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A client has a pressure ulcer with a shallow, partial skin thickness, eroded area but no necrotic areas. The nurse would treat the area with which dressing? 1. Alginate 2. Dry Gauze 3. Hydrocolloid 4. No dressing indicated. - Answer 3. Hydrocolloid; Hydrocolloid dressings protect shallow ulcers and maintain an appropriate healing environment. Alginates (option 1) are used for wounds with significant drainage; dry gauze (option 2) will stick to granulation tissue, causing more damag...

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8 pages

Written in 2023/2024

Grade A+

TestSolver9

Skin Integrity And Wound Healing Nclex Exam Questions With Solutions 2 Exam (elaborations) Skin Integrity And Wound Care: Analyze Cues And Prioritize Hypotheses; Plan And Generate Solutions 3 Exam (elaborations) Chapter 29: Skin Integrity And Wound Care Exam Questions With Solutions 4 Exam (elaborations) Skin Integrity And Wound Care (Exam 6) Qu

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10 items

StuviaTutors

Skin Integrity And Wound Care Exam Questions With Complete Solutions What are the three layers of the skin? epidermis, dermis, subcutaneous tissue What are the functions of the skin? protection, temperature regulation, psychosocial, sensation, vitamin D production, immunological, absorption, elimination How does skin protect? acts as a barrier, prevents infection and injury, loss of moisture; first line of defense; any breech decreases protection

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13 pages

Written in 2023/2024

Grade A+

StuviaTutors

Skin Integrity/Wound Care- FPCC Exam 1 Questions With Complete Solutions Why is skin integrity important? Protective barrier, Sensory organ, Vitamin-D Synthesis How does a patient get "impaired skin integrity"? surgery, accidents, falls. Etc., Circulatory problems, TOO MUCH PRESSURE Classification by Extent Partial Thickness (open)- scrape Full Thickness (open)- go through all layers of the skin Closed- bruises Classification by onset/duration Acute- starts/heals suddenly Chronic- st...

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11 pages

Written in 2023/2024

Grade A+

StuviaTutors

Practice Test Questions Chapter 36; Skin Integrity & Wound Care Exam With Solutions Your client has a Braden scale score of 17. Which is the most appropriate nursing action? 1. Assess the client again in 24h; the score is within normal limits. 2. Implement a turning schedule; the client is at increased risk for skin breakdown. 3. Apply a transparent wound barrier to major pressure sites; the client is at moderate risk for skin breakdown. 4. Request an order for a special low-air-loss be...

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21 pages

Written in 2023/2024

Grade A+

StuviaTutors

Foundations Chapter 29: Skin Integrity And Wound Care Exam Questions With Solutions 1. What does a Braden Score of 14 indicate to the nurse? a.High risk for the development of pressure ulcers b.Low risk for the development of pressure ulcers c.The need for a special mattress d.The presence of a pressure ulcer ANS: A High risk for the development of pressure ulcers

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16 pages

Written in 2023/2024

Grade A+

StuviaTutors

Theory Exam 2 (Skin Integrity And Wound Care) Questions With Solutions dehiscence separation of the layers of a surgical wound; may be partial, superficial, or a complete disruption of the surgical wound erythema redness of the skin evisceration protrusion of viscera through an incision exudate fluid that accumulates in a wound; may contain serum, cellular debris, bacteria, and white blood cells

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73 pages

Written in 2023/2024

Grade A+

StuviaTutors

Skin Integrity And Wound Care Key Terms Exam Questions With Solutions abrasion superficial wound with little bleeding, considered a partial-thickness wound. Often appears "weepy" because of plasma leakage from damaged capilliaries approximated closed skin edges as seen in surgical incision, sutures, staples blanching Blanching occurs when the normal red tones of the light skinned patient are absent. It does not occur in patients with darkly pigmented skin. Darkly pigmented skin rema...

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14 pages

Written in 2023/2024

Grade A+

StuviaTutors

Skin Integrity And Wound Care (Exam 6) Questions With Solutions Stage 1 pressure ulcer Intact skin with nonblanchable redness Stage II pressure ulcer partial-thickness skin loss involving epidermis, dermis, or both Stage III pressure ulcer Full-thickness tissue loss with visible fat Stage IV pressure ulcer Full-thickness tissue loss with exposed bone, muscle, or tendon Describe partial-thickness wounds shallow in depth, moist and painful, and the wound base generally appears red

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5 pages

Written in 2023/2024

Grade A+

StuviaTutors

Chapter 29: Skin Integrity And Wound Care Exam Questions With Solutions 1. The nurse knows which description would be classified as a closed wound? a. A large bruise on the side of the face b. A surgical incision that is sutured closed c. A puncture wound that is healing d. An abrasion on the leg ANS: A. EXP: Closed wound the skin is still intact. Open wound actual break in the skin's surface

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12 pages

Written in 2023/2024

Grade A+

StuviaTutors

Skin Integrity And Wound Care: Analyze Cues And Prioritize Hypotheses; Plan And Generate Solutions Hypotheses related to skin integrity or wounds Are selected after the nurse links and organizes relevant cues from physical assessment findings, observation, and signs and symptoms of impaired skin. Hypotheses are problems/alterations that the nurse needs to address to help the patient improve. To develop specific, individualized skin integrity or wound hypotheses, the nurse analyzes cues ...

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11 pages

Written in 2023/2024

Grade A+

StuviaTutors

Skin Integrity And Wound Healing Nclex Exam Questions With Solutions When repositioning an immobile patient, the nurse notices redness over a bony prominence. What is indicated when a reddened area blanches on fingertip touch? A. A local skin infection requiring antibiotics B. Sensitive skin that requires special bed linen C. A stage III pressure ulcer needing the appropriate dressing D. Blanching hyperemia, indicating the attempt by the body to overcome the ischemic episode. D. Blan...

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9 pages

Written in 2023/2024

Grade A+

StuviaTutors

Skin integrity & wound care Exam 3 Questions and Answers

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24 pages

Written in 2023/2024

Grade A+

millyphilip

Skin Integrity & Wound Care – Exam Questions and Answers

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16 pages

Written in 2023/2024

Grade A+

millyphilip

Skin Integrity and Wound Care Packaged Exams with All Questions and Answers ...

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8 items

luzlinkuz

Skin Integrity & Wound Care Exam 2023...

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25 pages

Written in 2022/2023

luzlinkuz

Skin Integrity & Wound Care 108 Practice Questions and Answers ...

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14 pages

Written in 2022/2023

luzlinkuz

Skin Integrity & Wound Care

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17 pages

Written in 2022/2023

Grade A+

NUNIX