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NURSE PRACTITIONERS BUSINESS PRACTICE AND LEGAL GUIDE 6TH EDITION CAROLYN
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NURSE PRACTITIONERS BUSINESS PRACTICE AND LEGAL GUIDE 6TH EDITION CAROLYN
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FULL TEST BANK Nurse Practitioner's Business Practice and Legal Guide 6th Edition by Carolyn Buppert (Author) latest Update Graded A+
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NURSE PRACTITIONERS BUSINESS PRACTICE AND LEGAL GUIDE 6TH EDITION CAROLYN
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NURSE PRACTITIONERS BUSINESS PRACTICE AND LEGAL GUIDE 6TH EDITION CAROLYN
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TEST BANK FOR NURSE PRACTITIONERS BUSINESSPRACTICE AND LEGAL GUIDE 6TH EDITION
CAROLYN | 9781284117165 | ALL CHAPTERS WITH
ANSWERS AND RATIONALS
1. - An obese patient on the unit has demonstrated difficulty healing a large pressure ulcer. The nurse
correctly recognizes that this is most likely because of which of the following factors?
A) - The patient's size limits his activity level.
B) - Adipose tissue is poorly vascularized.
C) - Obesity is linked to impaired white blood cell function.
D) - The amount of tissue needing healing will increase the amount of time needed to adequately heal
the wound.
Ans: - B
- Feedback:
- Wound healing may be decreased in obese patients. Because adipose tissue is relatively avascular, it
provides only a weak defense against microbial invasion and impairs delivery of nutrients to the wound.
,2. - A patient has been admitted to the acute care unit after surgery to debride an infected skin
ulceration. The surgeon reports plans to leave the wound open to promote drainage and later close it.
This represents what type of wound healing?
A) - Primary intention
B) - Secondary intention
C) - Tertiary intention
D) - Quadratic intention
Ans: - C
- Feedback:
- Healing by tertiary intention occurs when a delay ensues between injury and wound closure. This type
of healing also is referred to as delayed primary closure. It may happen when a deep wound is not
sutured immediately or is purposely left open until there is no sign of infection and then closed with
sutures. Wounds with minimal tissue loss, such as clean surgical incisions or shallow sutured wounds,
heal by primary intention. The edges of the primary wound are approximated or lightly pulled together.
Wounds with full-thickness tissue loss, such as deep lacerations, burns, and pressure ulcers, have edges
that do not readily approximate. They heal by secondary intention. The open wound gradually fills with
granulation tissue.
3. - The nurse is caring for a patient who has reported to the Emergency Department with a steam burn
to the right forearm. The burn is pink and has small blisters. The burn is most likely which of the
following?
A) - First degree
, B) - Second degree
C) - Third degree
D) - Fourth degree
Ans: - B
- Feedback:
- Partial-thickness burns may be superficial or moderate to deep. A superficial partial-thickness burn
(first degree; epidermal) is pinkish or red with no blistering; a mild sunburn is a good example. Moderate
to deep partial-thickness burns (second degree; dermal or deep dermal) may be pink, red, pale ivory, or
light yellow-brown. They are usually moist with blisters. Exposure to steam can cause this type of burn.
A full-thickness burn (third degree) may vary from brown or black to cherry red or pearly white.
Thrombosed vessels and blisters or bullae may be present. The full-thickness burn appears dry and
leathery.
4. - A patient with a history of pressure ulcers is discussing nutrition with the nurse. The patient correctly
indicates plans to include which of the following in the diet to promote wound healing? Select all that
apply.
A) - Vitamin D
B) - Vitamin B3 (niacin)
C) - Vitamin B6 (pyridoxine)
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