Exam 25: Pressure Ulcers

The nurse is assessing a newly admitted patient with a pressure ulcer on the hip.Which clinical indicator does the nurse use to assess a stage II pressure ulcer?

The nurse observes a thick,tannish-brown covering over a large wound and needs to stage the wound.What action by the nurse is most appropriate?

The nurse is delegating care related to her patients to the NAP.Which of the following indicates the nurse is appropriately delegating tasks related to pressure ulcer care? (Select all that apply.)

1. Poor _____ ___________ decreases the patient's ability to feel the sensation of pressure or discomfort.

The patient requires prone positioning for a severe respiratory condition.Which areas are at risk for developing a pressure ulcer and require pillow bridging as a prevention strategy?

The patient has a clean partial-thickness wound.Which dressing material should the nurse choose for dressing this ulcer?