Fundamentals Notes Test 1

Question 1

The branden scale measures pressure ulcer risk based on sensory perception moisture, activity, mobility, nutrition, friction and shear. A score lower than 18 indicates pressure ulcer risk

Answer 1

Yes

Question 2

Norton scale

Answer 2

Measure pressure ulcers based on physical condition, mental condition, and incontinence, a score of 14 or less indicated pressure ulcer risk

Question 3

When irritating a client’s indwelling catheter using an open irrigation the nurse should.

Answer 3

Subtract the amount of irrigating fluid from the client urine input, because is appropriate to calculate the fluid used for irrigation

Question 4

Open irrigation requirements

Answer 4

Sterile glove are required

Question 5

NG tube irrigation requirements in order to maintain fluid and electrolyte balance

Answer 5

0.9% sodium chloride is an isotonic that would be least likely. To cause electrolyte imbalance

Question 6

Steps to withdraw regular insulin and NPH insulin

Answer 6

Air is first injected into the vial of NPH without touching the solution so that the desire amount of medication can be withdraw later. Air is there interjected into the vial of regular insulin and the appropriate amount of medication is withdrawn the needle is then placed into the NPH insulin andthe correct amount of medication is withdrawn

Question 7

Eyes installation drops

Answer 7

Uses a sterile technique