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Nurs 155 Exam 3 Questions And Accurate Answers Graded A+
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Nurs 155 Exam 3 Questions And AccurateAnswers Graded A+
delirium
Reversible state of confusion-usually caused by a medical condition
depression
Mood disorder; sense of hopelessness and persistent unhappiness
dementia
a gradual and irreversible loss of intellectual function
hemiparesis
weakness of one side of the body, or part of it, due to an injury in the motor area of the
brain
Types of sensory deficits and examples
Tactile: touch; peripheral neuropathy
Smell: Olfactory; anosmia
Taste: Gustatory; decreased gustatory cells
Hearing: Auditory; conductive hearing loss, sensorineural hearing loss, and presbycusis
(age related hearing loss)
Equilibrium: motion sickness or Meniere's disease
Vision: Visual; myopia, presbyopia (far sightedness-age related), cataracts (lens of the
eye affected), glaucoma (pressure on optic nerve), diabetic retinopathy (blood vessels
of eye are damaged due to diabetes), and macular degeneration
,scab
Composed of clots and dead/dying tissue and functions to promote hemostasis and to
prevent contamination of wound by microorganisms.
granulation tissue
translucent red, fragile, bleeds easily. Has network of capillaries increasing the blood
supply
eschar
dried plasma proteins and dead cells
clean wound
No infection and the risk for the development of an infection is low
Pressure injuries
areas of compromised tissue integrity as a result of sustained pressure on a particular
area of the body *most common over bony prominences
Risk factors for pressure ulcers
aging skin
immobility
moisture/incontinence
obesity or lean body mass.
poor or inadequate nutrition (low protein intake)
Poor/ inadequate hydration
Disease fever and dehydration
anemia
poor circulation/Vascular disorders
edema
neurological impairments
altered state of consciousness or sedation
skin friction/ shearing
Factors that affect wound healing
, Oxygenation and tissue perfusion
Diabetes
Nutrition
Age
Infection
unstageable pressure injury
Slough or eschar covers the entire or part of the wound, and depth cannot be
determined.
Position for pressure relief from sacrum and greater trochanter
Side lying at 30 degree
Scales that assess a person's risk factor for pressure injuries
Norton Scale and Braden Scale
Nutritional needs for wound healing
Protein
Vitamin C, A, E
Copper
Zinc
Active range of motion
The patient has full independent movement of all joints.
Also called isotonic exercise
Active assistive range of motion
The caregiver minimally assists the patient or the patient minimally assists himself or
herself in the movement of joints through a full motion.
Passive range of motion
The caregiver moves the patient's joints through a full motion. The exercise does not
maintain or improve strength but maintains flexibility and prevents contractures and
atrophy.
Underlying causing of clubbing
Chronic hypoxemia
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