NUR 222 Exam on Skin & Wounds Integrity

NUR 222 Exam on Skin & Wounds Integrity A nurse is preparing a diet plan for a client admitted to a wound care unit. After the nurse explains the diet plan to the client, the client asks the reason for an increase in intake of citrus fruits. What should the nurse explain to the client: - Correct Answer-They have antioxidant properties, they help in collagen synthesis, they provide fuel for cell energy The nurse is attending to a client who is immobilized due to stroke. What measures should the nurse take to prevent development of pressure ulcers in the client: - Correct Answer-Keep the client well hydrated, reposition the client every 1-2 hours, place client in a 30-degree lateral position ad avoid pulling on the patient when moving them A nurse is caring for older adult clients in a nursing home. The nurse understands that older adults are susceptible to development of pressure ulcers and other wounds. What makes older adults more vulnerable to developing pressure ulcers: - Correct Answer-diminished inflammatory response, loss of collagen and thinning of muscles When obtaining a wound culture to determine the presence of a wound infection, from where should the specimen be taken: - Correct Answer-Wound after it has first been cleaned with sterile saline The edges of a client's appendectomy incision are approximated, and no drainage is noted. Which type of healing should be applied: - Correct Answer-Primary Intention While preparing to do a sterile dressing change, a nurse accidentally sneezes over the sterile field that is on the over-the-bed table. Which of the following principles of surgical asepsis, if any, has the nurse violated: - Correct Answer-A sterile field becomes contaminated by prolonged exposure to air A nurse is managing wound care for a client with a stage III pressure ulcer on the elbow. The nurse cleans the area and removes all the dead, nonviable tissue from the wound. What term is used to describe this process: - Correct Answer-Debridement