WND 580 Module 2 Quiz – Questions With Detailed
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Mrs. Canfield is intubated with her a. Shear from having the head of bed elevated to 45
HOB elevated 45 degrees. She has a degrees.
Stage 3 pressure injury on her coccyx
with undermining. Which of the
following risk factors is most
responsible for undermining in the
pressure injury?
a. Shear from having the head of bed
elevated to 45 degrees.
b. Friction from her turning from side
to side.
c. Local infection in the wound.
d. Excess moisture in the wound bed.
A patient with paraplegia is in the b. Stage 2.
wound clinic to have a new seating
surface re-evaluated. You notice a
serous fluid filled blister on the left
heel which you document as a
pressure injury in what Stage?
a. Stage 1.
b. Stage 2.
c. Stage 3.
d. Stage 4.
, The care plan for the patient with a b. Reposition the patient every 2-4 hours depending
pressure risk assessment score upon tissue tolerance.
(Braden Scale) of 9 and on a
therapeutic support surface should
always include:
a. Maintaining HOB at 45 degrees or
less.
b. Reposition the patient every 2-4
hours depending upon tissue
tolerance.
c. Use an artificial sheepskin under the
coccyx to prevent shear.
d. Avoid the use of absorbent under
pads in patients with incontinence.
Mr. Lee was found lying at home on a. Deep tissue pressure injury.
the floor. Upon admission, he has an
intact, nonblanchable, persistent
purple discoloration over the coccyx.
Which describes the classification of
his pressure injury?
a. Deep tissue pressure injury.
b. Stage 1 pressure injury.
c. Unstageable.
d. Stage 3 pressure injury.
Mr. Peterson likes the head of the bed a. Shear force
at 60 degrees due to shortness of
breath. Which of the following is
considered a potential PRIMARY
etiologic factor in the development of
a pressure injury for this patient?
a. Shear force
b. Short-term pressure force
c. Friction force
d. Presence of a medical device
Answers
Save Groups
Terms in this set (35)
Mrs. Canfield is intubated with her a. Shear from having the head of bed elevated to 45
HOB elevated 45 degrees. She has a degrees.
Stage 3 pressure injury on her coccyx
with undermining. Which of the
following risk factors is most
responsible for undermining in the
pressure injury?
a. Shear from having the head of bed
elevated to 45 degrees.
b. Friction from her turning from side
to side.
c. Local infection in the wound.
d. Excess moisture in the wound bed.
A patient with paraplegia is in the b. Stage 2.
wound clinic to have a new seating
surface re-evaluated. You notice a
serous fluid filled blister on the left
heel which you document as a
pressure injury in what Stage?
a. Stage 1.
b. Stage 2.
c. Stage 3.
d. Stage 4.
, The care plan for the patient with a b. Reposition the patient every 2-4 hours depending
pressure risk assessment score upon tissue tolerance.
(Braden Scale) of 9 and on a
therapeutic support surface should
always include:
a. Maintaining HOB at 45 degrees or
less.
b. Reposition the patient every 2-4
hours depending upon tissue
tolerance.
c. Use an artificial sheepskin under the
coccyx to prevent shear.
d. Avoid the use of absorbent under
pads in patients with incontinence.
Mr. Lee was found lying at home on a. Deep tissue pressure injury.
the floor. Upon admission, he has an
intact, nonblanchable, persistent
purple discoloration over the coccyx.
Which describes the classification of
his pressure injury?
a. Deep tissue pressure injury.
b. Stage 1 pressure injury.
c. Unstageable.
d. Stage 3 pressure injury.
Mr. Peterson likes the head of the bed a. Shear force
at 60 degrees due to shortness of
breath. Which of the following is
considered a potential PRIMARY
etiologic factor in the development of
a pressure injury for this patient?
a. Shear force
b. Short-term pressure force
c. Friction force
d. Presence of a medical device
