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
