NUR-120-ALT Exam 2 Questions with 100% Correct Answers
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Course
NUR-120-ALT
Institution
NUR-120-ALT
General health assessment Correct Answer an assessment of the physical, mental, spiritual, socioeconomic, and cultural status of an individual, group, or community
Nursing Assessment Correct Answer Focus on the client's functional abilities and physical responses to illness and other stressors.
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NUR-120-ALT Exam 2 Questions with 100%
Correct Answers
General health assessment Correct Answer an assessment of the physical, mental,
spiritual, socioeconomic, and cultural status of an individual, group, or community
Nursing Assessment Correct Answer Focus on the client's functional abilities and
physical responses to illness and other stressors.
Purpose of physical exam Correct Answer Establish baseline data.
Identify nursing diagnoses, collaborative problems, or wellness diagnoses.
Monitor the status of an identified problem.
Screen for health problems
Types of physical exam Correct Answer Comprehensive- Interview plus complete head-
to-toe
Focused- "Focused" on presenting problem
System specific- one body system
Ongoing- Performed as needed. Evaluates client outcomes
preparing for the physical exam Correct Answer Theoretical Knowledge
Self Knowledge
Knowledge about patient
Nursing plan of care
Preparing the environment Correct Answer Privacy
Noise
Lighting
Temperature
Equipment
Preparing the Client Correct Answer Develop rapport
Respect cultural differences
Use proper positioning
Classification of Wounds Correct Answer Open/closed
Acute/chronic
Clean/contaminated/ infected
Superficial/partial or full-thickness
Penetrating
Level of contamination Correct Answer clean
clean-contaminated (surgical incision w/ increased risk of infection)
contaminated (break in asepsis. High risk of infection)
infected (bacteria above 100,000 organisms/gram)
Abrasion Correct Answer Scrape of the superficial layers of skin
Abscess Correct Answer localized collection of pus
Contusion Correct Answer bruise, closed wound
Crushing Correct Answer A wound caused by force leading to compression or
disruption of tissues
Incision Correct Answer An open, intentional wound caused by a sharp instrument
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