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AT RN Tissue Integrity Assessment 2.0 A nurse is providing teaching to a client who is in a wheelchair about measures to avoid skin breakdown. Which of the following instructions by the nurse is related to preventing skin breakdown?£7.54
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AT RN Tissue Integrity Assessment 2.0 A nurse is providing teaching to a client who is in a wheelchair about measures to avoid skin breakdown. Which of the following instructions by the nurse is related to preventing skin breakdown?
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Module
AT RN Tissue Integrity Assessment 2.0 A nurse is
Institution
AT RN Tissue Integrity Assessment 2.0 A Nurse Is
AT RN Tissue Integrity Assessment 2.0 A
nurse is providing teaching to a client who
is in a wheelchair about measures to avoid
skin breakdown. Which of the following
instructions by the nurse is related to
preventing skin breakdown?
AT RN Tissue Integrity Assessment 2.0 A nurse is providing teaching to a client who is in a wheelchair about measures to avoid skin breakdown. Which of the following instructions by the nurse is related to preventing skin breakdown? A nurse is providing teaching to a client who is in a wheelchair about measures to avoid skin breakdown. Which of the following instructions by the nurse is related to preventing skin breakdown ? - ANSWER -You should shift your weight off your buttocks at in tervals throughout the day *The nurse should instruct the client to shift their weight to relieve pressure on the sacral area at regular intervals throughout the day. This action will increase circulation to the tissues and prevent skin breakdown. A woun d, ostomy and continence nurse (WOCN) is providing an in service to a group of nurses about documentation of pressure injuries. Which of the following statements by one of the group members indicates an understanding of the teaching? - ANSWER -
Pressure inju ry documentation includes location, stage, measurements and condition of the wound bed and any drainage present *When documenting pressure injuries, the nurse should include the location, stage, size, description of tissue, color of the wound bed, conditi on of surrounding tissue, appearance of wound edges, presence of undermining and tunneling, and any foul odor present. The nurse should also document the presence and characteristics of any wound drainage observed. Any reports of pain at the wound site sho uld also be documented.
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