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NUR 242 Exam 1 2024/2025 Questions and answers latest update
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NUR 242 Exam 1 2024/2025 Questions and answers latest update
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NUR 242 Exam 1Patricia is an RN working at a rehabilitation center and witnesses a nurse
aid struggling to lift and reposition an elderly, bed ridden patient. She
explains to the nurse aide that there is a No Lift Policy in place in the
establishment. What does this policy entail? Answer: The concept of
a no-lift policy is a pledge from administrators that proper equipment,
adequately maintained and in sufficient numbers, will be available to care
providers to reduce the risks associated with manual patient handling
Immobility effects multiple body systems. What are some interventions
that you can implement to decrease these effects? Select all that apply.
A. Utilizing waffle mattress to reduce the need for repositioning
B. Teds/SCDs
C. Rubbing reddened areas
D. Limiting fluid intake
E. ROM exercises Answer: Answer: B and E
Rational:
-A is incorrect because regardless of implemented mattress, positioning
should be every 2 hours
-C is incorrect. You should not rub at reddened areas. This increases the
risk for skin break.
, -D is incorrect. You should encourage proper hydration to promote well
hydrated and healthy skin.
True or False: Nurses should do skin assessments once a week. Answer:
False
Rational: Nurses should do full skin assessments a minimum of once per
shift.
A pt goes to the ER for swelling and pain in her right calf. The PT states
that it occurred after she accidentally cut herself. Based on her
symptoms, what skin condition might the nurse suspect the patient has?
Answer: Cellulitis.
Cellulitis is inflammation of the skin and subq tissue.
Pt A is admitted from a nursing home with a stage 3 pressure ulcer. When
creating his plan of care, who else would be involved besides the primary
care physician? Answer: Wound care nurse, Dietician, Physical
therapist. OT can also be included, however they deal more with fine
motor skills.
An 85 year old woman is admitted to the hospital. When doing the initial
assessment, what are some factors that you know put her at risk for
pressure injuries? Answer: -if the pt is immobile
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