NUR 213 Module 4 Questions & Answers_2025.

NUR 213 Module 4 Questions & Answers_2025. 1. Match the nutrients needed for wound healing with the appropriate response. Vitamins- Proteins- Amino acids- Fats- Carbohydrates- 2. Drag the assessment findings in the left column to the type of chronic wound in the right column. Diabetic Ulcer- Arterial Ulcer- Venous Ulcer- 3. Which of the following is an example of a regional cause for chronic wound development? A Malnutrition B Neuropathy C Immobility D Diabetes 4. A nurse is caring for a client who has a diabetic ulcer that is located on the ball of the right foot, 2 cm x 2 cm x 2 cm in size and draining yellow exudate that is foul-smelling. Which of the following interventions should the nurse plan to include in the client’s care? Select all that apply. A Apply a positive pressure wound therapy device. B Administer antibiotic therapy. C Encourage a diet low in protein. D Obtain a wound culture. E Administer antihyperglycemic medications. 5. A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients has an increased risk for developing a pressure injury? Select all that apply. A A client who had total hip replacement surgery and is walking twice a day down the hallway with assistance. B A client who has a spinal cord injury and paraplegia of lower extremities. C A client who recently had a cerebrovascular accident and has left sided hemiparesis. D A client who eats most of their meals and drinks a nutritional supplement. E A client who is incontinent of diarrhea at least once a shift. 6. A nurse is caring for a client who has a pressure injury. Which of the following should the nurse consider regarding the impact of the pressure injury on the client’s health? A Older adults heal quickly. B Depression or social isolation may occur. C A low-protein diet is encouraged. D Sitting position is ideal to heal ischial tuberosity wounds. 7. A nurse is admitting a client who has a stage 4 sacral pressure injury that is draining yellow exudate. The client has a history of COPD, diabetes, and cerebrovascular accident and a temperature of 38.9° C (102° F). Which of the following diagnostic tests should the nurse plan to request? Select all that apply. A White blood cell (WBC) count B Hemoglobin A1c C Wound culture D MRI of sacrum E Total protein, albumin and prealbumin 8. A nurse is caring for a client with a wound. The infectious disease health care provider has indicated that the wound has colonization. Which of the following does this mean? A Micro-organisms are present but are not causing infection. B The infection has spread to the bones. C The client likely has a bloodstream infection. D Localized infection is occurring. 9. Which of the following best describes biofilm on a wound? A A dressing that the nurse applies to a clean wound B Excess scar tissue that grows from the wound C The black nonviable tissue in the wound bed D Layer of microbes that cover the wound bed 10. A nurse is assessing a client who has an open wound and needs to determine the phase of infection that may be present. Drag the assessment findings in the left column to the phase of infection in the right column. Contaminated- Colonized- Local infection- Spreading infection- Systemic infection- 11. A school nurse is responding to a call from a teacher about a child who is experiencing sudden difficulty breathing, tightness in throat, wheezing, hives, and feeling dizzy. Which of the following should be the nurse's priority action? A Educate the child about preventing this condition. B Administer oral antihistamine. C Monitor for manifestations resolving. D Administer epinephrine intramuscularly. 12. Which of the following is the purpose of burn decontamination? A Remove potential toxins from the client. B Improve the smell of the client. C Complete the head-to-toe client assessment. D Reduce the need for medications and dressings. 13. A nurse in the emergency department is assessing a client who has burns to determine if they should be transferred to a burn center or admitted to the hospital. Which of the following client findings indicate the necessity for transfer to a burn center? Select all that apply. A Client has 2nd-degree burns of right arm. B Client was in a sugar refinery explosion that was ignited by combustible sugar dust. C Client has burns to chest, neck, and face. D Client has 3rd-degree burns of both anterior legs. E Chest x-ray indicates multiple rib fractures and right lung pneumothorax. 14. A nurse is caring for a client who has burns. Match the medication in the right column with the correct purpose of the medication in the left column. Drag the options on the left to the corresponding category on the right (or click the option on the left and then the corresponding category on the right). Antibiotic ointment- Oxycodone- Silver sulfadiazine -. Morphine sulfate- Diazapam- 15. Sort the following components into primary survey or secondary survey. Drag the options on the left to the corresponding category on the right (or click the option on the left and then the corresponding category on the right). Primary Survey- Secondary Survey- 16. A 47-year-old client, who is 60 kg, has a scattered burn pattern of approximately 29%. Using the Rule of 10s, how much fluid volume in mL/hr should the nurse start with for fluid volume replacement? RULE OF 9