Pressure ulcer Study guides, Class notes & Summaries

ATI comprehensive predictor 2023 Quizlet 100% VERIFIED ANSWERS What can be delegated to Assistive personnel (AP)? - answer -- ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admitted 24 ...

2023/2024 HESI RN FUNDAMENTALS V1 AND V2 LATEST UPDATE MAY 2023 QUESTIONS AND ANSWERS. 2023 HESI RN Fundamentals v1 A policy requiring the removal of acrylic nails by all nursing personnel was implemented 6 months ago. Which assessment measure best determines if the intended outcome of the policy is being achieved. a. Number of staff induced injury b. Client satisfaction survey c. Health care-associated infection rate. d. Rate of needle-stick injuries by nurse. The nurse is pre...

Exam 2: NR224/ NR 224 (Latest 2023/ 2024 Update) Fundamentals Skills Exam| Graded A| Questions and Verified Answers - Chamberlain QUESTION what is the technique used when obtaining a wound culture for infection? Answer: Cleanse the wound first QUESTION When patient has has dark hard necrotic tissue, how do you stage this? Answer: Unstageable QUESTION What is the priority nursung intervention when a person surgical incision pops open and the intestines s...

Exam 2: NSG122 / NSG 122 (Latest 2024 / 2025 Update) Nursing Fundamental Concepts Exam Review | Questions and Verified Answers | 100% Correct | Grade A - Herzing Q: This scale evaluates: - Skin integrity at bony prominences, including any wounds - Risk factors that place pt at risk for skin breakdown - Amount of repositioning that the pt can tolerate - Factors that place the pt at risk for poor healing Answer: Braden Scale Q: Signs of a healthy wound Answer: Edges of a healthy healing surgical w...

Final Exam: NR224/ NR 224 Fundamentals – Skills Final Exam Review| Comprehensive Guide with Verified Answer| (2023/2024) Latest Update| 100% Correct |Chamberlain Q: A nurse is explaining to a group of nursing students the various factors that can affect a client's heart rate. List 5 factors that can cause tachycardia and 5 factors that can cause bradycardia. Answer: Tachycardia: -Exercise -Fever/heat -Anxiety -Loss of blood -Positive chronotropic drugs Bradycardia: -Hypothermia ...

HESI: NSG122 / NSG 122 (Latest 2024 / 2025 Update) Nursing Fundamental Concepts Exam | Guide with Questions and Verified Answers | 100% Correct | Grade A - Herzing Q: Factors Affecting Risk for Infection Answer: Factors affecting the risk for infection include: integrity of mucous membranes, pH levels of the gastrointestinal and genitourinary tracts, immune response, age, sex, race, heredity, level of fatigue, nutritional status, stress level, use of invasive or indwelling medical devices and im...

Exam 1: NUR257 / NUR 257 (Latest 2024 / 2025 Update) Concepts of Aging and Chronic Illness Exam Review | 100% Correct | Grade A - Galen Q: geriatric syndromes examples Answer: pressure ulcers sleep disorders delirium frailty Q: A pt who states "i was forced to retire 5 years early" indicates a need for Answer: referral to support Q: elderly at highest risk for elder abuse Answer: elder with Alzhemier's Q: The nurse assesses an older adult who has a broken arm and multiple bruises. What action...

A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation of this client's concerns should the nurse enter? correct answer: Describe having a "body-wracking dry cough" of 6 weeks duration. A 75-year-old client with a recent history of a cerebrovas...

2023 / 2024 RN HESI EXIT EXAM VERSION 2 (V2) ALL 160 QUESTIONS AND ANSWERS AS INCLUDED LATEST UPDATE GRADED A+ GUARANTEED PASS A + The nurse assumes care of a postoperative adult client with type 2 diabetes mellitus and learns that the client has a current blood glucose level of 720 mg/dL. When assessing the client, what is the priority? A. Assess for signs of fluid volume deficit B. Observe wound drainage characteristics C. Measure the level of acute pain D. Determine when the client ...

Exam 3: NSG223/ NSG 223 (New 2024/ 2025 Update) Med Surg 2 Exam| Questions and Verified Answers| 100% Correct| Graded A- Herzing QUESTION What assessment is most critical in the early detection of compartment syndrome for a pt with a leg cast? Answer: Pain assessment QUESTION What is important nursing care for patients with a cast or splint? Answer: Assess for reports of burning (hotspots)can indicate a developing pressure ulcer. QUESTION How can the ...

Which of the following is a cause of bradypnea? Increased activity narcotic analgesics Test anxiety Decreased oxygen saturation - narcotic analgesics A damp/damp dressing is an example of what type of wound debridement? Autolytic Surgical Mechanical Enzymatic - Mechanical What statement describes a stage 2 pressure ulcer? Damage extends to the fascia Skin is intact and does not blanch Presents as open or fluid-filled blister, or shallow crater Base is covered with slough and wo...