Stage 3 pressure injury - Study guides, Class notes & Summaries

CMN 571 Unit 3 Exam Questions with Correct Answers Primary prevention - Answer-when we are able to stop a disease or injury prior to the occurrence. Secondary prevention - Answer-when we impact a disease that has already occurred, sometimes providing cures. Tertiary prevention - Answer-when we manage disease that is chronic in order for it not to progress or worsen. Blood Pressure - Answer-Normal <120/80 Elevated 120-129/<80 Stage 1 hypertension 130-139/80-89 Stage 2 hypert...

A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the following instructions should the nurse include? - CORRECT ANSWER-Flex the foot every hour when awake. Rationale: The nurse should instruct the client to flex the foot every hour to reduce the risk for thromboembolism and promote venous return. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. Which of the following findings is an indication of lu...

[NGN] 2023 ATI FUNDAMENTALS PROCTORED EXAM RETAKE (ALL QUESTIONS CORRECTLY ANSWERED)/A+ GRADE 1.A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? A. Changing the dressing for a client who has a stage 3 pressure injury B. Determining a client's response to a diuretic C. Comparing radial pulses for a client who is postoperative D. Providing postmortem care to a client Postmortem care serves several purposes, ...

TNCC 9th Edition final exam test 100 questions with correct and verified answers. Graded A+ 1. You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the most appropriate next step? A. Clean the ear with a cotton-tipped applicator. B. Pack the ear with gauze. C. Notify the physician D. Document and continue the exam. - Correct answer C. Not...

ATI PN PEDIATRICS EXAM ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES ALREADY GRADED A+ Priority finding to report for a brain tumor= - CORRECT ANSWER-Increased intracranial pressure (ICP) A nurse is caring for an adolescent who has sustained a closed head injury. Which of the following are clinical manifestations of increased intracranial pressure (ICP)? Select all. A. Report of headache B. Alteration in pupillary response C. Increased motor response D. Increased sleeping...

ATI Fundamentals Proctored Exam Latest update A nurse is planning care for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel? a. Changing the dressing for a client who has a stage 3 pressure injury b. Determining a client's response to a diuretic c. Comparing radial pulses for a client who is postoperative d.Providing postmortem care to a client - Answer--d A nurse is conducting a health assessment for a client who takes herbal supplemen...

ATI Adv. Med-surg FINAL EXAM 1. A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client’s spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate? a. “large incisions will be made in the eschar to improve circulation” b. “ I can call the doctor back here if you want me to” c. “a piece of skin will be removed and grafted ov...

HESI RN COMPASS EXIT EXAM V2 2023 QUESTIONS & ANSWERS LATEST UPDATE WITH NGN 1. A primipara with a breech presentation is in the transition phase pf labor. The nurse visualizes the perineum and sees the umbilical cord extruding from the introitus. In which position should the nurseplace the client? Supine with the foot of the bed raised 2. The nurse is developing a series of childbirth preparation classes for primigravida women and theirsignificant others. what is the priority expected ou...

A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure. This assessment is most consistent with: - Answer- cardiac tamponade. The nurse is caring for a patient with severe sepsis and third-degree heart block. The patient is hypotensive. The treatment for this life-threatening rhythm change includes: - Answer- transcutaneous pacing. A patient is admitted to the ICU with suspected cervical spinal cord injury following a motor vehicle accident. Th...

tissue integrity - the ability of body tissues to regenerate and/or repair to maintain normal physiological processes interventions to maintain tissue integrity - reposition turning adequate nutrition skin assessments blanching test - A test of the rate of capillary refill; blanching means to cause to become pale by applying digital pressure. Non-blanchable - skins stay very red even with finger pressure; indicates severe skin injury Stage 1 pressure ulcer - intact skin with nonblanc...