The nurse caring for an immobile patient wants to decrease the risk of formation of
pressure ulcers. Which action will the nurse take first?
a. offer favorite fluids
b. turn the pt every 2 hours
c. determine the pt's risk factors
d. encourage increased quantities of carbohydrates and fats
Give this one a try later!
Determine the patients risk factors
As prescribed, the nurse leaves the pressure ulcer open to air and does not apply a
dressing. which stage of ulcer did the nurse appropriately treat
a. a stage I
b. a stage II
c. a stage III
d. a stage IV
,Give this one a try later!
A stage I
The nurse is caring for a patient who has experienced a laparoscopic appendectomy.
For which type of healing will the nurse focus the care plan ?
a. Partial-thickness repair
b. Secondary intention
c. Tertiary intention
d. Primary intention
Give this one a try later!
Primary intention
The nurse caring for a patient with a healing stage III pressure ulcer notes that the
wound is clean and granulating. Which health care providers order will the nurse
question?
a. use a low-air-loss therapy unit
b. irrigate with dakins solution
c. apply a hydrogel dressing
d. consult a dietician
Give this one a try later!
Irrigate with dakin's solution
A nurse participating in a research project associated with pressure ulcers will assess
for what predisposing factor that tends to increase the risk for pressure ulcer
, development?
A. Decreased level of consciousness
B. Adequate dietary intake
C. Shortness of breath
D. Muscular pain
Give this one a try later!
Decreased level of consciousness
The nurse is caring for a patient with a stage IV pressure ulcer. Which type of healing
will the nurse consider when planning care for this patient?
a. partial thickness wound repair
b. full thickness wound repair
c. primary intention
d. tertiary intention
Give this one a try later!
Full thickness wound repair
When a comatose pt develops a stage II pressure ulcer, the nurse includes the
nursing dx of risk for infection to the care plan. Which is the best goal for this pt?
a. the pt will state what to look fo rwith regard to an infection.
b. the pt family will demonstrate specific care of the wound site
c. the pt family members will wash their hands when visiting the pt
d. the pt will remain free of odorous or purulent drainage from the wound
Give this one a try later!
pressure ulcers. Which action will the nurse take first?
a. offer favorite fluids
b. turn the pt every 2 hours
c. determine the pt's risk factors
d. encourage increased quantities of carbohydrates and fats
Give this one a try later!
Determine the patients risk factors
As prescribed, the nurse leaves the pressure ulcer open to air and does not apply a
dressing. which stage of ulcer did the nurse appropriately treat
a. a stage I
b. a stage II
c. a stage III
d. a stage IV
,Give this one a try later!
A stage I
The nurse is caring for a patient who has experienced a laparoscopic appendectomy.
For which type of healing will the nurse focus the care plan ?
a. Partial-thickness repair
b. Secondary intention
c. Tertiary intention
d. Primary intention
Give this one a try later!
Primary intention
The nurse caring for a patient with a healing stage III pressure ulcer notes that the
wound is clean and granulating. Which health care providers order will the nurse
question?
a. use a low-air-loss therapy unit
b. irrigate with dakins solution
c. apply a hydrogel dressing
d. consult a dietician
Give this one a try later!
Irrigate with dakin's solution
A nurse participating in a research project associated with pressure ulcers will assess
for what predisposing factor that tends to increase the risk for pressure ulcer
, development?
A. Decreased level of consciousness
B. Adequate dietary intake
C. Shortness of breath
D. Muscular pain
Give this one a try later!
Decreased level of consciousness
The nurse is caring for a patient with a stage IV pressure ulcer. Which type of healing
will the nurse consider when planning care for this patient?
a. partial thickness wound repair
b. full thickness wound repair
c. primary intention
d. tertiary intention
Give this one a try later!
Full thickness wound repair
When a comatose pt develops a stage II pressure ulcer, the nurse includes the
nursing dx of risk for infection to the care plan. Which is the best goal for this pt?
a. the pt will state what to look fo rwith regard to an infection.
b. the pt family will demonstrate specific care of the wound site
c. the pt family members will wash their hands when visiting the pt
d. the pt will remain free of odorous or purulent drainage from the wound
Give this one a try later!
