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Passpoint-Integumentary Passpoint-Integumentary
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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?
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