Exam (elaborations)
NUR 155 EXAM 3 GALEN (UNITS 6 (11-13) ,7 (24-26) ,8(11-13))
- Course
- Institution
NUR 155 EXAM 3 GALEN (UNITS 6 (11-13) ,7 (24-26) ,8(11-13))
[Show more]
Content preview
NUR 155 EXAM 3 GALEN (UNITS 6 (11-13) ,7 (24-26) ,8(11-13))
T/F, When collecting a culture from a wound, do not use pus or pooled exudates. -
Answers -True
The nurse is admitting an older patient from a nursing home. During the assessment,
the nurse notes a shallow open reddish, pink ulcer without slough on the right heel of
the patient. How will the nurse stage this pressure ulcer?
A
Stage I
B
Stage II
C
Stage III
D
Stage IV - Answers -Stage II
The nurse is caring for a patient who is experiencing a full-thickness repair. Which type
of tissue will the nurse expect to observe when the wound is healing?
A
Eschar
B
Slough
C
Granulation
D
Purulent drainage - Answers -Granulation
A patient has developed a pressure ulcer. Which laboratory data will be important for
the nurse to check?
A
Vitamin E
B
Potassium
C
Albumin
D
Sodium - Answers -Albumin
A nurse is caring for a patient with a wound. Which assessment data will be most
important for the nurse to gather with regard to wound healing?
A
Muscular strength assessment
B
, Pulse oximetry assessment
C
Sensation assessment
D
Sleep assessment - Answers -Pulse oximetry assessment
The nurse is caring for a patient on the medical-surgical unit with a wound that has a
drain and a dressing that needs changing. Which action should the nurse take first?
A
Provide analgesic medications as ordered.
B
Avoid accidentally removing the drain.
C
Don sterile gloves.
D
Gather supplies. - Answers -Provide analgesic medications as ordered.
The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black.
Which next step will the nurse anticipate?
A
Monitor the wound.
B
Document the wound.
C
Debride the wound.
D
Manage drainage from wound. - Answers -Debride the wound.
The nurse is completing a skin risk assessment using the Braden Scale. The patient
has slight sensory impairment, has skin that is rarely moist, walks occasionally, and has
slightly limited mobility, along with excellent intake of meals and no apparent problem
with friction and shear. Which score will the nurse document for this patient?
A
15
B
17
C
20
D
23 - Answers -20
A patient is asking for a heating pad who has a sprained ankle. What would you teach?
- Answers -24 hours after trauma, heat increases bleeding and swelling
When cleaning a sutured wound, the nurse would wipe in what order? - Answers -
sutures, distal, proximal
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80364 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now