NUR 242 EXAM 3 | QUESTIONS AND
ANSWERS | 2026 UPDATE | 100%
CORRECT
Wound - vac - negative pressure wound therapy - ANSWER>can reduce and or close chronic injuries by removing
fluids or infectious materials, enhancing granulation. Should be changed every 48 to 72 hours.
Hyperbaric - oxygen therapy (HBOT) - ANSWER>administration of oxygen under high pressure, raising tissue oxygen
concentration. Usually received under limb life-threatening wounds such as - burns, necrotizing infections, brown
recluse spider bites, osteomyelitis, and diabetic ulcers
patient at risk for pressure injury - cardiovascular status - ANSWER>- presence or absence of peripheral edema
-hand-vein filling in the dependent position
-neck-vein filling in the recumbent and sitting position
- weight gain or loss
patient at risk for pressure injury - cognition and mental status - ANSWER>-level of consciousness
,- orientation to time, place and person
- can the patient read a seven word sentence containing three syllables or fewer
patient at risk for pressure injury - condition of skin - ANSWER>- assess skin cleanliness
- observe all skin areas, especially bony prominences and areas in contact with the bed or other firm surfaces
- measure and record any redness or loss of integrity
- photograph areas of concern
- note presence of skin tenting over sternum and forehead
- note moistness of skin and mucous membranes
Patient at risk for pressure injury - with wounds - ANSWER>- remove dressing (noting condition of dressing)
- cleanse wound and remove and compare with previous notations of wound condition
- presence, amount and nature of exudate
- use disposable paper tape measurement to measure wound diameter and depth
- amount (%) and type of necrotic tissue
- presence of granulation/epithelium
- presence or absence of cellulitis
, presence or absence of odor
take patients temperature to assess for fever
Patient at risk for pressure injury - understanding of illness and compliance with treatment - ANSWER>-s/s to
report to primary care doctor
-drug therapy plan (correct time and dosing)
- ambulation or positioning schedule
- dressing changes/skin care
- nutrition modifications (24-hr diet recall)
Patient at risk for pressure injury - nutritional needs - ANSWER>- change in muscle mass
- lackluster nails, sparse hair
- recent weight loss or more than 5% of usual weight
- impaired oral intake
- difficulty swallowing
- generalized edema
ANSWERS | 2026 UPDATE | 100%
CORRECT
Wound - vac - negative pressure wound therapy - ANSWER>can reduce and or close chronic injuries by removing
fluids or infectious materials, enhancing granulation. Should be changed every 48 to 72 hours.
Hyperbaric - oxygen therapy (HBOT) - ANSWER>administration of oxygen under high pressure, raising tissue oxygen
concentration. Usually received under limb life-threatening wounds such as - burns, necrotizing infections, brown
recluse spider bites, osteomyelitis, and diabetic ulcers
patient at risk for pressure injury - cardiovascular status - ANSWER>- presence or absence of peripheral edema
-hand-vein filling in the dependent position
-neck-vein filling in the recumbent and sitting position
- weight gain or loss
patient at risk for pressure injury - cognition and mental status - ANSWER>-level of consciousness
,- orientation to time, place and person
- can the patient read a seven word sentence containing three syllables or fewer
patient at risk for pressure injury - condition of skin - ANSWER>- assess skin cleanliness
- observe all skin areas, especially bony prominences and areas in contact with the bed or other firm surfaces
- measure and record any redness or loss of integrity
- photograph areas of concern
- note presence of skin tenting over sternum and forehead
- note moistness of skin and mucous membranes
Patient at risk for pressure injury - with wounds - ANSWER>- remove dressing (noting condition of dressing)
- cleanse wound and remove and compare with previous notations of wound condition
- presence, amount and nature of exudate
- use disposable paper tape measurement to measure wound diameter and depth
- amount (%) and type of necrotic tissue
- presence of granulation/epithelium
- presence or absence of cellulitis
, presence or absence of odor
take patients temperature to assess for fever
Patient at risk for pressure injury - understanding of illness and compliance with treatment - ANSWER>-s/s to
report to primary care doctor
-drug therapy plan (correct time and dosing)
- ambulation or positioning schedule
- dressing changes/skin care
- nutrition modifications (24-hr diet recall)
Patient at risk for pressure injury - nutritional needs - ANSWER>- change in muscle mass
- lackluster nails, sparse hair
- recent weight loss or more than 5% of usual weight
- impaired oral intake
- difficulty swallowing
- generalized edema
