NS 660 Exam 2 (A+ GRADED)

Which statement would indicate the need for further teaching? A. If skin area gets red but red goas away after turning, I should report it to the nurse B. Putting foam pads under the heels or other bony prominences can help decrease pressure C. If a person cannot turn himself in bed, someone should help them change position every 4 hours D. Skin should be washed with only warm water (not hot) and lotion put on wile it is still little whet correct answers C. If a person cannot turn himself in bed, someone should help them change position every 4 hours Rationale: This should happen every 2 hrs. Wound draining thick yellow material. What type of drainage? correct answers Purulent Client enters ED after motor cycle accident, resulting in skidding across pavement. Client wearing shorts, so large areas skin ripped off. Best describe this wound as: A. Abrasion B. Approximated C. Laceration D. Eschar correct answers C. Laceration Key word: Ripped Laceration because large amounts of skin ripped off. Although abrasion is usually related to road rash, the large amount of skin damaged is why it is considered a laceration Nurse caring for patients with variety of wounds. Which wound will most likely heal by primary intention? A. Cut in skin from kitchen knife B. Excoriated perineal area C. Abrasion of the skin