NUR 158 Chapters 28-32 || 100% Exact Answers.
A family member is visiting a client who is being treated with vacuum-assisted closure (VAC)
therapy for a stage 4 pressure ulcer. Which is the best response from the nursing assistant when
this family member asks why this device is being used?
It kills germs.
Stimulates blood flow to the wound.
Stimulates the growth of new bone.
Makes the client rest in bed. correct answers Stimulates blood flow to the wound.
An 84-year-old resident with a low body mass index has recently experienced a stroke. Which
action should the nursing assistant prioritize when providing care for this resident?
Reposition frequently and regularly.
Limit fluid intake to prevent incontinence.
Massage bony prominences when providing morning care.
Apply barrier cream daily to the tailbone, elbows, and heels. correct answers Reposition
frequently and regularly.
An older resident is frustrated by wrinkled skin and tells the nursing assistant "I just want to take
my skin off because it's not doing its job anymore." What is the best response from the nursing
assistant describing what the skin does? Select all that apply.
Helps to absorb moisture from the environment into the body.
Produces energy for the body's use.
Prevents airborne pathogens from entering the body.
Offers a form of barrier protection against microbes.
Helps maintain fluid balance in the body. correct answers Offers a form of barrier protection
against microbes.
Helps maintain fluid balance in the body.
, A note in a new resident's nursing care plan indicates precautions should be used to prevent
pressure injuries. Which factor will the nursing assistant most likely discover about this resident's
condition?
Being elderly
Being overweight
Not drinking enough water
Immobility correct answers Immobility
A resident has an itchy, irritated rash on the abdomen. Due to the resident's dementia, the nursing
assistant is reporting difficulties in distracting the resident from constantly scratching this rash.
Which option will be the best to provide the appropriate care for this resident?
Place the resident into an isolation room and start an IV line.
Place the resident in wrist restraints until the rash heals.
Place mitts or gloves on the resident until the medication eases the itch.
Wrap the resident's abdomen tightly with a protective binder. correct answers Place mitts or
gloves on the resident until the medication eases the itch.
Some nursing assistant students are preparing for an examination on the integumentary system.
Which structures should these students point out belong to this system?
Muscles, tendons, and ligaments
Teeth, cartilage, and bursa
Vessels, arterioles, and capillaries
Nails, hair, and sebaceous glands correct answers Nails, hair, and sebaceous glands
The nursing assistant has determined which clients have a high risk of developing pressure
injuries. Which action will the nursing assistant prioritize when providing care to prevent this
from happening?
Use a fracture bedpan rather than a standard bedpan for immobile clients or residents.
Anticipate clients' or residents' toileting needs to prevent incontinent episodes.
Promote a high-fiber diet to ensure that clients and residents have formed bowel movements.
A family member is visiting a client who is being treated with vacuum-assisted closure (VAC)
therapy for a stage 4 pressure ulcer. Which is the best response from the nursing assistant when
this family member asks why this device is being used?
It kills germs.
Stimulates blood flow to the wound.
Stimulates the growth of new bone.
Makes the client rest in bed. correct answers Stimulates blood flow to the wound.
An 84-year-old resident with a low body mass index has recently experienced a stroke. Which
action should the nursing assistant prioritize when providing care for this resident?
Reposition frequently and regularly.
Limit fluid intake to prevent incontinence.
Massage bony prominences when providing morning care.
Apply barrier cream daily to the tailbone, elbows, and heels. correct answers Reposition
frequently and regularly.
An older resident is frustrated by wrinkled skin and tells the nursing assistant "I just want to take
my skin off because it's not doing its job anymore." What is the best response from the nursing
assistant describing what the skin does? Select all that apply.
Helps to absorb moisture from the environment into the body.
Produces energy for the body's use.
Prevents airborne pathogens from entering the body.
Offers a form of barrier protection against microbes.
Helps maintain fluid balance in the body. correct answers Offers a form of barrier protection
against microbes.
Helps maintain fluid balance in the body.
, A note in a new resident's nursing care plan indicates precautions should be used to prevent
pressure injuries. Which factor will the nursing assistant most likely discover about this resident's
condition?
Being elderly
Being overweight
Not drinking enough water
Immobility correct answers Immobility
A resident has an itchy, irritated rash on the abdomen. Due to the resident's dementia, the nursing
assistant is reporting difficulties in distracting the resident from constantly scratching this rash.
Which option will be the best to provide the appropriate care for this resident?
Place the resident into an isolation room and start an IV line.
Place the resident in wrist restraints until the rash heals.
Place mitts or gloves on the resident until the medication eases the itch.
Wrap the resident's abdomen tightly with a protective binder. correct answers Place mitts or
gloves on the resident until the medication eases the itch.
Some nursing assistant students are preparing for an examination on the integumentary system.
Which structures should these students point out belong to this system?
Muscles, tendons, and ligaments
Teeth, cartilage, and bursa
Vessels, arterioles, and capillaries
Nails, hair, and sebaceous glands correct answers Nails, hair, and sebaceous glands
The nursing assistant has determined which clients have a high risk of developing pressure
injuries. Which action will the nursing assistant prioritize when providing care to prevent this
from happening?
Use a fracture bedpan rather than a standard bedpan for immobile clients or residents.
Anticipate clients' or residents' toileting needs to prevent incontinent episodes.
Promote a high-fiber diet to ensure that clients and residents have formed bowel movements.
