UnitekCollege Term 2 Final Exam
Questions and Answers
What does stage 1 pressure ulcer look like? what to do to help in that area? - Answer -
stage 1 localized area of skin , typically bony prominence, that is intact with non-
blanchable redness.
Turn the patient every 2 hours/ avoid full lateral position because it puts direct pressure
on the trochanteric region
stage II - Answer -presents clinically as an abrasion , blister or SHALLOW crater
What intervention is most appropriate to prevent respiratory complications resulting from
immobility? What should you do to the patient? What is the immobilized patient at risk
for? - Answer -Pneumonia-ask the patient to cough, deep breathe, reposition at least
every 2 hours
What causes constipation in patients who have pressure injuries? - Answer --I never
constipated i take gentle laxatives every night -Immobility, dehydration, poor diet
a nurse is instructing a patient on performing isometric exercise. what instruction should
the nurse include? - Answer -contract the muscle for several seconds, then relax the
muscle for a few second and contract it again
Patient has erythema around the sacrum area due to immobility. What is the nurses first
priority? - Answer -Reposition the patient
When differentiating between delirium and dementia in a pt, what would a pt with
dementia exhibit? - Answer -Forgets things relatively quickly and is unable to learn new
things
Mother of a child asks if their child can get chickenpox more than once. What kind of
immunity would be most accurate? - Answer -Active acquired immunity
What should you administer after a pt experience anaphylaxis? - Answer -oxygen
Best way to prevent communicable diseases? - Answer -Hand Washing
What do we call different animals that carry germs? - Answer -Vector
