Quiz: Preventing Pressure Injury q&a
Place in order, from first to last, these actions the nurse will perform when providing wound care
to a client with a pressure injury. Use all options. - =1)Put on clean gloves.
2)Remove old dressing.
3)Assess the wound bed.
4)Open dressing materials.
5)Irrigate the wound bed.
6)Time and date the dressing.
The nurse is caring for a client with a pressure injury on the heel of the foot. The injury is
covered with stable black eschar. What is the best nursing intervention at this time? - =Teach the
client ways to relieve the pressure on the heel.
The nurse is teaching a client's caregiver about ways to help prevent skin breakdown. What
would the nurse teach as an important intervention to prevent pressure injury development? -
=Turn and reposition the client every 2 hours.
Which client would be at greatest risk for developing a pressure injury? - =Adult client who is
comatose
The nurse is caring for a client with a pressure injury and is applying a saline-moistened dressing
to the wound. What does the nurse understand to be the primary rationale for using a saline-
moistened dressing? - =To promote moist wound healing and protect the wound from
contamination and trauma.
Which client is a greatest risk of developing a pressure injury? - =47-year-old client with severe
alcoholism and a traumatic brain injury resulting in unconsciousness
The nurse observes a reddened area with intact skin over the client's coccyx. When gentle
pressure is applied, the area does not blanch. How will the nurse document this finding? - =Stage
1 pressure injury
Place in order, from first to last, these actions the nurse will perform when providing wound care
to a client with a pressure injury. Use all options. - =1)Put on clean gloves.
2)Remove old dressing.
3)Assess the wound bed.
4)Open dressing materials.
5)Irrigate the wound bed.
6)Time and date the dressing.
The nurse is caring for a client with a pressure injury on the heel of the foot. The injury is
covered with stable black eschar. What is the best nursing intervention at this time? - =Teach the
client ways to relieve the pressure on the heel.
The nurse is teaching a client's caregiver about ways to help prevent skin breakdown. What
would the nurse teach as an important intervention to prevent pressure injury development? -
=Turn and reposition the client every 2 hours.
Which client would be at greatest risk for developing a pressure injury? - =Adult client who is
comatose
The nurse is caring for a client with a pressure injury and is applying a saline-moistened dressing
to the wound. What does the nurse understand to be the primary rationale for using a saline-
moistened dressing? - =To promote moist wound healing and protect the wound from
contamination and trauma.
Which client is a greatest risk of developing a pressure injury? - =47-year-old client with severe
alcoholism and a traumatic brain injury resulting in unconsciousness
The nurse observes a reddened area with intact skin over the client's coccyx. When gentle
pressure is applied, the area does not blanch. How will the nurse document this finding? - =Stage
1 pressure injury
