NSG 121 GI EXAM | QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | VERIFIED ANSWERS |
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Ischemic lesions of the pressure ulcers
skin and tissues caused by
unrelieved pressure that
interferes with blood and
lymph flow
dead tissue necrosis
A nurse identifies that a D
client has a pressure ulcer
on the sacrum. Which
assessment finding
indicates that this is a
stage III pressure ulcer?
A. Non-blanchable
erythema of intact skin
B. Damage identifies to
muscle and bone
C. Skin loss to the dermis
D. Necrosis of
subcutaneous tissue
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,1/24/25, 1:54 AM NSG 121 GI EXAM | QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST VERSION (JUST …
An88-year-old client who C
has limited mobility is
admitted to the hospital.
Which action by the nurse
prevents injury to the skin
normally caused by
friction?
A. Avoiding use of a draw
sheet when repositioning
the client
B. Sprinkling baby powder
on the sheets to keep the
skin dry
C. Placing the client in the
prone position
D. Elevating the head of
the bed to a60-degree
angle
A client with type 1 A
diabetes mellitus has a
blister on the left heel that
resulted from improperly
fitting shoes. The nurse
should document this
ulcer as being which
stage?
A. Stage II
B. Stage III
C. Stage IV
D. Stage I
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,1/24/25, 1:54 AM NSG 121 GI EXAM | QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST VERSION (JUST …
The nurse identifies that a A
client admitted for
decreased mental status is
at risk for a pressure ulcer.
Which action assists in
maintaining skin hygiene
to help prevent a pressure
ulcer?
A. Applying lotion to
moist skin after the bath
B. Massaging bony
prominences during the
bath
C. Using hot water and
mild soap during the bath
D. Monitoring the skin
once a week during the
bath
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, 1/24/25, 1:54 AM NSG 121 GI EXAM | QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | LATEST VERSION (JUST …
When planning care for a A, D, and E
client at risk for
developing a pressure
ulcer, the nurse addresses
the potential problem of
risk for impaired skin
integrity. Which nursing
intervention assists in
meeting the goals of this
diagnosis? (Select all that
apply.)
A. Avoiding massaging
bony prominences
B. Placing the client in the
side-lying position only
C. Keeping the head of
the bed elevated more
than thirty degrees
D. Inspecting the skin
every day
E. Using positioning
devices
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