If a surgical wound was closed with sutures, what is the healing process called?
primary
What is the medical term to describe thick, yellow
... [Show More] drainage?
purulent
Which of the following is correct management of cellulitis?
Use a tight bandage on the affected area
Do not apply heat to the affected area
Use a warm, moist towel on affected area
Use a cold, dry towel on affected area
Use a warm, moist towel on affected area
Which of the following is the best intervention for a patient that experiences pain during a dressing change?
Teach patient nonpharmacological pain control methods
Administer pain medications as indicated per the MAR
Complete the dressing change quickly to decrease amount of time in pain
Educate patient on foods that promote healing
Administer pain medications as indicated per the MAR
Wound healing is negatively impacted by poor nutrition (true/false)
true
What type of injury is a patient at risk for if they are in a high fowler's position (skin layers shift in opposite directions)?
Shearing injury
Friction injury
Pressure injury
Traumatic injury
Shearing injury
How can you help reduce the risk for friction and shear injuries for a patient that is bedridden?
Give a bed bath every other day
Elevate head of the bed to 45 degrees
Slide the patient up in bed by yourself
Use a mechanical lift to reposition the patient every 2 hours
Use a mechanical lift to reposition the patient every 2 hours
A post-op abdominal incision patient just had a bowel movement and noted a sharp pain in his abdomen. The nurse noted his bowel protruding from the incision. What is this called?
Dehiscence
Evisceration
Laceration
Approximation
Evisceration
What is the term to describe when the nurse presses down on an erythematous area of skin and the area becomes white?
Blanching
Warmth
Redness
Non-blanching
Blanching
Which age related change do you expect in the elderly?
Loss of elasticity of the dermal layer
Increased activity of the sebaceous glands
Increased regeneration of healthy skin
Loss of vernix caseosa
Loss of elasticity of the dermal layer
If a patient has HIV and then develops pneumonia, what type of infection is this?
Pathogenic infection
Opportunistic infection
Nosocomical infection
Fungal infection
Opportunistic infection
What is the best intervention to use for a patient just diagnosed with HIV?
Discuss the patient's support system
Call the hospital chaplain
Discuss the legal requirement to talk to partners
Offer to discuss with family for the patient
Discuss the patient's support system
What is a priority intervention for an immunocompromised patient?
Discuss whether this is short term or long term
Take vital signs every 4 hours
Teach patient/family that everyone should get the influenza vaccine yearly
Wash hands before entering patient's room
Wash hands before entering patient's room
What type of immunity is when antibodies are passed from mother to fetus through the placenta?
natural passive immunity
What type of precautions need to be taken for a patient admitted with TB?
airborne precautions
What PPE is required to enter a room if the patient has MRSA?
gown and gloves (not sterile)
What do you expect to see for lab values in a patient with HIV?
Low or high CD4+ T cells?
Low or high CD8+ T cells?
Lower than normal CD4+ T cells & Normal CD8+ T cells
What is the first step if you (the nurse) are stuck by a needle?
Wash/flush the exposed skin with water
What is a primary defense to infection?
Inflammation
Fever
Phagocytosis
Intact skin
Intact skin
If contact precautions are in place, what link in the chain of infection is broken?
Mode of transmission
If a patient recently traveled and developed a fever and cough, what type of isolation should the patient be placed in?
Airborne precautions
It is ok for a patient who is immunocompromised to have fresh flowers in his/her room (true/false)
false
Antiretroviral drugs are used to treat HIV and work by inhibiting viral replication (true/false)
true
A patient with systemic sclerosis (scleroderma) is likely to have what symptoms first?
Joint pain
Wrinkles
Raynaud's phenomenon
Hypertension
Raynaud's phenomenon
An intervention to avoid a Raynaud's flare up is to wear gloves in the winter (true/false)
true
What patient education is expected for a patient with fibromyalgia to help reduce symptoms?
Establish a regular sleep pattern
Do not exercise during a flare up
High intensity interval training (HIIT)
Increase calcium and caffeine intake
Establish a regular sleep pattern
A nurse is teaching a patient with debilitating rheumatoid arthritis about home safety. The following statement is appropriate: "There are many adaptive devices such as grab bars, reaching tools, grasping devices, and adaptive silverware available that may help you."(true/false)
true
What do you expect to see with the rheumatoid factor (lab) for a patient experiencing a flare up of her rheumatoid arthritis?
Positive RF
Negative RF
Positive RF
What assessment findings do you expect to see in a patient experiencing Raynaud's phenomenon?
Cold and purple nailbeds
Skin of hands may look white
A patient just had shoulder surgery and has rheumatoid arthritis. What symptoms might prompt the nurse to call the provider immediately?
Patient has gas and mild abdominal discomfort
Patient has a minor headache
Patient is completing physical therapy without her pain medication
Patient has numbness and tingling in her fingers and intense pain that is worsening in her shoulder
Patient has numbness and tingling in her fingers and intense pain that is worsening in her shoulder
What would be most concerning for a patient with SLE?
Butterfly rash
BP of 130/84
Fatigue
Urine output of 20 mL/hour
Urine output of 20 mL/hour
All of the following lab tests may be used to diagnose a connective tissue disease except:
Erythrocyte sedimentation rate (ESR)
C-reactive protein (CRP)
Anti-nuclear antibody (ANA)
Rheumatoid Factor (RF)
Thyroid stimulating hormone (TSH)
Thyroid stimulating hormone (TSH)
All of the following are risk factors for osteoarthritis except:
Female
Older age
Obesity
Sports injuries
Vegan diet
Vegan diet
If medication is administered for a patient with rheumatoid arthritis, you would expect all of the following possible outcomes except:
Reduced inflammation
Increased range of motion
Cure the disease
Decreased pain
Increased quality of life
Cure the disease
You would expect to perform the following nursing intervention for a patient with SLE:
Apply topical hydrocortisone
Apply cold therapy to the extremities
Administer antibiotics
Encourage UV light exposure
Apply topical hydrocortisone
What is the goal of medication therapy in a patient with osteoarthritis?
Cure the disease
Improve the immune system
Reduce pain and inflammation
Increase weight loss
Reduce pain and inflammation
What is an appropriate statement by the nurse to complete a psychosocial assessment in a patient with severe rheumatoid arthritis?
Tell me about your medications.
What physical limitations do you have?
How does this impact your role in your family?
What therapies do you currently use?
How does this impact your role in your family?
The priority nursing assessment for a patient that verbalizes the inability to bathe for at least a month
inspection of the client's skin or skin integrity
Signs of adequate perfusion
Bounding pulses, pink fingers, and intact sensation
The priority nursing action for a patient in critical condition and is hypotensive
Maintaining the client's blood pressure
The expected next action of a bedrest patient complains of pain and burning in the right calf
Compare the circumference of one calf to the other
Best nursing intervention to prevent skin breakdown in a patient with impaired mobility
Rotate every 2 hours
This is the level of Maslow's Hierarchy of Needs that shelter belongs to
Safety and security
This is the priority intervention for a patient that speaks only Spanish
Request an interpreter
This is an event that can cause serious injury to a client that should never happen in a hospital
A sentinel event
This is an infectious disease that can be transmitted directly from one person to another
A communicable disease
This is the organization that publishes the National Patient Safety Goals
The Joint Commission
This is a vital sign that may change post operatively that can be related to pain
Blood pressure
This is the most reliable source when assessing pain
The patient
These are nonverbal signs of pain
Increased agitation, decrease attention span, grimacing, and increased heart rate
This is an intervention that should be done first if a patient's oxygen level is at 85%
Raising the head of the bed
This is the type of pain in a patient with an above the knee amputation may complain of distal to the amputation
Neuropathic pain
This is a priority nursing intervention for a patient with acute osteomyelitis
Administer antibiotics
These are all included in the evaluation of the neurovascular status of a patient post of ORIF of a femur fracture
Color, temperature, pulses, and sensation
This is a priority nursing intervention to prevent osteomyelitis
Using proper hand hygiene and strict infection control
This is the priority assessment for a patient with a femur fracture
Assessing pedal pulses
This is when the patient is experiencing acute pain greater than the severity of the fracture, pins and needle sensation, and weak/thready pulse on the affected extremity
Compartment syndrome
These are client education actions to administer eye drops
Instilling drops into the conjuctival sac, washing hands before instilling drops, and not contaminating eye drop cap
This is important patient education to include for a patient with glaucoma
Glaucoma will cause blindness if not treated [Show Less]