Nurs 205 Final exam
Define stage 1 pressure ulcer - Answer-Non-blanchable, erythema of intact skin
Define stage 2 pressure ulcer - Answer-Partial thickness
Define stage 3 pressure ulcer - Answer-full thickness skin loss - involves subq tissue
Define stage 4 pressure ulcer - Answer-Full-thickness tissue loss with exposed bone, muscle, or tendon
Define serous drainage - Answer-Clear, liquify, yellow drainage
Define sanguineous drainage - Answer-red, bloody drainage
Define serosanguineous drainage - Answer-Both blood and clear drainage present, resembling a pink
color
Define purulent drainage - Answer-Thick yellow/green drainage and is a sign of infection
Define Airborne Precautions - Answer-For diseases/very small germs spread through air from one
person to another
Examples of airborne diseases - Answer-TB, measles, chicken pox
,Interventions for airborne infections - Answer-Patient placed in negative air pressure room
Wear a fit-tested N-95 respirator while in patient's room Hand hygiene
Patients and visitors - surgical mask when leaving room
Define Droplet Precautions - Answer-Used for diseases/germs spread in tiny droplets
caused by coughing, sneezing
examples of droplet diseases - Answer-Pneumonia, strep throat, meningitis, influenza, cold, whooping
cough, small pox, mumps
Interventions for droplet diseases - Answer-◦Wear a surgical mask while in the room
◦Hand hygiene
Define contact precautions - Answer-Used for infections/diseases/germs spread by touching patient or
items in room
examples of contact diseases - Answer-MRSA, VRE, C. Diff, open wounds, RSV
Interventions for contact diseases - Answer-◦Wear gown and gloves while in patient's room
◦Remove gown and gloves before leaving room
◦Hand hygiene
◦visitors must check with nurse before taking anything in/out of patient's room
Stages of infection in order - Answer-Incubation, prodromal, full stage (illness), convalescence
, Define incubation period - Answer-the period between exposure to an infection and the appearance of
the first symptoms
Define prodromal period - Answer-short period after incubation; early, mild symptoms
*People can also transmit infections during the prodromal stage*
Define full stage (illness) period - Answer-is an illness or clinical disease.
This stage includes the time when a person shows apparent symptoms of an infectious disease.
define convalescence stage - Answer-During this stage, symptoms resolve, and a person can return to
their normal functions.
Define subjective pain - Answer-WHATEVER the patient say the pain is
Define objective pain - Answer-Observed through vital signs, test, seeing grimacing, sweating, moaning
Define acute pain - Answer-Temporary and short duration pain
*can lead to chronic pain*
Define chronic pain - Answer-Last longer than 6 months
Define idiopathic pain - Answer-Chronic pain without a cause
Define breakthrough pain - Answer-temporary flare ups of moderate to severe pain that occurs even in
patients on around the clock medications for consistent/well controlled background pain, can be caused
from movement or spontaneous, common with cancer
Define stage 1 pressure ulcer - Answer-Non-blanchable, erythema of intact skin
Define stage 2 pressure ulcer - Answer-Partial thickness
Define stage 3 pressure ulcer - Answer-full thickness skin loss - involves subq tissue
Define stage 4 pressure ulcer - Answer-Full-thickness tissue loss with exposed bone, muscle, or tendon
Define serous drainage - Answer-Clear, liquify, yellow drainage
Define sanguineous drainage - Answer-red, bloody drainage
Define serosanguineous drainage - Answer-Both blood and clear drainage present, resembling a pink
color
Define purulent drainage - Answer-Thick yellow/green drainage and is a sign of infection
Define Airborne Precautions - Answer-For diseases/very small germs spread through air from one
person to another
Examples of airborne diseases - Answer-TB, measles, chicken pox
,Interventions for airborne infections - Answer-Patient placed in negative air pressure room
Wear a fit-tested N-95 respirator while in patient's room Hand hygiene
Patients and visitors - surgical mask when leaving room
Define Droplet Precautions - Answer-Used for diseases/germs spread in tiny droplets
caused by coughing, sneezing
examples of droplet diseases - Answer-Pneumonia, strep throat, meningitis, influenza, cold, whooping
cough, small pox, mumps
Interventions for droplet diseases - Answer-◦Wear a surgical mask while in the room
◦Hand hygiene
Define contact precautions - Answer-Used for infections/diseases/germs spread by touching patient or
items in room
examples of contact diseases - Answer-MRSA, VRE, C. Diff, open wounds, RSV
Interventions for contact diseases - Answer-◦Wear gown and gloves while in patient's room
◦Remove gown and gloves before leaving room
◦Hand hygiene
◦visitors must check with nurse before taking anything in/out of patient's room
Stages of infection in order - Answer-Incubation, prodromal, full stage (illness), convalescence
, Define incubation period - Answer-the period between exposure to an infection and the appearance of
the first symptoms
Define prodromal period - Answer-short period after incubation; early, mild symptoms
*People can also transmit infections during the prodromal stage*
Define full stage (illness) period - Answer-is an illness or clinical disease.
This stage includes the time when a person shows apparent symptoms of an infectious disease.
define convalescence stage - Answer-During this stage, symptoms resolve, and a person can return to
their normal functions.
Define subjective pain - Answer-WHATEVER the patient say the pain is
Define objective pain - Answer-Observed through vital signs, test, seeing grimacing, sweating, moaning
Define acute pain - Answer-Temporary and short duration pain
*can lead to chronic pain*
Define chronic pain - Answer-Last longer than 6 months
Define idiopathic pain - Answer-Chronic pain without a cause
Define breakthrough pain - Answer-temporary flare ups of moderate to severe pain that occurs even in
patients on around the clock medications for consistent/well controlled background pain, can be caused
from movement or spontaneous, common with cancer