MDC 1 quiz bank 165 Questions with 100% Verified Correct Answers The following are extrinsic risk factors for pressure ulcers except A, friction
- Shear
- moisture
- age - Correct Answer D. age
- color
- odor
- clarity
- consistency - Correct Answer C. clarity
- erythmia and edema at wound edges
- wound drainage yellow pus
- stage 3 pressure ulcer 3 cm x 4 cm
- unstageable nonblanchable wound - Correct Answer A. Erythema and edema at wound edges
- Dry cold applications
- moist cold applications
- Moist heat applications
- Dry heat applications - Correct Answer C. Moist heat applications
- Low cholesterol levels
- Poor nutrition
- impaired circulation
- Impaired cognition - Correct Answer D. impaired cognition 1 / 4
a nurse asses all of the following characteristics of exudate except
Correct wound documentation includes
Best nursing intervention to promote healing of cellulitis
The nurse would asses for all of the following causes for poor wound healing except
What stage is wound with visible tendons and slough
- stage 2 pressure ulcer
- stage 4 pressure ulcer
- stage 3 pressure ulcer
- unstageable pressure ulcer - Correct Answer B. Stage 4 pressure ulcer
- 75 year old post op hip surgery
- 40 yr old male with DM
- 3 yr old female full leg cast
- 55 yr old male lethargic after appendectomy - Correct Answer A. 75 year old post op hip surgery
- Obesity
- early ambulation
- increased abdominal pressure
- Inadequate closure of the muscle - Correct Answer B. early ambulation
- administer antibiotics and pain meds
- cleanse the wound
- collect a wound culture
- Apply sterile dressing - Correct Answer C. collect a wound culture
- Fever
- soar throat
- Joint muscle pain
- frequent urination - Correct Answer D. frequent urination 2 / 4
Which client is at greatest risk for impaired skin integrity
All of the following are risk factors for evisceration except
What is the priority action
Early stage of HIV include all but
Signs of inflammation include
- Parasthesia, eccymosis, edema
- purulent drainage, erythema, edema
- pyrexia, heat, loss of function
- pain, erythema, edema - Correct Answer D. pain, erythema, edema
- determined by doctor
- often exaggerated
- highly objective
- highly subjective - Correct Answer D. highly subjective
- degree of pain interpretation
- processing of the pain message
- transmission of pain signals
- modulation of pain signals - Correct Answer B. processing of the pain message
- Pain is an objective sign of a more serious problem
- Pain sensation is affected by client's anticipation of pain
- intractable pain is may be releived by treatment
- pyscological factors rarely effect pain perception - Correct Answer B. pain sensation is affected by
- Biological
- pyscological
- Socio cultural
- All the above - Correct Answer D. all the obove 3 / 4
pain is
Neuropathic pain implies an abnormal
which statement about pain is correct
client's anticipation of pain Which factors contribute to the personal experience of pain
Which of the following most reliable indicator of pain
A. MRI
- patient self report
- Tissue enzyme levels
- Blood drug level - Correct Answer B. patient self report
- reasses pain level in 3-4 hrs
- administer prescribed meds
- chronic
- persistant
- acute
- breakthrough - Correct Answer C. acute
- primary intentional healing
- secondary intention healing
- Tertiary intention healing
- regenerative/ epithelial healing - Correct Answer A. primary intentional healing
- prevent viral replication and destroy infected cells
- destroy viral cells that are infected
- slow viral replication and progression
- destroy bacteria and prevent infection - Correct Answer C. Slow viral replication and progression
- / 4
An older adult with dementia rate 5 out of 10 pain, the nurse should
C ask patient verify pain D use only nonpharmocolgical pain intervention - Correct Answer B. Administer prescribed meds what kind of pain is short and self limiting dissipitates after injury heals
A wound that involves minimal or no tissue loss and has edges well approximated
antiviral meds are given to patients with HIV infections to
confirmation test for presence of antibodies to HIV