ATI Fun B

Question 1

Individuals who can grant informed consent

Answer 1

Parent of minor

Legal guardian

Court-specified representative

Durable power of attorney

Question 2

Stages of infection

Answer 2

Incubation
Prodromal
Illness
Convalescence

Question 3

Incubation

Answer 3

First symptom present

Question 4

Prodromal

Answer 4

General to distinct symptoms

Pathogen multiplying

Question 5

Illness stage

Answer 5

Infection occurs

Client experiences manifestations specific to infection

Question 6

Convalescence

Answer 6

Acute symptoms disappear

Total recovery days to months

Question 7

What is Medication reconciliation

Answer 7

Current medications with dosage and frequency

Compared to new medication list

Question 8

When is Medication reconciliation used

Answer 8

Admission

Transfer between units or facilities

Discharge

Question 9

Primary intention

Answer 9

Little or no tissue loss

Edges approximated

Heals rapidly

Low risk for infection

No or minimal scarring

Ex. Closed Surgical incision

Question 10

Secondary intention

Answer 10

Loss of tissue

Wound edges widely separated

Unapproximated

Longer healing time

Risk for infection

Scarring

Healing by granulation.

Ex. Pressure ulcers, burns

Question 11

Tertiary intention

Answer 11

Deep

Spontaneous opening

Risk for infection

Excessive drainage and tissue debris

Long healing time

Question 12

Stages of wound healing

Answer 12

Inflammatory

Proliferative (3-24 days) granulation

Maturation (after 21 days) strengthening of scar

Question 13

Dehiscence

Answer 13

Rupture of surgical wound

Question 14

Evisceration

Answer 14

Dehiscence involving protrusion of visceral organs through wound opening

Question 15

Vacuum assisted closure system

Answer 15

Foam strips laid on wound bed

Suction tubing placed for negative pressure suction

Use:
speed up tissue generation
Decrease swelling
Enhance healing in moist environment

Question 16

Fluid volume deficit findings

Answer 16

Hypothermia
Tachycardia
Hypotension
Tachypnea 
Hypoxia

Dizziness
Fatigue

Oliguria

Diminished cap refill
Cool skin
Diaphoresis
Sunken eyeballs
Decrease skin turgor

Question 17

Fluid volume excess findings

Answer 17

Tachycardia
Blinding pulse
Hypertension
Tachypnea
Increased CVP

confusion
Muscle weakness

Weight gain
Ascites

Dyspnea
Orthopnea
Crackles

Edema
Distended neck veins