JAAPA Flashcards
NPUAP defines a pressure injury as increased, unremitting pressure most commonly over a bony prominence resulting in what?
a. erythema, skin degradation, and localized infection
b. ischemia and necrosis
c. skin disruption and tunneling
d. wound formation, infection, and subsequent septicemia
b
Where on the body do most pressure injuries occur?
a. heels
b. hips and buttocks
c. occiput
d. sacrum
b
what is the most important risk factor for developing a pressure injury?
a. age
b. history of previous pressure injury
c. impaired mobility
d. moist or wet skin
c
A pressure injury has failed to improve after 2 weeks of appropriate therapy but has evidence of friable granulation tissue and wound tunneling. What is the most likely culprit?
a. An underlying vascular disorder
b. Biofilm formation
c. Immunodeficiency
d. These are normal findings of tissue healing and are not cause for alarm
b
Which form of debridement is indicated for a patient with a large pressure injury, pervasive necrosis, and localized infection?
a. autolytic
b. enzymatic
c. mechanical
d. sharp
d
Which statement is correct about the physiologic response to surgery?
a. Cytokines released by damaged tissue ultimately decrease prostaglandin production
b. A postoperative fever within 2 days is always a sign of infection
c. Cytokine release is unrelated to the amount of tissue damage during surgery
d. a physiologic adaptation to surgery occurs within 48 hours
d
Which of the following is not one of the “seven Ws” list of pathologic causes of postoperative fever?
a. walking
b. wonder drugs
c. weakness
d. wonky glands
c
which statement is correct about postoperative atelectasis?
a. the degree of atelectasis is directly correlated to the degree of fever
b. atelectasis occurs in fewer than 10% of surgical cases
c. atelectasis triggers an inflammatory response
d. the incidence of atelectasis increases after 2 days postoperatively
c
which statement is correct about the causes of postoperative fever?
a. postoperative patients account for 20% of healthcare-acquired DVTs
b. Urinary tract infections, even when asymptomatic, must always be treated with antibiotics
c. surgical site infections are very common, occurring in 20% of patients
d. routine cultures of incisions are recommended to determine the proper organism to treat
a
which of the following choices is an accurate list of life-threatening causes of postoperative fevers?
a. adrenal insufficiency, malignant hyperthermia, and atelectasis
b. delirium tremens, thyroid storm, and pulmonary embolism
c. atelectasis, hypothermia, and serotonin syndrome
d. neuroleptic malignant syndrome, hypothyroidism, and necrotizing wound infection
b
