Quiz #3 PN2006

normal ranges for INR

0.81-1.20 SI

when to notify physician and what to ask for

when the wound has exudate that is white opaque which is purulent, has edematous wound edges, reddened area around wound and ask for wound culture

moist to dry dressing

gauze dressing is put inside the wound and it is felt there to dry

patient is allergic to tape what to use instead

hypoallergic tape or adhesive dressing sheet, silicone tape

how long can you clamp catheter for urine sample

10-15 minutes

normal ranges for sodium

135-145 mmol or mEq/L

normal ranges for potassium

3.5-5.0 mmol or mEq/L

normal ranges for albumin

35-50 g/l

signs a wound is healing

4 stages hemostasis (blood vessels constrict), inflammatory phase (vasodilation occurs with leakage of plasma and blood cells into the wound, proliferative phase (new capillaries are created restoring o2 and nutrients delivery) and maturation/remodeling phase (collagen is remodeled to become stronger and provide tensile strength to the wound)

normal fasting blood glucose levels

4.0-6.o

what is the adequate amount for midstream collection

90-120ml of urine

24 hour urine specimen

do not discard any urine if any did get discard restart the whole 24 hour and keep in the fridge or container of ice

surgical asepsis

do not talk over field, do not hover, do not turn back

which diagnostic test specifically help suspect renal disease in patient

GFR, creatinine, aldolase, ascorbic acid, AST, cholesterol, osmolality, phosphorus, potassium, proteins, BUN

expected outcomes of moist to dry dressing

Wound drainage and dead tissue is removed when you take off the old dressing

food that affect occult blood test

all red meat, beets, broccoli, cantaloupe, carrots, cauliflower

what principle to follow when cleaning a wound

cleanest to dirtiest

what factors effect wound healing

diseases, age, nutrition, medication

when preparing wound care supplies to do wound care which patient assessment data cues to provide Montgomery straps to promote wound healing

if the skin does not remain intact or is irritated

superficial maceration and tegaderm

it is not appropriate to apply tegaderm as a dressing since this type of dressing doesn't allow moisture to evaporate

is mechanical debridement in LPN scope

no

can you assume a patient will not feel pain with deep ulcers

no always ask and do pain assessment

before doing wound dressing what to check

order, previous documentation, explain procedure, get patients consent

evisceration

organs are coming out of the wound

test urine with reagent strip for properties of urine

patient teaching/understanding and able to compare strip to color of bottle

signs of infection REEDA

r for red, e for edema, e for ecchymosis, d for drainage/exudate and a for approximation

different type of exudate

serous clear, sanguineous bloody, serosanguineous clear and bloody and purulent yellow, grey, green, brown

dehiscence

stiches/staples come out and ski ruptures

patient experiences SOB when collecting sputum what to do

stop procedure and administer O2

if exudate is increasing what does it indicate

that the wound is not properly healing

checking blood glucose level

wipe area to be pricked with alcohol and make sure it dries before pricking and teach patient this

can you delegate sterile technique to URP

you cannot