Professional nursing final 12/7

A health care provider may suspect that a patient is experiencing urinary retention when the patient has: A. large amounts of voided cloudy urine. B. pain in the suprapubic region. C. spasms and difficulty during urination. D. small amounts of urine voided two to three times per hour.

B. pain in the suprapubic region.

A young girl is having problems urinating postoperatively. You remember that children may have trouble voiding: A. in bathrooms other than their own. B. in a urinal. C. while lying in bed. D. in the presence of a person other than one of their parents.

D. in the presence of a person other than one of their parents.

bowel obstruction

extended belly (put them on their left side)

presbyopia

farsightedness caused by loss of elasticity of the lens of the eye, occurring typically in middle and old age. (can see far away)

urinary incontenence

functional (older individuals, cannot get to the bathroom in time); overflow; reflex; stress; urge (urge happens while they are already peeing)

hydrogel covered with foam dressing

great for stage III/IV pressure ulcers protects wound and absorbs moisture

Phases of healing

hemostasis, inflammatory, proliferative, remodeling/maturation

global aphasia

inability to understand language or communicate orally

receptive aphasia (Wernicke's aphasia)

inability to understand spoken or written words

hyperesthesia

increased sensitivity to stimulation such as touch or pain

issues that lead to constipation

lack of fiber, dehydration, lack of activity

Which blood cells are known as "garbage cells"

macrophages

which role does vitamin A play in wound healing

promotes wound closure

urinary tract infection

results from catheterization or procedure or improper hygiene

Primary intention healing

tissue surfaces are approximated (closed) and there is minimal or no tissue loss, formation of minimal granulation tissue and scarring

Secondary intention healing

wound in which the tissue surfaces are not approximated and there is extensive tissue loss; formation of excessive granulation tissue and scarring

expressive aphasia

The inability to produce language ( despite being able to understand language)

CT scan

a series of x-ray photographs taken from different angles and combined by computer into a composite representation of a slice through the body

presbycusis

age related hearing loss

If wounds do not blanch that is ______.

bad

macular degeneration

breakdown or thinning of the tissues in the macula, resulting in partial or complete loss of central vision

serous drainage

clear, watery plasma

black wound

eschar (necrotic tissue)

silver impregnated dressings

-bactericidal -indicated to use with infected wounds

how far beyond the wound edges does a nurse extend a transparent dressing when framing the periwound area of a patient for negative pressure therapy?

1-2 inches (2.5-5cm)

Braden Scale

A tool for predicting pressure ulcer risk (six subscales)

urinary retention

An accumulation of urine due to the inability of the bladder to empty

A patient with a long-standing history of diabetes mellitus is voicing concerns about kidney disease. The patient asks the nurse where urine is formed in the kidney. The nurse's response is the: A. bladder. B. kidney. C. nephron. D. ureter.

C. Nephron

Pressure Sore Staging

Stage 1 ulcers have not yet broken through the skin. Stage 2 ulcers have a break in the top two layers of skin. Stage 3 ulcers affect the top two layers of skin, as well as fatty tissue. Stage 4 ulcers are deep wounds that may impact muscle, tendons, ligaments, and bone.

calcium aginate

Used for wounds with excessive drainage (not used on dry wounds)

yellow wound

slough

purulent drainage

thick green, yellow, or brown drainage