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NUR201 TEST 1 Review Flashcards | StudBud
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NUR201 TEST 1 Review
NUR201 TEST 1 Review
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Answers
1
What is contact dermatitis?
excessive perspiration
an inflammation caused by contact with a substance or chemical
foul smelling sweat that causes a rash
The effect when two skin disorders connect with each other
2
What is one way to support older homeless individuals?
Encouraging them to find a job
Providing access to shelter and food services
Ignoring their needs
Leaving them on their own
3
What is the main purpose of using topical diphenhydramine?
To relieve itching
To promote wound healing
To reduce inflammation
To reduce pain
4
Dry, scaly patches on sun-exposed skin can indicate actinic keratosis. Assess the following: (SATA)
Chemical exposure
Sunscreen usage
Allergies
How much time the patient spends in the sun
5
True or false: Inflammation is always harmful.
False
True
6
What is the recommended method for applying corticosteroid cream?
Spray it directly on the skin and let dry before covering
Dab it on with a sponge and blow dry with hair dryer
Rub it in gently with your fingers and massage into area
Apply with cotton ball, keep open to air for 30 minutes & apply bandage
7
What is the first sign of a stage 1 ulcer?
Open wound
Pus or drainage
Non-blanchable skin redness
Blister
8
What is the most common type of skin cancer?
Melanoma
Squamous cell carcinoma
Basal cell carcinoma
Actinic keratosis
9
What signals that something is wrong in the body?
Histamine
Red blood cells
Neutrophils
Pain receptors
10
What is the minimum activity goal for elderly patients?
30 minutes 3-5 times/ week
15 minutes 6 days a week
When they can get up and moving do it!
20 minutes M-W-F
30 min/day
20 minutes 5 days/week
11
What is the main advantage of using a wet to dry dressing?
It reduces scarring and trauma to the patient
Promotes granulation tissue formation and healing by secondary intention
It is easy to apply and will not cause pain to the patient
It is cost-effective & the patient can learn to apply this dressing at home
12
What test is used to determine IOP?
Angiography
Tonometry
Snellen Eye Chart
Corneal staining
13
What is psychological abuse? (SATA)
Stealing someone's belongings
Verbal insults and name-calling
Physical harm to someone's body
Emotional manipulation and control
14
What is the effect of histamine?
Constriction of blood vessels
Reduced inflammation
Increased blood flow
Decreased immune response
15
What are topical antihistamines used for?
Promoting wound healing
Treating infections
Relieving itching
skin barrier
16
What do neutrophils do?
Clot blood
Attack bacteria
Release histamine
Signal mast cells
17
Smoking does not affect the circulatory system.
False
True
18
Use soap and warm water to treat impetigo.
False
True
19
Most chronic illnesses are treated in ambulatory care or PCP.
False
True
20
What do mast cells do?
Signal inflammation
Release antibodies
Attack bacteria
Produce red blood cells
21
Ageism is a a positive attitude based on age.
True
False
22
What is the generic name for the medication commonly known as Accutane (know the risks in taking this med)?
Isotretinoin
Tretinoin
Adapalene
Retin-A
23
What is the most common treatment for impetigo?
Antibiotic ointment
Steroid cream
Apply baby oil to the site
Clean with soap and water
24
Nicotine can cause damage to the vascular system that leads to delayed healing.
True
False
25
What nursing diagnoses is top priority for a stage 4 pressure ulcer?
Impaired Physical Mobility
Acute Pain
Impaired cognition
Altered nutrition
26
What is the role of signaling mechanisms?
Store energy
Communicate damage
Transport oxygen
Clot blood
27
Failure or refusal to provide basic life needs including food, hygiene, glasses, & safety.
Sexual Abuse
Physical Abuse
Financial Abuse
Neglect
28
How is squamous cell cancer diagnosed?
Biopsy
Ultrasound
X-ray
Blood test
29
What is the initial field of battle in the body?
Lymph nodes
Circulatory system
Inflamed area
Skin surface
30
What is one way to practice primary prevention?
Smoking cigarettes
Eating healthy
Skipping meals
Taking medication
31
What happens when an intruder enters the body?
Nothing happens
Inflammation occurs
Cells multiply rapidly
Body shuts down
32
Steven Johnson's can start up to 21 days after a med is started & can cause blotchy skin patches that peel & crack.
Hold medication and call MD
continue meds and monitor for resolution
Start the Parkland formula to prevent fluid volume deficit
apply bacitracin to cracking skin
33
What are the 4 M's of Aging?
Mentation, Medications, Moving, & Maintain Independence
Mentation, Medication, Mistreatment & Moving
Matters, Medications, Mentation, Mobility
Matters, Mobility, Medication, & Multiple Co-morbidities
34
What is a common age-related vision problem where patients complain of blurred vision or even dirty glasses lens?
Presbyopia
Astigmatism
Glaucoma
Cataracts
35
What is the main goal of secondary prevention?
To detect diseases early
To treat diseases
To prevent diseases from occurring
To promote healthy lifestyle
36
Definitive diagnosis for herpes zoster (shingles)
Mohs procedure
Culture of the lesion
Skin biopsy
Patch Test
37
What is vasodilation?
Widening of blood vessels
Fluid absorption
Narrowing of blood vessels
Blood clotting process
38
What is one way to practice primary prevention?
Vaccination
Health screening
Preventing disease progression
Early detection
39
How long does it typically take for isotretinoin to start showing results?
4 weeks
1 week
12 weeks
2 weeks
40
How can actinic keratosis be prevented? (SATA)
Wear hats to cover ears and head
Wearing sunscreen
Exercising regularly
Stay out of sun 100-1400
41
Which of the following is an example of financial abuse, which can be embarrassing to an elderly adult?
Donating to a charity
Saving money for retirement
Borrowing money and not repaying it
Paying for someone's groceries
42
Your patient has a broken leg. What signs or symptoms do you immediately report to the MD? (SATA)
No pedal pulse in effected extremity
severe uncontrolled pain
patient elevates leg above the heart
Cold extremity
43
What are some strategies for preventing polypharmacy?
Using over-the-counter medications instead
Taking multiple medications at the same time
Using a single pharmacy for all medication needs
Ignoring potential side effects
44
Sun damage to the skin is cumulative.
False
True
45
What is the most common symptom of cellulitis?
Itching
Redness and swelling
Fever
Cough
46
What is the main cause of sun damage to the skin?
Air pollution
Lack of sleep
Excessive sweating
UV radiation
47
Pre-cataract surgery dilating drops are started three (3) days prior to surgery.
True
False
48
What do mast cells release during inflammation?
Antibodies
Enzymes
Cytokines
Histamine
49
What do damaged cells release?
Signaling chemicals
Neutrophils
Histamine
Red blood cells
50
Older homeless often seek shelter and food services
less
due to fear of institutionalization?
True
False
51
Pressure injury prevention includes: (SATA)
Use lotions and barrier creams to keep skin protected and supple
Massage reddened areas to promote circulation
Adequate nutrition & hydration
Pressure relieving devices
Regular assessments to make sure the skin is clean & dry
Repositioning frequently per patient needs
52
What is an example of elder abandonment? (SATA)
Leaving an elderly person alone while running errands.
Deserting an older adult at a SNF, shopping center, or hospital.
Respect and understanding, sharing in care of the patient
Deserting of an older person by one who has taken responsibility for care.
53
A stage 2 ulcer is characterized by a partial-thickness skin loss; a shallow open wound with a red or pink wound bed.
False
True
54
What are patient symptoms of the retinal detachment (a medical emergency)?
Red, dry and itchy eyes
Blurred vision, floaters & flashing lights
Watery eyes
Severe sensitivity to light
55
Which of the following is an example of an IADL?
Dressing
Cooking
Bathing
Toileting
56
New symptoms to report to the HCP include which of the following? (SATA)
Incontinence
Delirium or agitation
Lethargy, somnalence
Blood glucose 125
Confusion, disorientation
Dry skin
57
What happens to capillaries during inflammation?
They disappear
They shrink
They harden
They become larger
58
What is the ABCDE rule used for in relation to melanoma?
Preventing melanoma
Identifying the signs of melanoma
Treating melanoma
Choosing the right sunscreen
59
Who is at a higher risk of developing actinic keratosis?
Children under 10 years old
People with fair skin
Pregnant women
Athletes
60
An antihistamine: (SATA)
Can cause drowsiness, fatigue, and difficulty concentrating
Blocks the inflammatory process
Can effect the nervous system.
Depressed cough reflex
61
Which of the following is a risk associated with social isolation in elderly individuals?
Decreased sense of worth
Increased risk of depression and cognitive decline
Better sleep quality
Decrease interest in physical activity and hobbies
62
Post-operatively, nursing interventions should be done prior to a focused assessment.
False
True
63
Lifting and pushing are encouraged after cataract surgery to improve the muscle strength and regain eye movement.
True
False
64
Which food is a good source of calcium?
Chicken
Bananas
Broccoli
Sardines
65
Cataract surgery is done outpatient. To reduce post-surgical complications, what medications need to be held?
blood pressure
anticoagulants
tylenol
antibiotics
66
Visual Assessment includes:
PERRLA: pupils round reactive to light and accommodation
Accommodation: look at a distant object & then at an object close
Rhomberg test - stand up, eyes closed, look for swaying
Weber test - place tuning fork forehead
67
What is actinic keratosis?
A common skin rash
A fungal infection
A type of skin cancer
A precancerous skin condition
68
Which immune response is the first line of defense?
Adaptive immune response
Cell-mediated response
Inflammatory response
Specific immune response
69
Which of the following is an example of secondary prevention?
Eating a balanced diet
Exercising regularly
Yearly pap smear
Getting a flu shot
70
A hematoma is a collection of blood from ruptured blood vessels that is more than 1 cm in diameter
True
False
