D439 FOUNDATIONS EXAM
QUESTIONS AND CORRECT
ANSWERS!!
restraint documentation
reasoning, mental status, care offered, time in restraints
restraint order time
ONLY last 24 hours
urine specific gravity test use
identify dehydration, kidney problems, conditions like diabetes insipidus
urine specific gravity test & range
concentration of particles in urine; 1.005- 1.030
high urine specific gravity test
HIGH = YOU'RE DRY/ DEHYDRATED = VOMITING/DIARRHEA
low urine specific gravity test
"overflow" kidney damage, kidney failure
pressure ulcers
"1 red, 2 broken, 3 deep, 4 bone"
red intact skin, break with blister, deep tissue, bone visible
pressure ulcers stage 1
red intact skin
pressure ulcers stage 2
skin breaks & blisters; 2 layers affected (epidermis, dermis)
, pressure ulcers stage 3
full thickness skin loss; 3 layers affected (epi, dermis, sub-q tissue)
pressure ulcers stage 4
goes down into muscle and bone; 4 layers
pressure ulcers unstageable
eschar (black/brown dead tissue) and slough (yellow and stringy) make it impossible to see;
perform debridement
pressure ulcers deep tissue
purple and dead; over bony prominences; thirty degree lateral inclined position releases pressure
scale used to measure risk of ulcers
braden scale; 1=high risk, 4=low to none
MRSA (methicillin-resistant staphylococcus aureus)
"MRS. A" mask, red swelling, separate room, antibiotics (vancomycin)"
MRSA precautions
INSTITUTE CONTACT PRECAUTIONS: mask, gloves, gown, spreads through
contact separate room
MRSA prevention
PPE, hand hygiene
MRSA S/S
red swollen area, drainage, abscess, can cause sepsis
MRSA increased risk
weakened immune system, extended hospital stays, surgeries
MRSA Tx
QUESTIONS AND CORRECT
ANSWERS!!
restraint documentation
reasoning, mental status, care offered, time in restraints
restraint order time
ONLY last 24 hours
urine specific gravity test use
identify dehydration, kidney problems, conditions like diabetes insipidus
urine specific gravity test & range
concentration of particles in urine; 1.005- 1.030
high urine specific gravity test
HIGH = YOU'RE DRY/ DEHYDRATED = VOMITING/DIARRHEA
low urine specific gravity test
"overflow" kidney damage, kidney failure
pressure ulcers
"1 red, 2 broken, 3 deep, 4 bone"
red intact skin, break with blister, deep tissue, bone visible
pressure ulcers stage 1
red intact skin
pressure ulcers stage 2
skin breaks & blisters; 2 layers affected (epidermis, dermis)
, pressure ulcers stage 3
full thickness skin loss; 3 layers affected (epi, dermis, sub-q tissue)
pressure ulcers stage 4
goes down into muscle and bone; 4 layers
pressure ulcers unstageable
eschar (black/brown dead tissue) and slough (yellow and stringy) make it impossible to see;
perform debridement
pressure ulcers deep tissue
purple and dead; over bony prominences; thirty degree lateral inclined position releases pressure
scale used to measure risk of ulcers
braden scale; 1=high risk, 4=low to none
MRSA (methicillin-resistant staphylococcus aureus)
"MRS. A" mask, red swelling, separate room, antibiotics (vancomycin)"
MRSA precautions
INSTITUTE CONTACT PRECAUTIONS: mask, gloves, gown, spreads through
contact separate room
MRSA prevention
PPE, hand hygiene
MRSA S/S
red swollen area, drainage, abscess, can cause sepsis
MRSA increased risk
weakened immune system, extended hospital stays, surgeries
MRSA Tx
