SOLUTIONS SCORED A+
✔✔what would the nurse instruct nursing assisted personnel to report when performing
denture care for a patient? - ✔✔The appearance of any cracks in the dentures
✔✔under what circumstance would the nurse assume responsibility for providing
denture care for a patient? - ✔✔The patient is unable to care for the dentures
themselves
✔✔a patient has removed her dentures and placed them on the bedside stand. What
would the nurse do to protect the patient dentures? - ✔✔Obtain a denture cup label it
with the patient's name and store the dentures in a safe place
✔✔When removing a gown worn as personal protective equipment while caring for a
patient in isolation why does the nurse avoid touching the outside of the gown? - ✔✔To
prevent touching contaminated material with unprotected hands
✔✔When delegating patient care that requires nursing assistive personnel to use
personal protective equipment it is necessary for the nurse to do what first? -
✔✔Review the patient's need for a specific isolation precaution
✔✔What nursing action reduces the risk of falling as a patient's getting into or out of a
bathtub? - ✔✔Place a skid proof disposable bathmat in front of the bathtub
✔✔the nurse is assisting a patient with a tub bath. After the patient has been safely
positioned in the tub he tells the nurse I'll call you when I'm done. What is the nurses
best response? - ✔✔I'll check back with you in about 5 minutes to see if you need
anything
✔✔the nurse is helping a patient get out of the bathtub and the patient appears to be
unsteady on their feet. What should the nurse do to help ensure the patient safety? -
✔✔drain the bathtub before the patient gets out
✔✔Identify ways wounds would heal by secondary intention. - ✔✔A pressure injury, an
open surgical wound requiring packing and a full-thickness burn
✔✔T/F A wound that has healed by primary intention will have more scar formation than
a wound that has healed by secondary intention. - ✔✔False
✔✔primarily contribute to the development of dehiscence and evisceration, rather than
fistula formation? - ✔✔Obesity and malnutrition
, ✔✔T/F Reddened areas should not be massaged to increase circulation. - ✔✔True
✔✔You are using an assessment tool to assess a patient's risk for pressure injury
formation. The patient asks about the benefit of such a tool. Your best response is: -
✔✔It helps us identify people who are at risk for pressure injuries and intervene
appropriately.
✔✔A poorly nourished patient is at risk for delayed wound healing. Which of the
following indicate a poor nutritional status?
Body weight decreased by 17%
Lymphocyte count less than 2500 per mm3
Serum albumin less than 3.5 g per dL
Patient dislikes meat
Presence of a pressure injury - ✔✔Serum albumin less than 3.5 g per dL, Body weight
decreased by 17%
✔✔Bister of the elbow is what stage of pressure injury - ✔✔Stage 2
✔✔Crater-type wound on the heel - ✔✔Stage 3
✔✔Persistent redness over the greater trochanter - ✔✔Stage 1
✔✔Crater-type wound with the bone visible - ✔✔Stage 4
✔✔A patient is being maintained on bed rest. Which of the following are appropriate
expected outcomes regarding the prevention of skin breakdown for this patient? -
✔✔Patient's skin remains intact and without discoloration.
✔✔A patient has a stage 3 pressure injury on his heel. What would be an appropriate
expected outcome for this patient? - ✔✔Granulation tissue is present in wound base.
Drainage from pressure injury site decreases
Surrounding skin remains intact
✔✔Used for packing, covering topical antibiotics and enzymes, and delivery of solutions
into wounds - ✔✔gauze pads
✔✔used on superficial injuries with minimal wound exudate - ✔✔transparent film
dressings
✔✔Maintains moist environment to facilitate wound healing - ✔✔hydrogel
✔✔Maintains moist environment to facilitate wound healing while protecting wound
base - ✔✔hydocolloid