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Term 2 Final Unitek College Exam with correct Answers
Term 2 Final Unitek College Exam with correct Answers
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Term 2 Final Unitek College Exam withcorrect Answers
What does stage 1 pressure ulcer look like? what to do to help in that area? - Answer -
stage 1 localized area of skin , typically bony prominence, that is intact with non-
blanchable redness.
Turn the patient every 2 hours/ avoid full lateral position because it puts direct pressure
on the trochanteric region
stage II - Answer -presents clinically as an abrasion , blister or SHALLOW crater
What intervention is most appropriate to prevent respiratory complications resulting from
immobility? What should you do to the patient? What is the immobilized patient at risk
for? - Answer -Pneumonia-ask the patient to cough, deep breathe, reposition at least
every 2 hours
What causes constipation in patients who have pressure injuries? - Answer --I never
constipated i take gentle laxatives every night -Immobility, dehydration, poor diet
a nurse is instructing a patient on performing isometric exercise. what instruction should
the nurse include? - Answer -contract the muscle for several seconds, then relax the
muscle for a few second and contract it again
Patient has erythema around the sacrum area due to immobility. What is the nurses first
priority? - Answer -Reposition the patient
When differentiating between delirium and dementia in a pt, what would a pt with
dementia exhibit? - Answer -Forgets things relatively quickly and is unable to learn new
things
Mother of a child asks if their child can get chickenpox more than once. What kind of
immunity would be most accurate? - Answer -Active acquired immunity
What should you administer after a pt experience anaphylaxis? - Answer -oxygen
Best way to prevent communicable diseases? - Answer -Hand Washing
What do we call different animals that carry germs? - Answer -Vector
, What is the nursing priority for a patient who is immunocompromised? - Answer -Protect
them from infection or illness
What illnesses would require you to take airborne precautions? - Answer -TB, measles,
Varicella,
Contact precaution illnesses? - Answer -Would infection
Respiratory Infection
Kidney infection
Impetigo
Viral Conjunctiva
Cdiff
What does the impetigo look like? - Answer -a honey colored crust over a thin-walled
vesicle
You are giving blood to a patient and they start to have terrible chills. What should be
the first course of action? - Answer -Stop IV and notify provider immediately
What is the best for a nurse to offer when encouraging a patient after a tonsillectomy to
increase fluid intake? - Answer -Flavored popsicles to suck
What position do we need to have the patient in to perform thoracentesis? - Answer -
Sitting on the side of the bed bent over the bedside table
What to do when your patient O2 sat is 85%. What action are you going to take? -
Answer -Semi Fowlers position
What kind of medication is Propranolol?
What is common side effect of the medication? - Answer -Beta Blocker
Orthostatic Hypotension
Hypotension, Bradycardia, Dizzy, lightheaded, tired
how to educate a patient who is on propranolol for HTN? - Answer -Ask the patient to sit
down on the side of the bed before getting up. If the patient feels dizzy have them lay
down because of HTN
what an adverse effect from the prescription of Captopril is? - Answer -Neutropenia,
Hyperkalemia, Nephrotoxicity(hypotension)
what is tinnitus? - Answer -Ringing in the ears caused by Aspirin toxicity
The primary reason for instructing patient to avoid over used decongestants? - Answer -
Hypertension
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