PN HESI SKIN INTEGRITY Questions with
Correct Answers | Updated (100% Correct
Answers)
The PN measures the length of time that the redness lasts. Which
additional wound assessment technique is indicated? Answer: Apply
light pressure to the area with the fingertips.
How should the PN document this finding? Answer: Reactive
hyperemia.
Which areas are most important for the PN to observe for
additional pressure ulcers? Answer: Heels and ankles
What action should the PN implement? Answer: Identify these areas
as sites where pressure damage has occurred.
What etiology should the PN identify? Answer: Impaired motor
function.
Which goal will the PN include in Trey's plan of care? Answer:
Client's skin will remain intact.
To provide pressure relief at night, the PN reminds Trey to sleep in
which position? Answer: Thirty-degree lateral inclined position.
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