Passpoint-Integumentary

Question 1 See full question When assessing a client who is incontinent for risk for developing a pressure ulcer, the nurse should note which factor that can most alter tissue tolerance and lead to the development of a pressure ulcer? You Selected:  exposure to moisture Correct response:  exposure to moisture Explanation: Remediation: Question 2 See full question The nurse is assessing a hospitalized older client for the presence of pressure ulcers. The nurse notes that the client has a 1 inch × 1 inch (3 cm x 3 cm) area on the sacrum in which there is skin breakdown as far as the dermis. What should the nurse note on the medical record? You Selected:  stage I pressure ulcer Correct response:  stage II pressure ulcer Explanation: Remediation: Question 3 See full question Which factor is most important for the nurse to consider when determining the angle at which to insert the needle for a subcutaneous injection? You Selected:  length of the needle Correct response:  amount of subcutaneous tissue Explanation: Remediation: Question 4 See full question During the first 48 to 72 hours of fluid resuscitation therapy after a major burn injury, the nurse should monitor hourly which information that will be used to d