Stage 2 pressure ulcer Study guides, Class notes & Summaries

2023/2024 HESI RN FUNDAMENTALS V1 AND V2 LATEST UPDATE MAY 2023 QUESTIONS AND ANSWERS. 2023 HESI RN Fundamentals v1 A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved. a. Number of staff induced injury b. Client satisfaction survey c. Health care-associated infection rate. d. Rate of needle-stick injuries by nurse. The nurse is pre...

Exam 2: NR224/ NR 224 (Latest 2023/ 2024 Update) Fundamentals Skills Exam| Graded A| Questions and Verified Answers - Chamberlain QUESTION what is the technique used when obtaining a wound culture for infection? Answer: Cleanse the wound first QUESTION When patient has has dark hard necrotic tissue, how do you stage this? Answer: Unstageable QUESTION What is the priority nursung intervention when a person surgical incision pops open and the intestines s...

Exam 2: NSG122 / NSG 122 (Latest 2024 / 2025 Update) Nursing Fundamental Concepts Exam Review | Questions and Verified Answers | 100% Correct | Grade A - Herzing Q: This scale evaluates: - Skin integrity at bony prominences, including any wounds - Risk factors that place pt at risk for skin breakdown - Amount of repositioning that the pt can tolerate - Factors that place the pt at risk for poor healing Answer: Braden Scale Q: Signs of a healthy wound Answer: Edges of a healthy healing surgical w...

HESI: NSG122 / NSG 122 (Latest 2024 / 2025 Update) Nursing Fundamental Concepts Exam | Guide with Questions and Verified Answers | 100% Correct | Grade A - Herzing Q: Factors Affecting Risk for Infection Answer: Factors affecting the risk for infection include: integrity of mucous membranes, pH levels of the gastrointestinal and genitourinary tracts, immune response, age, sex, race, heredity, level of fatigue, nutritional status, stress level, use of invasive or indwelling medical devices and im...

Exam 1: NUR160 / NUR 160 (Latest 2024 / 2025) Fundamental Concepts of Practical Nursing II Exam Review | Questions and Verified Answers | Already Graded A | Hondros College Q: order for inspecting abdomen Answer: inspect, auscultate, palpate Q: when teaching diabetes what is one thing you want to teach them? Answer: avoid heating pads, wear shoes, heated blankets, don't cut their own nails, dry location, check feet daily Q: orthopenic position Answer: crossed arms on side table Q: if there is...

2023 / 2024 RN HESI EXIT EXAM VERSION 2 (V2) ALL 160 QUESTIONS AND ANSWERS AS INCLUDED LATEST UPDATE GRADED A+ GUARANTEED PASS A + The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus and learns that the client has a current blood glucose level of 720 mg/dL. When assessing the client, what is the priority? A. Assess for signs of fluid volume deficit B. Observe wound drainage characteristics C. Measure the level of acute pain D. Determine when the client ...

Which of the following is a cause of bradypnea? Increased activity narcotic analgesics Test anxiety Decreased oxygen saturation - narcotic analgesics A damp/damp dressing is an example of what type of wound debridement? Autolytic Surgical Mechanical Enzymatic - Mechanical What statement describes a stage 2 pressure ulcer? Damage extends to the fascia Skin is intact and does not blanch Presents as open or fluid-filled blister, or shallow crater Base is covered with slough and wo...

The RN is caring for a client who was recently diagnosed with type 2 DM. What information is most important for the RN to teach the client about life-style changes? - Portion-controlled, heart healthy diet selections The RN suspects that a female client is altering her own diabetic journals. Which lab test should the RN review? - Haemoglobin A1C The RN is assessing the client regarding the need to increase vitamin B12. Which foods should the RN instruct the client to include? - Cheese, egg...

2023 ATI PN LEADERSHIP MANAGEMENT PROCTORED EXAM GRADED A 1. The nurse is using a forced air warmer for a surgical patient preoperatively. Which goals is the nurse trying to achieve? (Select all that apply.) a. Induce shivering. b. Reduce blood loss. c. Induce pressure ulcers. d. Reduce cardiac arrests. e. Reduce surgical site infection. ANS: B, D, E Evidence suggests that pre-warming for a minimum of 30 minutes may reduce the occurrence of hypothermia. Prevention of hypothermia (core...

Skin integrity/wound care, activity/immobility, assessment techniques, head/neck/neuro assessment & respiratory assessment define blanching: correct answer: pressure is placed on the skin to determine if coloration returns *blanch= become pale under applied pressure 3 factors that influence pathogenesis of pressure: correct answer: - pressure intensity (increased pressure) - pressure duration (length of pressure) - tissue tolerance (nutrition, age, hydration status) 3 layers of s...

wound certification exam Questions with verified Answers what are 6 risk factor components of Braden Scale for pressure ulcer? What is the name of the organization that developed the pressure ulcer staging? pathological effect of excessive pressure on soft tissue can be attributed by 3 factors? what are they? what are the extrinsic factors that impact pressure ulcers? how does friction play a role in shearing which eventually leads to pressure ulcer? what are the intrisinc factors of pr...