VSIM Josephine Morrow Pre-Sim & Post-Sim Answers Questions with complete solutions

VSIM Josephine Morrow Pre-Sim & Post-Sim Answers Questions with complete solutions The nurse is reviewing the patient's laboratory results. Which lab test most accurately represents current nutritional status? The nurse is completing an admission assessment on a patient admitted for impaired skin integrity. Which questions would be appropriate for the nurse to ask the patient The nurse is caring for a patient admitted with bilateral lower extremity edema. What questions should the nurse ask when completing a health history? The nurse is conducting a skin assessment using the Braden scale. How would the nurse interpret a score of 12? The nurse is assessing a patient admitted with a venous stasis ulcer on the right lower extremity. What would the nurse expect to find when assessing the leg? The nurse is preparing to irrigate a wound. Which statement, if made by the nurse, indicates an understanding of the procedure? The nurse removes a dressing and assesses yellow, foul smelling drainage. How would the nurse document this finding? The nurse is performing a sterile dressing change. After donning sterile gloves, the nurse drops the dressing on the bed and does not have a replacement. What is the appropriate action at this time? The nurse is completing an admission assessment on a patient for an infected, non-healing wound. Which factors in the patient's history may contribute to this condition? The nurse assesses a wound and documents it as stage III. What did the nurse observe when the wound was assessed? The nurse is performing an assessment of Ms. Morrow's wound. What should be included in the documentation? The nurse is preparing to irrigate a patient's wound. Upon assessment, the wound appears to be healing and the wound bed is beefy red. Which solution should the nurse select for this procedure? The nurse is irrigating a patient's wound when the patient complains of pain. What is the appropriate action by the nurse? Then nurse is caring for a patient with lower extremity edema resulting from chronic venous insufficiency. What should the nurse include in the plan of care for this patient? The nurse is providing education to Ms. Morrow and her daughter on management of venous stasis on the lower extremities. What would be appropriate for the nurse to include in the teaching session? The nurse is providing education to Ms. Morrow and her daughter on nutrition. What is the best dietary choice to promote wound healing? The nurse has received an order to apply a hydro colloid dressing to Ms.Morrow's right lower extremity. Which statement, if made by the nurse, would indicate the need for further education? Ms. Morrow's daughter asks the nurse why it is necessary to irrigate her mother's wound. What is the appropriate response by the nurse?