Exam Questions and Correct Answers |
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A nurse is teaching a client who has a pressure injury on their leg about proper
nutrition to facilitate wound healing. Which of the following client statements
indicates an understanding of the teaching? ---------CORRECT ANSWER----------------
-"I should increase my protein intake."
Foods high in protein are essential for wound healing and tissue strengthening.
Foods high in omega-3 and omega-6 fatty acids and foods with vitamins A and C
also aid in wound healing.
A nurse is providing teaching to a client who is in a wheelchair about measures to
avoid skin breakdown. Which of the following instructions by the nurse is related
to preventing skin breakdown? ---------CORRECT ANSWER-----------------" You
should shift your weight off your butt at intervals throughout the day."
The nurse should instruct the client to shift their weight to relieve pressure on
the sacral area at regular intervals throughout the day. The action will increase
circulation to the tissues and prevent skin breakdown.
A nurse is planning care for an older adult client who is bedridden. Which of the
following actions should the nurse include in the plan to prevent skin breakdown?
---------CORRECT ANSWER-----------------Tilt the client on their side at 30 degrees.
, The nurse should include in the client's plan of care to tilt the client on their side
at 20 to 30 degrees. This prevent the client from sliding down in bed, which can
cause shearing of the skin, while also relieving pressure to the client's hip.
A nurse is providing teaching to a client about staple removal. Which of the
following statements should the nurse include in the teaching? ---------CORRECT
ANSWER-----------------"Your staples will be removed in about 2 weeks."
In general, wounds that are closed with staples heal faster than wounds that are
sutured. Staples can be removed within 7 to 14 days.
A nurse is caring for a client who has a dime-sized stage 1 pressure injury located
on the sacrum. Which of the following dressing types should the nurse use? --------
-CORRECT ANSWER-----------------A transparent film
Due to their reduced ability to absorb moisture, self-adhesive transparent
dressings are used for covering superficial wounds that have minimal exudate.
A nurse is teaching an assistive personnel about the skin of older adults. Which of
the following statements by the AP indicates an understanding of the teaching? --
-------CORRECT ANSWER-----------------"The skin of older adults is thinner and has
less subcutaneous padding over bony prominences."