Skin Integrity and Wound Care Chapter 29 Test
Questions; with 100% Correct Answers
The nurse recognizes that the cause of pressure ulcers includes which factors? (Select all
that
apply.)
a. Intensity of the pressure
b. Duration of the pressure
c. Tissue's ability to tolerate the pressure
d. Person's age
e. Person's nutritional status - Answer ANS:
A,B,C,D,E
When the nurse is performing a focused wound assessment on a patient, what
information
should be included in the documentation? (Select all that apply.)
a. Location and size
b. Characteristics of the woNunUdRbSedINGTB.COM
, c. Patient's response to wound treatment
d. Patient's pain level
e. Presence of drainage - Answer ANS: A, B, C, E
The nurse is using the Braden scale to assess the patient's risk for a pressure ulcer.
Which risk
categories are associated with the Braden scale? (Select all that apply.)
a. Activity
b. Friction and shear
c. Moisture
d. Sensory perception
e. Cognition - Answer A, B, C, D
The nurse is caring for a postoperative orthopedic patient who has two Hemovac drains
in
place. Which interventions will the nurse perform? (Select all that
apply.) a. Measure the amount of drainage in the device prior to
emptying. b. Label each drain and record them separately.
c. Recompress the device after emptying.
d. Secure the device to the patient's gown above the level of the wound.
e. Check for kinks in the tubing. - Answer ANS: B, C, E
The nurse recognizes that cold therapy is contraindicated in which conditions? (Select all
that
apply.)
a. Edema
b. Shivering
Questions; with 100% Correct Answers
The nurse recognizes that the cause of pressure ulcers includes which factors? (Select all
that
apply.)
a. Intensity of the pressure
b. Duration of the pressure
c. Tissue's ability to tolerate the pressure
d. Person's age
e. Person's nutritional status - Answer ANS:
A,B,C,D,E
When the nurse is performing a focused wound assessment on a patient, what
information
should be included in the documentation? (Select all that apply.)
a. Location and size
b. Characteristics of the woNunUdRbSedINGTB.COM
, c. Patient's response to wound treatment
d. Patient's pain level
e. Presence of drainage - Answer ANS: A, B, C, E
The nurse is using the Braden scale to assess the patient's risk for a pressure ulcer.
Which risk
categories are associated with the Braden scale? (Select all that apply.)
a. Activity
b. Friction and shear
c. Moisture
d. Sensory perception
e. Cognition - Answer A, B, C, D
The nurse is caring for a postoperative orthopedic patient who has two Hemovac drains
in
place. Which interventions will the nurse perform? (Select all that
apply.) a. Measure the amount of drainage in the device prior to
emptying. b. Label each drain and record them separately.
c. Recompress the device after emptying.
d. Secure the device to the patient's gown above the level of the wound.
e. Check for kinks in the tubing. - Answer ANS: B, C, E
The nurse recognizes that cold therapy is contraindicated in which conditions? (Select all
that
apply.)
a. Edema
b. Shivering
