NSG 121 - GI questions with answers graded A+

NSG 121 - GI Ischemic lesions of the skin and tissues caused by unrelieved pressure that interferes with blood and lymph flow - correct answer pressure ulcers dead tissue - correct answer necrosis A nurse identifies that a client has a pressure ulcer on the sacrum. Which assessment finding indicates that this is a stage III pressure ulcer? A. Non-blanchable erythema of intact skin B. Damage identifies to muscle and bone C. Skin loss to the dermis D. Necrosis of subcutaneous tissue - correct answer D An 88-year-old client who has limited mobility is admitted to the hospital. Which action by the nurse prevents injury to the skin normally caused by friction? A. Avoiding use of a draw sheet when repositioning the client B. Sprinkling baby powder on the sheets to keep the skin dry C. Placing the client in the prone position D. Elevating the head of the bed to a 60-degree angle - correct answer C A client with type 1 diabetes mellitus has a blister on the left heel that resulted from improperly fitting shoes. The nurse should document this ulcer as being which stage? A. Stage II B. Stage III C. Stage IV