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WorksheetsNur 360 Wk 1
Total questions: 5
Worksheet time: 3mins
A patient is seen in the wound clinic for a pressure ulcer on his left leg. There is full-thickness tissue loss with the bone exposed. The nurse would correctly document this wound as being in which stage?
I
II
III
IV
A patient is seen in the wound clinic for a pressure ulcer on his left leg. There is full-thickness tissue loss with the bone exposed. The nurse would correctly document this wound as being in which stage?
Apply liberally to prescribed area
Absorbtion is enhanced when skin is dry
Local side effects may include skin atrophy and thinning
Absorption is decreased when covered with an occlusive dressing
What changes in the older adult best describe why the aging process increases risk for impairment in skin integrity?
Epidermal cells thicken
Dermal thickness increases
Decreased elastin, collagen, and fat
Maceration
A patient diagnosed with a stasis ulcer has been hospitalized on the unit. The nurse has orders to change the dressing and provide wound care. Which activity should the nurse perform first?
Wash hands thoroughly
Assess the drainage on the dressing
Slowly remove the old dressing
Put on latex gloves
The nurse is doing a shift assessment on several patients after first taking report. An elderly patient is having her second dose of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new reddened rash on the patient's chest. The patient should be asked what priority question regarding the presence of a reddened rash?
Is the rash worse during certain seasons?
Are you allergic to any food or medications?
What is your occupation?
Is there any loss of sensation?
