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WITH 100% RATED CORRECT
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ANSWERS | GRADED A+ | 2025 | | | | |
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 |answersC. |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 |answersPurulent
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 |answersC. |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
D. |Pressure |ulcer |- |correct |answersA. |Cut |in |skin |from |kitchen |knife
3 |other |options |will |heal |by |secondary |intention
,Nurse |preparing |to |measure |depth |of |client's |tunneled |wound. |Which |of |the |following |tools |
should |nurse |use |to |measure |depth |accurately?
A. |Otic |curette
B. |Sterile |tongue |blade |lubricated |with |water |soluble |gel
C. |Sterile |flexible |applicator |moistened |with |saline
D. |Small |ruler |- |correct |answersC. |Sterile |flexible |applicator |moistened |with |saline
Older |patient |is |most |likely |to |experience |which |of |the |following |changes |with |aging?
A. |Thinning |of |epidermis
B. |Thickening |of |epidermis
C. |Oiliness |of |skin
D. |Increased |elasticity |of |skin |- |correct |answersA. |Thinning |of |epidermis
Age |causes |thinning, |decreased |elasticity, |and |increased |dryness.
Caring |for |client |and |notice |a |superficial |ulcer |on |left |hip |that |appears |shallow |crater, |red |pink |
wound |bed |and |no |slough |or |eschar. |Which |stage |would |best |describe |the |break |in |skin |
integrity?
, A. |Stage |I
B. |Stage |II
C. |Stage |III
D. |Stage |IV
E. |Unstageable |- |correct |answersB. |Stage |II
Stage |I |= |no |skin |loss
Minimal |skin |loss/shallow |depth |= |stage |II
Caring |for |client |at |high |risk |for |developing |pressure |ulcers. |Which |of |the |following |are |
intrinsic |factors |that |increase |risk |of |pressure |ulcers? |Select |All |that |Apply:
A. |Friction
B. |Impaired |sensation |d/t |spinal |cord |injury
C. |Poor |nutrition
D. |Shearing
E. |Edema