Exam 26: Pressure Injury Prevention and Care

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A patient with darkly pigmented skin is on bed rest and is being assessed for a possible stage 1 pressure injury.What datum about the area of concern will best help the nurse determine the correct staging assessment?

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Which rationale pertaining to a patient best justifies the suggestion by the nurse to use a support surface or special mattress?

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The patient is at risk for development of a pressure ulcer.Which problem related to the patient's iron deficiency anemia and smoking habit supports the nurse's decision to address the anemia for prevention of a pressure ulcer?

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The nurse assesses the patient's pressure ulcer after 2 weeks of ambulatory wound care and observes pink tissue at the base of the wound.Which intervention by the nurse is most appropriate?

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The patient's pressure ulcer needs packing and has a moderate-to-heavy amount of drainage.Which type of dressing should the wound care nurse use on the ulcer?

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