IG system

Question 1

pressure ulcer staging

Answer 1

1: intact skin, non-blanchable, redness
2: open, redness, no slough
3: full thickness, can see fat
4: full thickness, can see bone/muscle
unstageable: full thickness, slough, necrotic tissue

Question 2

types of wound exudate

Answer 2

serous, serosanguineous, sanguineous, hemorrhage, purulent

Question 3

serous

Answer 3

clear, normal part of healig

Question 4

serosanguineous

Answer 4

blood + clear

Question 5

sanguineous

Answer 5

blood

Question 6

hemorrhage

Answer 6

uncommon

Question 7

purulent

Answer 7

infection

Question 8

shingles/herpes zoster

Answer 8

re-activation of virus in pt with history of chicken pox

Question 9

s/s of shingles

Answer 9

red skin bumps, fever, burning, pain, itching

Question 10

is shingles contagious?

Answer 10

yes

Question 11

nursing for shingles

Answer 11

contact precautions, avoid itching, vaccinate over 50

Question 12

MRSA

Answer 12

superburg

Question 13

nursing for MRSA

Answer 13

contact precautions, culture and sensitivity to confirm presence

Question 14

s/s of MRSA

Answer 14

red skin bumps

Question 15

types of burns

Answer 15

superficial-thickness burn: damage to epidermis, red, no blisters, heals in 3-6 days

superficial partial-thickness burn: damage to dermis, red, blisters, edema, heals in 10-21 days

deep partial-thickness burn: damage to dermis, red skin with white areas, no blisters, heals in 3-6 weeks

full-thickness burn: damage to epidermis and dermis, varying colours, needs skin grafting, healing takes weeks to months

deep full-thickness burn: injury to bones/muscles, black and hard skin, healing takes months, needs skin grafting

Question 16

nursing for burns

Answer 16

airway patency, O2, VS, IV fluids, pt warm, NPO, s/s of infection, good nutrition

Question 17

carbon monoxide blood level poisoning

Answer 17

1-10%: normal level
11-20%: headache, SOB
21-40%: dizzy, confusion
41-60%: coma, seizures
61-80%: death

Question 18

TED stockings

Answer 18

graduated compression to decrease risk of DVT

Question 19

nursing for TED stockings

Answer 19

ensure that proper size, no folds, wounds are covered with dressings

Question 20

psoriasis

Answer 20

autoimmune, no cure, due to increased turnover of cells

Question 21

s/s of psoriasis

Answer 21

silver plaques, reddened skin

Question 22

nursing for psoriasis

Answer 22

avoid triggers, meds (corticosteroids, methotrexate/immunosuppressant), phototherapy, avoid alcohol

Question 23

burns

Answer 23

rule of 9’s

head: 9%
arms: 18% (9% each)
back: 18%
chest: 18%
legs: 36% (18% each)
genitalia: 1%

Question 24

Parkland formula

Answer 24

determine amount of fluid resuscitation needed in 24hrs after a burn

4 mL x BSA (% of body burned) x kg

give half of this in the first 8 hours

remaining half is given over 16 hours