Health Assessment
This abnormal lung sound is identified by a crowing sound heard with upper airway obstruction
What is stridor
This medical term describes a decreased level of oxygen in the bloodstream
What is hypoxemia
This respiratory illness can be caused by decreased movement and accumulation of respiratory secretions due to immobilization.
What is Hypostatic pneumonia
This type of open wound means a traumatic tearing away of the skin or a body part, where some tissue may still be attached.
What is avulsion.
This scale to predict pressure sore risk has a scoring total that indicates when the score is lower, the risk is higher.
What is the Braden scale.
Edema measured at a 6mm depth at the ankle would be documented as this grading
What is 3+
This structure in the brain is responsible for controlling the respiratory rate
What is the medulla oblongata
This is the recommended amount of fluid intake for an immobilized adult patient for adequate hydration.
What is >3000mL/day
This type of healing intention means that significant tissue loss has occurred and the wound will fill with scar tissue.
What is secondary intention.
Regarding open wound color classification, this color means that the wound has debris or slough and needs cleansing.
What is a yellow wound.
The "dub" heart sound can be heard at this anatomical area of the chest
What is the aortic area
A patient should never be unattended when this type of airway is placed, due to the risk of obstruction or displacement
What is a pharyngeal airway
These are the 5 Ps included in a neurovascular assessment.
What are pain, pallor, paralysis, paresthesia, and pulselessness.
This name is for phase 3 of wound healing, when collagen works to reorganize into a stronger, more stable scar.
What is the maturation or remodeling phase.
This is the length of time that Phase 2: Proliferation Phase of wound healing can last.
What is up to 3 weeks.
This medical term also means "abnormal flexion posturing"
What is Decorticate
When performing postural drainage to clear lung secretions, the nurse knows that the patient should be placed in each position for ____ minutes, ____ times per day
What is every 5-15 minutes, 2-4 times per day
This specialty bed turns the patient side to side, for example 40 degrees each way, to prevent pneumonia, lung collapse, and deep vein thrombosis.
What is a continuous lateral rotation bed
This pressure injury stage is characterized by full thickness skin loss, where fat may be visible in the wound.
What is a stage 3 pressure injury.
This type of dressing keeps the wound moist, is self-adhesive, but not transparent and can stay in place for 3-5 days.
What is a hydrocolloid/hydrocellular dressing.
These type of breath sounds are described as having equal length and no pause between inspiration and exhalation
What are bronchovesicular breath sounds
After age 70, total body water can decrease by up to this percentage
What is 50%
Proper fit of crutches includes pads at this many inches below the axilla, and elbows flexed at this many degrees.
What is 6 inches and 15-20 degrees
An increase in this type of drainage from a wound can be a warning of dehiscence.
What is serosanguineous drainage.
This type of drain performs passive drainage and is a flat rubber tube to which a safety pin is attached on the external end to keep it from sliding into the wound.
What is a Penrose drain.