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Test sobre Basic Nursing Quiz 2, creado por mminter002 el 10/10/2014.

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Basic Nursing Quiz 2

Pregunta 1 de 20

1

What intervention would be most appropriate for a wound with a beefy red wound bed?

Selecciona una de las siguientes respuestas posibles:

  • Dressing to keep the wound moist and clean

  • Mechanical débridement

  • Removal of devitalized tissue and a sterile dressing

  • Autolytic débridement

Explicación

Pregunta 2 de 20

1

The nurse and other hospital personnel strive to keep the patient care area clean. This most directly illustrates the ideas of which nursing theorist?

Selecciona una de las siguientes respuestas posibles:

  • "Flo" from the Progressive commercials

  • Florence Nightingale

  • Clara Barton

  • Virginia Henderson

Explicación

Pregunta 3 de 20

1

Which of the following is considered a “practice” (as opposed to a belief or value)?

Selecciona una de las siguientes respuestas posibles:

  • Always drinking water after exercise

  • Maintaining youth

  • Emphasis on success

  • Thinking often about cleanliness

Explicación

Pregunta 4 de 20

1

Pressure ulcers are directly caused by which of the following conditions at the site?

Selecciona una de las siguientes respuestas posibles:

  • Inadequate venous return

  • Shearing forces

  • Compromised blood flow

  • Edema

Explicación

Pregunta 5 de 20

1

A client incorporates alternative healthcare into her regular health practices. For which alternative therapy should the patient visit a formally trained practitioner?

Selecciona una de las siguientes respuestas posibles:

  • Use of herbs and roots

  • Burning of dried plants

  • Application of oils and poultices

  • Acupuncture

Explicación

Pregunta 6 de 20

1

While assessing a new wound, the nurse notes red, watery drainage. What type of drainage will the nurse document this as?

Selecciona una de las siguientes respuestas posibles:

  • Puro-sanguineous

  • Sanguineous

  • Sero-sanguineous

  • Serous

Explicación

Pregunta 7 de 20

1

A patient has an area of nonblanchable erythema on his coccyx. The nurse has determined this to be a stage I pressure ulcer. What would be the most important treatment for this patient?

Selecciona una de las siguientes respuestas posibles:

  • Transparent film dressing

  • Sheet hydrogel

  • Enzymatic débridement

  • Frequent turn schedule

Explicación

Pregunta 8 de 20

1

When performing a spiritual assessment, who is the preferred source of information?

Selecciona una de las siguientes respuestas posibles:

  • Durable power of attorney

  • Patient's clergyman

  • Next of kin

  • Patient

Explicación

Pregunta 9 de 20

1

The nurse is helping an 82-year-old patient to ambulate in the hallway. Suddenly she states, “I feel so light-headed and weak,” as her knees begin to buckle. The nurse’s best action at this time would be to:

Selecciona una de las siguientes respuestas posibles:

  • Immediately release the transfer device and place a wheelchair behind the patient to prevent a fall.

  • Grab her under the arms and hold her up as he calls for assistance.

  • Assist the patient to slide down his leg as he guides her to a seated or lying position.

  • Instruct the patient to grab the rail in the hallway while he calls for assistance.

Explicación

Pregunta 10 de 20

1

What is the primary difference between acute and chronic wounds? Chronic wounds:

Selecciona una de las siguientes respuestas posibles:

  • Are full-thickness wounds, but acute wounds are superficial.

  • Are usually infected, whereas acute wounds are contaminated.

  • Exceed the typical healing time, but acute wounds heal readily.

  • Result from pressure, but acute wounds result from surgery.

Explicación

Pregunta 11 de 20

1

A client has a diagnosis of chronic pain. The physician has prescribed tramadol hydrochloride (Ultram) for the pain. The patient also receives therapeutic touch (TT) from a practitioner three times a week. In this situation, TT is considered to be which of the following?

Selecciona una de las siguientes respuestas posibles:

  • An alternative modality

  • Holistic healthcare

  • A placebo response

  • A complementary modality

Explicación

Pregunta 12 de 20

1

Which of the following describes the difference between dehiscence and evisceration?

Selecciona una de las siguientes respuestas posibles:

  • With dehiscence, there is a separation of one or more layers of wound tissue; evisceration involves the protrusion of internal viscera from the incision site.

  • Dehiscence is an urgent complication that requires surgery as soon as possible; evisceration is not as urgent.

  • Dehiscence involves the protrusion of internal viscera from the incision site; with evisceration, there is a separation of one or more layers of wound tissue.

  • Dehiscence involves rupture of subcutaneous tissue; evisceration involves damage to dermal tissue.

Explicación

Pregunta 13 de 20

1

In his later work, Maslow identified growth needs that must be met before reaching self-actualization. These needs include:

Selecciona una de las siguientes respuestas posibles:

  • Cognitive and aesthetic needs

  • Physiological and self-esteem needs

  • Love and belonging needs

  • Safety and security needs

Explicación

Pregunta 14 de 20

1

A patient has a contaminated right hip wound that requires dressing changes twice daily. The surgeon informs the nurse that when the wound “heals a little more” he will suture it closed. The nurse recognizes that the surgeon is using which form of wound healing?

Selecciona una de las siguientes respuestas posibles:

  • Regenerative healing

  • Secondary intention

  • Primary intention

  • Tertiary intention

Explicación

Pregunta 15 de 20

1

Three days after a patient had abdominal surgery, the nurse notes a 4-cm periwound erythema and swelling at the distal end of the incision. The area is tender and warm to the touch. Staples are intact along the incision, and there is no obvious drainage. Heart rate is 96 beats/min and oral temperature is 100.8°F (38.2°C). The nurse would suspect that the patient has what kind of complication?

Selecciona una de las siguientes respuestas posibles:

  • Formation of granulation tissue

  • Infection at the site of incision

  • Hematoma under the skin

  • Dehiscence of the wound

Explicación

Pregunta 16 de 20

1

What is the best rationale to gather data about patients’ use of herbal products?

Selecciona una de las siguientes respuestas posibles:

  • Patients' medication records must be kept accurate

  • The nurse practice act requires RNs to monitor all drug dosages

  • Herbal products need to be evaluated for research purposes

  • Many herbs are known to interact with medications

Explicación

Pregunta 17 de 20

1

While reading a journal article, the nurse asks herself these questions: “What is this about overall? Is it true in whole or in part? Does it matter to my practice?” What is this nurse doing?

Selecciona una de las siguientes respuestas posibles:

  • Reading the article analytically

  • Formulating a searchable question

  • Determining the soundness of the article

  • Performing a literature review

Explicación

Pregunta 18 de 20

1

An older patient with newly diagnosed osteoporosis asks the nurse to explain her health problem. Which of the following is the correct description of osteoporosis?

Selecciona una de las siguientes respuestas posibles:

  • Chronic inflammatory joint disease that must be treated with steroids

  • Loss of bone density that increases the risk of fracture

  • Degenerative joint disease that produces pain and decreased function

  • Acute infection in the bone that must be treated with antibiotics

Explicación

Pregunta 19 de 20

1

A patient hospitalized in a long-term rehabilitation facility is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure area on her coccyx measuring 5 cm by 3 cm. The area is covered with 100% eschar. What would the nurse identify this as?

Selecciona una de las siguientes respuestas posibles:

  • Unstageable pressure ulcer

  • Stage II pressure ulcer

  • Stage III pressure ulcer

  • Stage IV pressure ulcer

Explicación

Pregunta 20 de 20

1

North American healthcare culture typically reflects which culture?

Selecciona una de las siguientes respuestas posibles:

  • Asian

  • European American

  • Latino

  • African American

Explicación