ATI: Skills Module 2.0: Wound Care Questions and Answers Latest

A nurse assessing a pressure ulcer over a patient's right heel area observes a deep crater with no eschar or slough and no exposed muscle or bone. The nurse should document that this patient has a pressure ulcer that is - stage III A nurse is documenting data about necrotic wound on a patient's left buttock. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which of the following assessment findings should the nurse document? - Slough A nurse is caring for a patient who has a heavily draining wound that continues to show evidence of bleeding. Which of the following types of dressings should the nurse select to help promote hemostasis? - Alginate A patient who has full-thickness wound continues to experience considerable pain during dressing changes, despite administration of the prescribed analgesics prior to wound care. Which of the following types of dressings should the nurse select to help minimize the pain of dressing changes? - Hydrogel A nurse is caring for a patient who has developed a stage I pressure ulcer in the area of the right ischial tuberosity. Which of the following should the nurse plan to apply to the ulcer? - Zinc Oxide A nurse is documenting data about healing wound on a patient's lower leg. The predominant exudate in the wound is watery consistency and light red in color. The nurse should document this exudate as - Serosanguineous A nurse is caring for a patient who is admitted with multiple wounds sustained in a motor-vehicle crash. Understanding the patient's specific needs during this initial stage of wound healing, the nurse should incorporate which of the following into the patient's plan of care to prevent a prolongation of this phase? - Apply oxygen at 2 L/min via nasal cannula. A nurse is caring for a patient who has multiple sclerosis and has a chronic non healing wound. The nurse should recognize that which of the following types of medications is known to delay wound healing? - Corticosteroids