Nsg 3100 exam 2 stuvia - Study guides, Class notes & Summaries

The continuous quality improvement team is monitoring the nursing care of clean-contaminated wounds. Which operative wound would be excluded from this study? 1. Gastric resection 2. Uncomplicated abdominal hysterectomy 3. Breast biopsy 4. Lung resection - Answer 3. Breast biopsy Rationale 1: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered. These wounds show no evidence of infection. A gastric resection would be i...

The client's temperature at 8:00 am using an oral electronic thermometer is 36.1°C (97.2°F). If the respiration, pulse, and blood pressure were within normal range, what would the nurse do next? 1. Wait 15 minutes and retake it. 2. Check what the client's temperature was the last time it was taken. 3. Retake it using a different thermometer. 4. Chart the temperature; it is normal - Answer Answer: 2. Rationale: Although the temperature is slightly lower than expected for the morning, it w...

The client's temperature at 8:00 am using an oral electronic thermometer is 36.1°C (97.2°F). If the respiration, pulse, and blood pressure were within normal range, what would the nurse do next? 1. Wait 15 minutes and retake it. 2. Check what the client's temperature was the last time it was taken. 3. Retake it using a different thermometer. 4. Chart the temperature; it is normal - ANSWERAnswer: 2. Rationale: Although the temperature is slightly lower than expected for the morning, it wo...

Which of the following is a cause of bradypnea? Increased activity narcotic analgesics Test anxiety Decreased oxygen saturation - ANSWERnarcotic analgesics A damp/damp dressing is an example of what type of wound debridement? Autolytic Surgical Mechanical Enzymatic - ANSWERMechanical What statement describes a stage 2 pressure ulcer? Damage extends to the fascia Skin is intact and does not blanch Presents as open or fluid-filled blister, or shallow crater Base is covered with s...

Which of the following is a cause of bradypnea? Increased activity narcotic analgesics Test anxiety Decreased oxygen saturation - ANSWERnarcotic analgesics A damp/damp dressing is an example of what type of wound debridement? Autolytic Surgical Mechanical Enzymatic - ANSWERMechanical What statement describes a stage 2 pressure ulcer? Damage extends to the fascia Skin is intact and does not blanch Presents as open or fluid-filled blister, or shallow crater Base is covered with s...

The continuous quality improvement team is monitoring the nursing care of clean-contaminated wounds. Which operative wound would be excluded from this study? 1. Gastric resection 2. Uncomplicated abdominal hysterectomy 3. Breast biopsy 4. Lung resection - ANSWER3. Breast biopsy Rationale 1: Clean-contaminated wounds are surgical wounds in which the respiratory, alimentary, genital, or urinary tract has been entered. These wounds show no evidence of infection. A gastric resection would be in...

which way do you spiral pack a wound? - Answer distal to proximal how long do you wash your hands for - Answer 20-30 seconds process of Donning - Answer gown to mask to eyewear to gloves how to take off PPE - Answer gloves to eyewear to gown to mask Local infection - Answer infection based in one section of the body systemic infection - Answer an infection throughout the body nosocomial infection - Answer hospital acquired infection modes of transmission - Answer direct, ind...

Transparent Film Dressing - Answer Traps wounds moisture over the wound; ideal for small superficial wounds; can remain in place for up to 5-7 days; allows visual assessment of wound bed without removing dressing Impregnated Non-Adherent Dressing - Answer Covers, soothes, and protects partial- and full-thickness wounds without exudate; ideal for postoperative dressing over staples or sutures and superficial burns Hydrocolloid Dressing - Answer gel forming polymer such as gelatin, pectin, a...

which way do you spiral pack a wound? - ANSWERdistal to proximal how long do you wash your hands for - ANSWER20-30 seconds process of Donning - ANSWERgown to mask to eyewear to gloves how to take off PPE - ANSWERgloves to eyewear to gown to mask Local infection - ANSWERinfection based in one section of the body systemic infection - ANSWERan infection throughout the body nosocomial infection - ANSWERhospital acquired infection modes of transmission - ANSWERdirect, indirect, d...

which way do you spiral pack a wound? - ANSWERdistal to proximal how long do you wash your hands for - ANSWER20-30 seconds process of Donning - ANSWERgown to mask to eyewear to gloves how to take off PPE - ANSWERgloves to eyewear to gown to mask Local infection - ANSWERinfection based in one section of the body systemic infection - ANSWERan infection throughout the body nosocomial infection - ANSWERhospital acquired infection modes of transmission - ANSWERdirect, indirect, d...