WGU D439 Foundations of Nursing With complete solution Latest 2025/2026 NEW!!

WGU D439 Foundations of Nursing With complete
solution Latest 2025/2026 NEW!!

What are things to promote sleep? Il` Il` Il` Il` Il`




-Routine sleep schedule, Il` Il`




-
PM should involve a cool/dark room, reduce any stimuli in the bedroom, and no naps in the afterno
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




on; if they do, limit to 20 mins per day.
Il` Il` Il` Il` Il` Il` Il` Il` Il`




-AM should involve a sunny/bright room,
Il` Il` Il` Il` Il`




-Do not turn off alarms in pts room
Il` Il` Il` Il` Il` Il` Il`




-Do not increase sedation at night
Il` Il` Il` Il` Il`




-Replicate your pts sleep schedule Il` Il` Il` Il`




-Avoid these 4- Il` Il`




6hrs before bed: caffeine, chocolate (any form), soda, tea, alcohol, nicotine, exercise, going to bed h
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




ungry or too full. Il` Il` Il`




What is the minimum time one should wash their hands?
Il` Il` Il` Il` Il` Il` Il` Il` Il`




15 seconds Il`




3 multiple choice options
Il` Il` Il`




AD

How would you take care of a wound? Il` Il` Il` Il` Il` Il` Il`




Follow your hospital's recommendations. Debridement if needed, keep moist, clean, monitor for si
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




gns of infection. Il` Il`




What occurs in a pressure wound stage one? Il` Il` Il` Il` Il` Il` Il`




Intact skin with persistent, nonblanchable redness that can feel warmer or cooler than the adjacent
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il




tissue.
`




What occurs in a pressure wound stage two? Il` Il` Il` Il` Il` Il` Il`




Involves the epidermis and the dermis. The wound bed is viable with a reddish-
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




pinkish bed without slough, eschar, granulation tissue, or adipose tissue. It can appear as an intact o
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




r ruptured blister.
Il` Il`




What occurs in a pressure wound stage three? Il` Il` Il` Il` Il` Il` Il`

, Visible adipose tissue with possible granulation tissue and wound edges appear rolled under; some
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




slough, eschar present. Affects the epidermis, dermis, and subcutaneous tissue.
Il` Il` Il` Il` Il` Il` Il` Il` Il`




What occurs in a pressure wound stage four?
Il` Il` Il` Il` Il` Il` Il`




Skin and tissue loss with cartilage, bone, fascia, muscle, ligaments, or tendon exposed in the wound
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




or easily palpable.
Il` Il`




What occurs in a pressure wound that is unstageable?
Il` Il` Il` Il` Il` Il` Il` Il`




Eschar and slough make it impossible to see. Perform debridement.
Il` Il` Il` Il` Il` Il` Il` Il` Il`




What occurs when the pressure wound is at the deep tissue?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Intact skin is nonblanchable with deep red, maroon, or purple discoloration; open wounds have a d
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




ark wound bed or blood blister. Pain and temperature changes can be detected earlier than color ch
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




anges. Occurs most frequently over the heels, ankles, ischial tuberosities, and sacral area.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




During the healing process of a wound, what occurs during the primary intention stage?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




-Little or no tissue loss Il` Il` Il` Il`




-Heals rapidly, low risk for infection, and no/minimal scarring
Il` Il` Il` Il` Il` Il` Il` Il`




-Ex. closed surgical incision with staples, sutures, or liquid glue to seal laceration
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




During the healing process of a wound, what occurs during the secondary intention stage?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




-Loss of tissue Il` Il`




-Longer healing time, increased risk for infection, scarring, and is healed by granulation
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




-Ex. pressure injury left open to heal
Il` Il` Il` Il` Il` Il`




During the healing process of a wound, what occurs during the tertiary intention stage?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




-Tissue is deep and is widely separated Il` Il` Il` Il` Il` Il`




-
Spontaneous opening of a previously closed wound; closure of these wounds occurs when they are Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




free of infection and edema
Il` Il` Il` Il`




-Long healing time, risk of infection, extensive drainage and tissue debris
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




-Ex. abdominal wound initially left open until infection is resolved and then closed
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




AD

What is serous drainage from a wound?
Il` Il` Il` Il` Il` Il`




Portion of the blood that is watery, clear, sometimes slightly yellow in appearance.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




What is sanguineous drainage from a wound?
Il` Il` Il` Il` Il` Il`