WorksheetsJoe Russo 446 AR
Total questions: 11
Worksheet time: 8mins
A 75-year-old patient with a Stage III sacral pressure ulcer has the following vital signs: BP 90/60 mmHg, HR 112 bpm, Temp 101.3°F (38.5°C), RR 24/min, SpO₂ 95%. Which finding should the nurse report immediately to the healthcare provider?
White blood cell count of 17,000/mm³
Blood pressure 90/60 mmHg with heart rate 112 bpm
Stage III pressure ulcer with foul odor
Glucose level of 158 mg/dL
The patient reports severe sacral pain rated 8/10. Which medication should the nurse administer?
Morphine 2 mg IV every 4 hours PRN
Oxycodone 5mg/325mg PO every 6 hours PRN
Non-pharmacological measures only
Ask the provider to increase the morphine dose
The patient has a documented allergy to penicillin. Which prescription should the nurse question?
Ceftriaxone IV
Morphine IV
Erythropoietin SQ
Oxycodone PO
The patient’s albumin level is 2.4 g/dL. What complication is he most at risk for?
Hyperglycemia
Poor wound healing
Constipation
Fluid volume overload
Which nursing action is most effective in preventing the spread of infection from the sacral wound?
Place the patient in airborne precautions
Use sterile gloves for all dressing changes
Perform hand hygiene before and after wound care
Limit patient’s fluid intake
The nurse reviews the order: “Consult dietary.” What should the nurse emphasize in patient teaching?
Limit carbohydrates
Increase intake of protein and iron-rich foods
Avoid dairy products
Reduce fat intake
Which lab result best supports the diagnosis of acute inflammation or infection?
Hemoglobin 7.9 g/dL
CRP 30 mg/L
Albumin 2.4 g/dL
Glucose 158 mg/dL
The patient reports generalized weakness and pale complexion. What is the most likely cause?
Elevated WBC count
Hyperglycemia
Anemia (Hgb 7.9 g/dL)
Low albumin
The patient is prescribed erythropoietin 2000 IU SQ for anemia. What should the nurse check before administration?
Blood glucose level
Blood pressure
White blood cell count
Potassium level
Wound cultures grow Klebsiella. What isolation precaution is indicated?
Droplet precautions
Airborne precautions
Contact precautions
Protective isolation
Which pressure ulcer stage includes exposure of bone, muscle or tendons?
Stage I
Stage II
Stage III
Stage IV
