |wound
edges |of |the |incision |well |approximated. |The |RN |knows |the |wound |is |healing
|
by: |- |ANSWER |Primary |intention
|
Dr. |Swanzy |is |at |the |bedside |with |a |clinical |student |preparing |to |perform |a
sterile |procedure. |The |student |makes |an |A |in |clinical |for |the |day |when |he/she:
|
- |ANSWER |Opens |the |outermost |flap |of |the |sterile |field |away |from |the |body,
keeping |arm |outstretched |and |avoiding |crossing |the |sterile |field.
|
The |nurse |assesses |a |Stage |I |pressure |injury |as: |- |ANSWER |intact |skin |with
nonblanchable |redness.
|
When |repositioning |an |immobile |client, |the |student |nurse |notices |a |deep
red-maroon |color |over |a |bony |prominence. |When |the |area |is |further
|
, assessed, |it |does |not |blanch |indicating: |- |ANSWER |a |deep |tissue |pressure
injury.
|
Which |statement/s |regarding |the |application |of |ice, |or |cryotherapy |is/are
true? |- |ANSWER |-Cold |therapy |is |one |of |the |most |widely |used |therapeutic
|
modalities |in |the |management |of |acute |musculoskeletal |injuries.
|
-Cold |applications |must |be |removed |from |areas |that |have |turned |red |or |blue
during |therapy |related |to |the |possibility |of |worsening |ischemia.
|
The |RN |is |caring |for |a |client |recovering |from |major |abdominal |surgery |2 |days
ago. |The |RN |realizes |factors |affecting |surgical |wound |healing |include: |-
|
ANSWER |-Nutritional |status
|
-Diabetes
-Advanced | age
-Wound |Infection
The |RN |is |performing |a |pressure |injury |risk |assessment |using |the |Braden | Scale.
The |Braden |Scale |predicts |client |risk |for |pressure |injury |by |evaluating: |-
|
ANSWER |Friction |and |Shear, |Nutrition, |Mobility, |Activity, |Moisture, |and
|
Sensory |Perception.
|
Serosanguineous |drainage |from |a |wound |may |be |described |as: |- |ANSWER |pale
red, |watery |drainage.
|
The |RN |finds |the |post |cardiac |catheterization |client |with |a |large |amount |of
bright |red |blood |soaking |the |femoral |dressing. |What |is |the |priority |action |of
|
the |nurse? |- |ANSWER |Look |underneath |the |dressing |and |then |apply |pressure |to
|
the |bleeding |site.
|
