Nsg121 Exam 2 Set Question & Answers | Passed Latest Update

Capillary refill, as it relates to a burn patient {Ans: The deeper the burn, the slower the capillary refill. Superficial: rapid cap refill Superficial dermal: slowed cap refill Dermal: no cap refill Full thickness: no blanching}Accessory neck muscles of respiration {Ans: Sternocleidomastoid Trapezious}Describe a patch {Ans: Flat, circumscribed, discolored, greater than 1 cm (ex: vitiligo)}Describe a clean-contaminated wound {Ans: Made under sterile conditions, but involving the respiratory, GI, genital, or urinary tracts without unusual contamination (ex: appendectomies, hysterectomies, cholecystectomies, and oropharyngeal surgeries)}Describe seborrheic keratosis {Ans: A non-concerning lesion with variable color, texture that is velvety to verrucous, found all over body (except palms and soles of feet), they have a waxy "stuck-on" characteristic}True or False: Stridor is rarely a medical emergency? {Ans: False}What is one thing on a routine respiratory assessment you should always do? {Ans: Auscultate lungs}Should lymph nodes be palpable? {Ans: No. If you can feel a lymph node, describe characteristics such as location, size, consistency, tenderness, mobility, and delimination.}ABCDE's of melanoma {Ans: Asymmetry: Does one half look like the other half? Border irregularity: Is the border ragged or notched? Color: Does the mole have a variety of shades