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NURS 215 FINAL EXAM REVIEW STUDY QUESTIONS AND ANSWERS ARIZONA COLLEGE OF NURSING
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NURS 215 FINAL EXAM REVIEW STUDY QUESTIONS AND ANSWERS ARIZONA COLLEGE OF NURSING
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NURS 215 FINAL EXAM REVIEW STUDYQUESTIONS AND ANSWERS ARIZONA COLLEGE
OF NURSING
What is the difference between a stage II and stage III pressure injury?
✔✔Stage II: Partial thickness loss of dermis presenting as a shallow open
ulcer with a red pink wound bed
Stage III: Full thickness tissue loss; Subcutaneous fat may be visible, but
bone, tendon, or muscle are NOT exposed
What are leg exercises and compression devices helpful for immobile
patients?
✔✔Prevention of DVT
T/F:
One reason why elimination is affected in immobile patients is due to
gravity.
✔✔True
Purple or maroon localized area of discolored intact skin or blood-filled
blister due to damage of underlying soft tissue from pressure and/or shear
is called what?
✔✔Deep tissue (DTPI)
If a patient is immobile for over four years, how might their metabolic
system be affected?
✔✔Low metabolic rate
, Eat lessS
lowing of peristalsis
Hypercalcemia
Dehydration
Mrs. White is a 75 year old patient who has been bed bound for the past
year. What is the nurse's concern with Mrs. White's heart?
✔✔Complications r/t immobility lead to: orthostatic hypotension,
increased workload, and thrombus formation
How does hypoventilation occur?
✔✔Due to atelectasis
^When the secretions block the bronchioles, causing the alveoli to collapse
This stage of sleep occurs when delta waves begin to appear.
✔✔Stage III
During this age of sleep, eye movement and bran waves are slowing
down.
✔✔Stage II
Who is most at risk for a disrupted circadian rhythm?
✔✔Nurses working night shift
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