Answers!!
THE NURSE DETERMINES THAT THE PATIENT MAY BE SUFFERING FROM AN
ACUTE BACTERIAL INFECTION BASED UPON WHICH OF THE FOLLOWING
LABORATORY TEST RESULTS? correct answers Increased number of band neutrophils
THE NURSE IS CARING FOR A PATIENT WITH A PRESSUR ULCER WITH FULL-
THICKNESS SKIN LOSS INVOLVING DAMAGE TO SUBCUTANEOUS TISSUE
EXTENDING DOW BUT NOT THROUGH, THE UNDERLYING FASCIA. WHICH THE
FOLLOWING PRESSURE ULCER STAGES SHOULD THI NURSE DOCUMENT?
correct answers Stage III
WHICH FOR OF ASEPSIS USES A STERILE FIELD? correct answers Aseptic no touch
and sterile
IF YOU DROP YOUR HANDS BELOW
ITS
CONSIDERED AN AUTOMATIC BREAK IN STERILITY correct answers Waist level
YOUR PATIENT IS 2 DAY POST-OPERATIVE AND HAS A SURGICAL WOUND,
THEY ARE DUE FOR A DRESSING CHANGE. YOU KNOW THEY REQUIRE WHAT
METHOD OF ASEPSIS? correct answers Sterile technique
YOU ARE HELPING A CO-WORKER COMPLETE A ASEPSIS NO-TOUCH DRESSING
AND THEY PLACE THE FORCEPS ENDS IN THE OUTER BORDER OF THE STERILE
FIELD. HOW BEST DO YOU RESPOND? correct answers Do nothing as this is acceptable
A NURSE TEACHES THEIR CLIENT TO SPLINT WITH A PILLOW DURING
COUGHING, WHAT ARE THEY DECREASING THE RISK OF? correct answers
Dehiscence
AS YOU CLEANSE YOUR PATIENT'S PRESSURE ULCER WOUND
YOU TAKE SPECIAL CARE TO NOTE AND CLEAN ANY TUNNELING, BY DOING
THIS YOU DECREASE THE RISK OF _________FROM FORMING correct answers
Sinus tract
WHAT METHOD IS USED TO DOCUMENT THE LOCATION OF TUNNELING AND
UNDERMINING correct answers 12 hour clock (12 must be pointed towards the patients
head)
YOUR PATIENT HAS A BROWN TINGE TO THEIR LOWER LEG, YOU KNOW THIS
TO BE LIPADERMATOSCLEROSIS, HOW DO YOU BEST DESCRIBE THIS TO YOUR
PATIENT? correct answers This is caused by inflammation of the underlying tissues because
your veins are not working correctly. Blood will seem into surrounding tissues.
YOUR PATIENT IS SCHEDULED TO RECEIVE AUTOLYTIC DEBRIDEMENT, WHAT
WILL YOU ASSESS FOR BEFORE TREATMENT? correct answers Presence of infection