NUR 111 EXAM 2 REVIEW

What diagnostic test is most important for assessing hypothermia severity?

A pt was bit by a dog.The DR. has decided to leave wound open,give antibiotics,then close wound. What type of healing?

Which of the following describes serosanguineous wound drainage?

ACTIVE interventions to treat hyperthermia: SATA

What is the cognitive domain of learning?

A challenge the family dynamic of fostering may face?

A nurse should avoid sharing personal beliefs that are in direct conflict with those of the pt.

What is the BRAT diet used for?

Which of the following would be an acceptable meal for a patient who practices Judaism?

A pt with diabetes reports frequent urination with over 2,500mL/day. What is this called?

What precaution is implemented for a pt with C. Diff diarrhea?

When do we use steristrips?

Bowel/Bladder Irritants to avoid: SATA

An example of a MARCI is a skin injury caused by tape at the IV site.

Non-blanchable redness on intact skin. What stage pressure injury?

What is an appropriate intervention for urinary retention?

Pt is leaking urine when they sneeze. Which type of incontinence is this?

What is the primary goal of patient teaching?

Anuria is no urine output.

Equal loss of hearing at all frequencies.

A blockage causes conductive hearing loss.

A 29 yo girl finds the husband she wants to spend her life with & marry. She was seeking love. Which Erickson's stage?

What is the appropriate immediate intervention for wound evisceration? SATA

How should a nurse approach a patient's spiritual needs?

Which population would benefit from teaching using pictures, stuff animals, and play?

S/sx of fecal impaction...

Best way to speak to a patient that as a hearing impairment?

A wound that had a break in sterile technique during surgery is at higher risk for infection.What type of wound is this?

Which of the following is a sign of wound infection?

What should be done with a 24-hour urine sample?

A patient demonstrates a self-injection. Which teaching method is involved?

My patient states "I am not religious, but I am spiritual." A patient can be spiritual, but not religious.

What should be included in wound documentation? SATA

What is an example of heat transfer through conduction?

1st line treatment for constipation...

Interventions for Diarrhea: SATA

A patient is Buddhist & his fam practices Buddhism passes away. What is something that would be implemented for them?

A 60yo feels accomplished with their life vs. a 62 yo who feels they've done nothing in life. Which Ericksons Stage?

Increasing pts room temperature to help with mild hypothermia is an example of which heat transfer method?

What stage of wound healing? - nice pink/red, no drainage, edges lighter pink & trying to come together.

What is primary intention wound healing?

Which learning style involves reading and looking at charts?

Interventions for Urinary Incontinence/retention: SATA

What is a common sign of a heat stroke?

What type of dressing would be used for a stage 3 or 4 pressure injury with heavy drainage?

Urine characteristics that suggest a UTI...

Most significant risk factor for pressure injuries?

What dressing would you use for a wound that is clean & not infected, with small to moderate amounts of drainage?

What is a sign of stagnation in Erickson's stage of Generativity vs. Stagnation?

Which type of wound dressing is inappropriate for a wound with heavy exudate?

Which type of diet should be implemented for a pt who experienced hypo/hyperthermia?

Which family structure is an example of a traditional family dynamic?

Ibuprofen impairs wound healing.

Which of the following is an example of assertive communication?

Interventions for Constipation: SATA

According to Erickson's stages of development, what is the primary developmental task of infants? (birth to 18 months)

Ototoxic drugs can cause conductive hearing loss.

Which diagnostic test is used to rule out kidney stones?

What is a nonverbal cue of spiritual distress??

What is the primary concern with rapid cooling in hyperthermia treatment?

You can teach infants patient education.

Which population is at highest risk for heat loss through conduction?

What stage pressure injury? - Does not extend below dermis, intact with blisters present.

What is wound dehiscence?

Which of the following is essential for wound healing? SATA

What is the best way to determine the pt understands the teaching provided?

What practices do patients who practice Hinduism & Islam need implemented in their care?

Which intervention is most appropriate for a patient with mild hypothermia?

If your intake is more than your output, you are in a net fluid gain.

Which thermoregulation mechanism occurs when sweat evaporates from the skin?

A toddler pours their own milk. Which stage of Erickson's is this an example of?

Which assessment finding is the most concerning for a pt receiving warming therapy?

Which of the following factors increase body temperature? SATA

What stage pressure injury? Muscle, Bone, & tissue can be seen.