Josephine Morrow Vsim Pre/Post Exam Questions With 100% Correct Answers

The nurse is reviewing Josephine Morrow's medical records before initiating her plan of care. Which of the following factor(s) contributed to the development of her venous stasis ulcer? (Select all that apply.) a. Diabetes b. Poor circulation c. Hypertension d. Obesity e. Poor hygiene f. Poor nutrition - Answer-b , d, e, f Following the review of Josephine Morrow's medical record, the nurse recognizes which of the following assessment(s) are part of her focused assessment? (Select all that apply.) a. Vital signs assessment b. Pain assessment c. Peripheral pulse assessment d. Bowel assessment e. Home safety assessment f. Wound assessment - Answer-a, b, c, f The nurse is preparing to irrigate Josephine Morrow's wound. Upon wound assessment, the nurse will most likely consider that which of the following indicate poor wound healing? (Select all that apply.) a. Creamy, yellow, purulent drainage b. Red/pink granulated wound bed c. Presence of new epithelization d. Persistent tunneling e. A 2 mm increase in wound length f. Black, avascular tissue - Answer-a, d, e, f The nurse knows __________ will help to promote ___________, leading to improvements in Josephine Morrow's wound healing. - Answer-applying compression stockingvenous return When performing wound irrigation, the nurse understands to include which of the following during implementation of the procedure? (Select all that apply.) a. Assess the client's pain level during irrigation. b. Irrigate from most to least contaminated area. c. Apply gown, gloves, and mask with goggles. d. Dry intact skin prior to applying dressing. e. Assess wound bed for appearance. f. Keep tip of syringe less than 1 inch from wound. - AnswerWhen performing wound irrigation, the nurse understands to include which of the following during implementation of the procedure? (Select all that apply.) a. Assess the client's pain level during irrigation. b. Irrigate from most to least contaminated area. c. Apply gown, gloves, and mask with goggles. d. Dry intact skin prior to applying dressing. e. Assess wound bed for appearance. f. Keep tip of syringe less than 1 inch from wound. - Answer-b, c, d, e