D439 FOUNDATIONS OF NURSING
STUDY GUIDE QUESTIONS AND
CORRECT ANSWERS!!
s/sx of stage 2 wound/ulcer
skin breaks, BLISTERS, 2 layers are affected
s/sx of stage 3 would/ulcer
full thickness skin loss, 3 layers affected
s/sx of stage 4 wound/ulcer
goes down into muscle and bone 4 layers affected
what is an unstageable wound
eschar (black/brown dead tissue) and slough (yellow and stringy) make it impossible to
see. perform debridement
what is a deep tissue wound/ulcer
purple and dead that occurs most frequently over bony prominences such as the heels,
ankles, and sacral area
what is the braden scale
it is used to measure risk of ulcers 1=high risk 4=low to no risk
what should the nurse do when it comes to patients dying
they should always ask if the patient has advanced directives
if the patient doesn't have advaned directives what should be done?
full life saving measures
what does a durable power of attorney do
they assign another person to make medical decisions
what is a living will
, desired medical care if person is unable to communicate their wishes
what is a full code
save by whatever means
DNR
do not resuscitate
what is an AND
allow natural death
what is DNI
do not intubate
what is a chemical code
meds only
* no CPR, shocks ETC.
according to therapeutic response how should the nurse speak
ask open ended questions dont ask "why" because it comes across judgemental
if a patient is aggravated putting on a shirt what should the nurse say
this must be frustrating for you
how should you explain issues to older adults
use everyday language
what. should you do when asking about sexual activity
begin with less sensitive in nature when asking questions
what to think with potassium levels
think about the heart because it helps the heart pump. if levels are high think apical pulse rate
and rhythm
what are the enteral feeding tubes?
STUDY GUIDE QUESTIONS AND
CORRECT ANSWERS!!
s/sx of stage 2 wound/ulcer
skin breaks, BLISTERS, 2 layers are affected
s/sx of stage 3 would/ulcer
full thickness skin loss, 3 layers affected
s/sx of stage 4 wound/ulcer
goes down into muscle and bone 4 layers affected
what is an unstageable wound
eschar (black/brown dead tissue) and slough (yellow and stringy) make it impossible to
see. perform debridement
what is a deep tissue wound/ulcer
purple and dead that occurs most frequently over bony prominences such as the heels,
ankles, and sacral area
what is the braden scale
it is used to measure risk of ulcers 1=high risk 4=low to no risk
what should the nurse do when it comes to patients dying
they should always ask if the patient has advanced directives
if the patient doesn't have advaned directives what should be done?
full life saving measures
what does a durable power of attorney do
they assign another person to make medical decisions
what is a living will
, desired medical care if person is unable to communicate their wishes
what is a full code
save by whatever means
DNR
do not resuscitate
what is an AND
allow natural death
what is DNI
do not intubate
what is a chemical code
meds only
* no CPR, shocks ETC.
according to therapeutic response how should the nurse speak
ask open ended questions dont ask "why" because it comes across judgemental
if a patient is aggravated putting on a shirt what should the nurse say
this must be frustrating for you
how should you explain issues to older adults
use everyday language
what. should you do when asking about sexual activity
begin with less sensitive in nature when asking questions
what to think with potassium levels
think about the heart because it helps the heart pump. if levels are high think apical pulse rate
and rhythm
what are the enteral feeding tubes?
