AND ANSWERS
A nurse is caring for a 6-month-old infant who has diarrhea. The nurse should monitor the
infant for which of the following alterations in tissue integrity? - ANS Dermatitis
A nurse is providing discharge teaching to the caregiver for a client who has a stage 1 pressure
injury to the sacrum. Which of the following instructions should be included to the caregiver to
prevent further skin breakdown? - ANS Flex the client's knees while in bed.
A nurse is providing teaching to a client who is in a wheelchair about measures to avoid skin
breakdown. Which of the following instructions by the nurse is related to preventing skin
breakdown? - ANS "You should shift your weight off your buttocks at intervals throughout
the day."
A nurse is teaching an assistive personnel (AP) about the skin of older adults. Which of the
following statements by the AP indicates an understanding of the teaching? - ANS "The skin
of older adults is thinner and has less subcutaneous padding over bony prominences."
A nurse is caring for a client who has a dime-sized stage 1 pressure injury located on the
sacrum. Which of the following dressing types should the nurse use? - ANS A transparent
film
A nurse is teaching a newly licensed nurse about wound healing by secondary intention. Which
of the following statements by the newly licensed nurse indicates an understanding of healing
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