BSN 206 - Sherpath - Skin Integrity And
Wound Care- Implement And Take Action;
Evaluate Exam Latest Update
Which technique would the nurse use to turn a patient? - ANSWER Position
patient's body laterally at 30 degrees.
Which statement indicates the nurse has a correct understanding of a patient's
pressure-reducing bed? - ANSWER "The support surface may be foam or gel."
Which action would the nurse take for a patient with a hypothesis of Impaired
Skin Integrity? - ANSWER Suggest increasing fluid intake.
Which food would the nurse suggest the patient consume to increase zinc in the
diet for wound healing? - ANSWER Fish
Which patient scenario would prompt the nurse to question a prescription for
cold therapy? - ANSWER Has edema present
Which piece of equipment would the nurse likely obtain for a patient who has a
prescription for therapy that is primarily heat only? - ANSWER Sitz bath
Which cue alerts the nurse that a patient receiving cold therapy is improving? -
ANSWER Relief from muscle spasms
Which parameters would the nurse include when charting about a patient's
warm compress on the left leg?
Select all that apply. - ANSWER Type of therapy
Length of therapy
Type of drainage
Which statement indicates the nurse has a correct understanding about the
different types of patient dressings? - ANSWER "I will avoid using hydrocolloids
for infected wounds."
, Match the type of wrap the nurse would use for each injured body part. -
ANSWER Extremities
Spiral
Joints
Figure 8
Head
Recurrent
Which solution would the nurse obtain to clean a patient's arm wound? -
ANSWER Normal saline
Which intervention would the nurse implement for a patient with an open drain? -
ANSWER Keep the safety pin in place
Which items would the nurse obtain to initiate vacuum-assisted wound closure
for a patient?
Select all that apply. - ANSWER Clear adhesive drape
Suction tubing
Foam sponge
Negative-pressure setting device
Which actions would the nurse take for a comatose patient who has frequent
liquid stools and has a Braden Scale score of 8?
Select all that apply. - ANSWER Turn the patient every 2 hours for repositioning.
Pad and protect any bony prominences.
Wash and dry the patient's skin after each liquid stool.
Replace soiled linens.
Which foods would the nurse recommend for a patient with a leg wound who
needs to increase vitamin A intake?
Select all that apply. - ANSWER Carrots
Sweet potatoes
Using military time, at what time would the nurse turn the patient if the patient
was last turned at 1 p.m.? Record your answer as a whole number. - ANSWER
1500
Wound Care- Implement And Take Action;
Evaluate Exam Latest Update
Which technique would the nurse use to turn a patient? - ANSWER Position
patient's body laterally at 30 degrees.
Which statement indicates the nurse has a correct understanding of a patient's
pressure-reducing bed? - ANSWER "The support surface may be foam or gel."
Which action would the nurse take for a patient with a hypothesis of Impaired
Skin Integrity? - ANSWER Suggest increasing fluid intake.
Which food would the nurse suggest the patient consume to increase zinc in the
diet for wound healing? - ANSWER Fish
Which patient scenario would prompt the nurse to question a prescription for
cold therapy? - ANSWER Has edema present
Which piece of equipment would the nurse likely obtain for a patient who has a
prescription for therapy that is primarily heat only? - ANSWER Sitz bath
Which cue alerts the nurse that a patient receiving cold therapy is improving? -
ANSWER Relief from muscle spasms
Which parameters would the nurse include when charting about a patient's
warm compress on the left leg?
Select all that apply. - ANSWER Type of therapy
Length of therapy
Type of drainage
Which statement indicates the nurse has a correct understanding about the
different types of patient dressings? - ANSWER "I will avoid using hydrocolloids
for infected wounds."
, Match the type of wrap the nurse would use for each injured body part. -
ANSWER Extremities
Spiral
Joints
Figure 8
Head
Recurrent
Which solution would the nurse obtain to clean a patient's arm wound? -
ANSWER Normal saline
Which intervention would the nurse implement for a patient with an open drain? -
ANSWER Keep the safety pin in place
Which items would the nurse obtain to initiate vacuum-assisted wound closure
for a patient?
Select all that apply. - ANSWER Clear adhesive drape
Suction tubing
Foam sponge
Negative-pressure setting device
Which actions would the nurse take for a comatose patient who has frequent
liquid stools and has a Braden Scale score of 8?
Select all that apply. - ANSWER Turn the patient every 2 hours for repositioning.
Pad and protect any bony prominences.
Wash and dry the patient's skin after each liquid stool.
Replace soiled linens.
Which foods would the nurse recommend for a patient with a leg wound who
needs to increase vitamin A intake?
Select all that apply. - ANSWER Carrots
Sweet potatoes
Using military time, at what time would the nurse turn the patient if the patient
was last turned at 1 p.m.? Record your answer as a whole number. - ANSWER
1500
