Kahoot Flashcards
A patient has a wound bed that is red, moist, & composed of blood vessels.
What does this finding indicate?
Granulation tissue
What phase of wound healing is represented by the presence of granulation?
Proliferative phase
Reflex vasoconstriction occurs after 30 mins of a warm aquathermia pad being placed on a patient.
True ✅
Why are moist dressings used to promote partial thickness wound repair?
Epidermal cells only migrate across a moist surface
What kind of wound drainage is pale, pink, watery mixture of clear and red fluid?
Serosanguineous
Which of the following statements about wet-to-dry dressings is false?
Only necrotic tissue is removed with wet-to-dry dressings
What laboratory data is important for a nurse to check on a patient with a pressure ulcer?
Albumin
The removal of devitalized tissue from a wound bed is called what?
Debridement
Which of the following wounds can heal by secondary intention? (select all that apply)
Open burn area
Stage Ill pressure ulcer
Which of the following may be signs of wound infection? (select all that apply)
Fever and chills
Increase in incisional pain
Reddened wound edges
Which of the following may indicate a complication of immobility?
Decreased peristalsis
Would a patient who has been sitting in a chair for an hour be at risk for pressure injury?
True ✅
A nurse must removed the wrist restraint of a confused patient every two hours to check the skin integrity and wrist ROM
True ✅
Hanging the urinary drainage bag at the same level as the bladder helps to decrease the risk of CAUTI.
False ❌
The use of a night light may be a good choice for a patient at risk for falls.
True ✅
A nurse will find the patient’s Intake a & Output record (1&0) in the:
Flow sheet
What action should the nurse take before ambulating a patient that has in bed for several days?
Dangle the patient at the bedside
What is the best treatment for urge urinary incontinence?
Perform pelvic floor exercises
What can a nurse suggest to a child who is embarrassed about bed wetting?
Drink your nightly glass of milk earlier in the evening.
When preparing to insert an indwelling urinary catheter in a male pt, it is important for the nurse to do what?
Lubricate the first 3-4 inches of the catheter.
Oliguria is an excessive output of urine
False ❌
Mass colonic peristalsis occurs 1 hour after eating
True ✅
Which of the following steps should a nurse take when preparing to admin. a cleansing enema to an adult pt?
Warm the enema solution prior to instillation.
Lubricate the rectal tube or nozzle
Position the patient on the left side with the right leg flexed forward
Hang the enema container 12 inches
above the patient’s anus
A nurse is caring for a pt with diarrhea for the last 4 days. What should the nurse not expect to find on assessment?
Peripheral edema
Tap water enemas can be used on infants and children
False❌
Which of the following is true regarding hypotonic enemas?
Tap water is a solution of hypotonic enema
Which intervention would best help the patient learn self-care of a colostomy pouching system?
Giving the pt a mirror to watch the nurse provide care
The best time to perform ostomy care on a patient is immediately after a meal.
False ❌
The only way to definitively confirm
NG tube placement is to aspirate gastric contents and test for a pH reading.
False ❌
A pt has consumed three 100 ml cups of ice chips and 4 oz of ginger ale.
What is the oral intake total? (1 oz = 30
mL)
270ml
