Fundmental

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Questions and Answers

Which compartment contains fluid outside the cells?

Intravascular compartment

Extracellular compartment (correct)

Intracellular compartment

Transcellular fluid

What is the force that draws solvent from a less concentrated solute into a more concentrated solute?

Capillary pressure

Hydrostatic pressure

Osmotic pressure (correct)

Diffusion pressure

Which client is at high risk for fluid and electrolyte imbalance due to diarrhea?

A client with acute kidney injury

A client with hypertension

A client with diabetes

A client with chronic kidney disease (correct)

What type of solution contains a lower concentration of salt or solute compared to human cells?

Hypotonic solution Signup and view all the answers

Which type of pain is associated with long-term or chronic illnesses or disorders?

Chronic pain Signup and view all the answers

What is the term for an excessive accumulation of fluid in the interstitial space?

Generalized edema Signup and view all the answers

What is the fluid between cells sometimes called?

Interstitial fluid Signup and view all the answers

What is the term for fluid inside a blood vessel?

Intravascular fluid Signup and view all the answers

What is the term for the force responsible for drawing solvent from a less concentrated solute to a more concentrated solute?

Osmotic pressure Signup and view all the answers

What type of pain is associated with an injury, medical condition, or surgical procedure?

Acute pain Signup and view all the answers

Which stage is NOT part of the process of wound healing?

Fibroblastic Signup and view all the answers

Which factor does NOT impact skin integrity?

Inflammation Signup and view all the answers

Which medication is commonly used for various conditions but has multiple contraindications and side effects?

Codeine sulfate Signup and view all the answers

What can result from factors like atelectasis and hypostatic pneumonia?

Impaired skin integrity Signup and view all the answers

Which type of wound has different characteristics and healing processes compared to primary intention wounds?

Chronic wounds Signup and view all the answers

What can opioid analgesics suppress, leading to potential complications?

Gastrointestinal motility Signup and view all the answers

Which gaits are used in crutch walking techniques?

Two-point, three-point, four-point Signup and view all the answers

What is important for client safety when using crutches on stairs?

Proper technique for going up and down stairs Signup and view all the answers

What are indications of infection in wounds?

Redness, pain, fever Signup and view all the answers

What can nonopioid analgesics like NSAIDs and acetaminophen cause if used inappropriately?

Gastrointestinal bleeding Signup and view all the answers

Which type of wound drainage indicates the presence of blood and potential complications?

Sanguineous Signup and view all the answers

What are the risk factors for pressure ulcers?

Incontinence Signup and view all the answers

What is the aim of postoperative care?

To prevent complications Signup and view all the answers

What is a crucial postoperative care measure related to NPO status?

Maintenance of NPO status Signup and view all the answers

What are the guidelines to prevent wrong site and wrong procedure surgery?

Conducting a time out before the surgical procedure Signup and view all the answers

What is included in preoperative care?

Administering IV fluids Signup and view all the answers

What does obtaining informed consent for surgery involve?

The nurse obtaining the client's signature Signup and view all the answers

What is tertiary intention in wound closure?

Delayed primary closure Signup and view all the answers

How are pressure ulcers classified?

Based on skin integrity and tissue involvement Signup and view all the answers

What are interventions for preventing pressure ulcers?

Providing range-of-motion exercises Signup and view all the answers

Study Notes

Pain Management and Skin Integrity

Phantom pain can occur after amputation and persist for years.
Nonopioid analgesics like NSAIDs and acetaminophen have specific contraindications and monitoring requirements.
Opioid analgesics can suppress respiration and cause physical dependence.
Specific considerations and side effects exist for medications like codeine sulfate and hydromorphone.
Morphine sulfate is used for various conditions but has multiple contraindications and side effects.
Pressure injuries and impaired skin integrity can result from factors like atelectasis and hypostatic pneumonia.
Crutch walking techniques and gaits like two-point, three-point, four-point, and swing-through are used based on client ability.
Proper technique for going up and down stairs with crutches is important for client safety.
Nutrition, tissue perfusion, immobility, and incontinence all impact skin integrity.
The process of wound healing involves inflammatory, fibroblastic, and maturation stages.
Primary and secondary intention wounds have different characteristics and healing processes.
Indications of infection in wounds include redness, pain, fever, drainage changes, and odor.

Surgical Wound Care and Postoperative Management

Tertiary intention involves delayed primary closure, with wounds intentionally left open for irrigation and debris removal before closing by first intention.
Different types of wound drainage include serous, serosanguineous, sanguineous, and purulent, indicating different stages of healing and potential complications.
Risk factors for pressure ulcers include skin pressure, shearing, immobility, malnutrition, incontinence, and decreased sensory perception.
Interventions for preventing pressure ulcers include repositioning, avoiding direct massage, ensuring adequate nutrition, keeping the skin dry, and providing range-of-motion exercises.
Pressure ulcers are classified into four stages based on skin integrity, tissue involvement, and wound characteristics.
Obtaining informed consent for surgery involves the surgeon explaining the procedure, the nurse obtaining the client's signature, and considerations for minors, incapacitated clients, and psychiatric clients.
Preoperative care includes NPO status, IV line insertion, administration of IV fluids, and measures for elimination, deep-breathing, and coughing exercises, leg and foot exercises, and psychosocial preparation.
Guidelines to prevent wrong site and wrong procedure surgery involve marking the operative site, conducting a time out before the surgical procedure, and confirming the correct client and surgical site.
Postoperative care aims to prevent complications, promote healing, and restore the client's health, including monitoring airway patency, vital signs, circulation, bleeding, and neurological status.
Additional postoperative care measures include encouraging deep-breathing and coughing exercises, antiembolism stockings, ambulation, positioning, and assessing the surgical site, skin, and consciousness.
Monitoring and maintenance of NPO status until the return of gag reflex and peristalsis are also crucial postoperative care measures.
Overall, the text covers comprehensive information on surgical wound care, including different types of wound healing, risk factors, interventions, preoperative care, guidelines for preventing wrong site and wrong procedure surgery, and detailed postoperative care.

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Description

Test your knowledge on pain management, skin integrity, surgical wound care, and postoperative management with this comprehensive quiz. Explore topics such as wound healing stages, pressure ulcer prevention, postoperative care measures, and more. Sharpen your understanding of critical nursing concepts with this informative quiz.