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A 30% loss of LBM (lean body mass) will significantly decrease and possibly stop all wound healing until
LBM is restored.
A. True
B. False
A
Based on knowledge of areas at greatest risk for development of a pressure injury in the bedridden
patient, the nurse identifies which position to minimize the risk?
A. 30-degree side-lying
B. Sitting with the head of the bed elevated 75 degrees
C. 90-degree side-lying
D. Lying supine with the bed flat at all times
A
,The cardinal rule when determining a dressing change for a pressure ulcer is:
A. Keep the ulcer tissue dry and the surrounding intact skin moist
B. Keep the ulcer tissue moist and the surrounding intact skin dry
C. Keep the ulcer tissue and surrounding intact skin moist
D. Keep the ulcer tissue and surrounding intact skin dry
B
,A client requests pain medication for severe pain. Which should the nurse do first when responding to this
client's request?
A. Use distraction to minimize the client's prescription of pain
B. Place the client in the most comfortable position possible
C. Administer pain medication to the client quickly
D. Assess the various aspects of the client's pain
D
Daily documentation should include:
A. Communication to physicians
B. Communication to responsible party
C. Complaints of pain
D. All of the above
D
, A deeper wound, or ______-____________ _________, extends through the dermis to the subcutaneous layer and may
extend farther, to the muscle, bone, or other underlying structures. These sounds tend to heal slowly and
leave scarring, and they are more likely to become chronic in nature.
Full-thickness wound
Dehydration and malnutrition are risk factors for developing pressure ulcers.
A. True
B. False
A
Donut-type devices are the recommended positioning device for residents at risk for development of
pressure ulcers.
A. True
B. False
B
A 30% loss of LBM (lean body mass) will significantly decrease and possibly stop all wound healing until
LBM is restored.
A. True
B. False
A
Based on knowledge of areas at greatest risk for development of a pressure injury in the bedridden
patient, the nurse identifies which position to minimize the risk?
A. 30-degree side-lying
B. Sitting with the head of the bed elevated 75 degrees
C. 90-degree side-lying
D. Lying supine with the bed flat at all times
A
,The cardinal rule when determining a dressing change for a pressure ulcer is:
A. Keep the ulcer tissue dry and the surrounding intact skin moist
B. Keep the ulcer tissue moist and the surrounding intact skin dry
C. Keep the ulcer tissue and surrounding intact skin moist
D. Keep the ulcer tissue and surrounding intact skin dry
B
,A client requests pain medication for severe pain. Which should the nurse do first when responding to this
client's request?
A. Use distraction to minimize the client's prescription of pain
B. Place the client in the most comfortable position possible
C. Administer pain medication to the client quickly
D. Assess the various aspects of the client's pain
D
Daily documentation should include:
A. Communication to physicians
B. Communication to responsible party
C. Complaints of pain
D. All of the above
D
, A deeper wound, or ______-____________ _________, extends through the dermis to the subcutaneous layer and may
extend farther, to the muscle, bone, or other underlying structures. These sounds tend to heal slowly and
leave scarring, and they are more likely to become chronic in nature.
Full-thickness wound
Dehydration and malnutrition are risk factors for developing pressure ulcers.
A. True
B. False
A
Donut-type devices are the recommended positioning device for residents at risk for development of
pressure ulcers.
A. True
B. False
B
