A nurse is admitting a patient who has a DTI (deep tissue injury) to the hospital. The nurse understands that a DTI:
may be caused when one layer of tissue slides over another layer of tissue.
requires dressing changes twice daily to promote healing.
is usually caused by overhydration.
is a partial thickness injury caused by pressure
The Correct Answer is A
Choice A rationale: A DTI is a type of pressure injury that occurs when the skin and underlying soft tissue are compressed between a bony prominence and an external surface for a prolonged period of time.
Choice B rationale: Dressing changes for a DTI would depend on the severity and characteristics of the injury, but a specific frequency is not universally prescribed. Choice C rationale: A DTI is not typically caused by overhydration but is associated with pressure-related damage to underlying tissues.
Choice D rationale: DTI is not a partial thickness injury, but rather an injury to the deep layers of tissue that may not be visible on the surface. A partial thickness injury involves damage to the epidermis and/or dermis, such as a stage 2 pressure ulcer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Carbon dioxide level is not a direct indicator of the blood's ability to transport oxygen.
Choice B rationale: Surfactant level is not a direct indicator of the blood's ability to transport oxygen; surfactant is related to lung function.
Choice C rationale: Bicarbonate ion level is more related to acid-base balance and not a direct indicator of the blood's ability to transport oxygen.
Choice D rationale: Hemoglobin level provides the most information about the blood's ability to transport oxygen, as hemoglobin carries oxygen to tissues.
Correct Answer is ["B","D","E"]
Explanation
Choice A rationale: Acetaminophen 500 mg PO is subject to the first pass effect as it is absorbed through the gastrointestinal system.
Choice B rationale: Dulcolax suppository is not subject to the first pass effect as it is administered rectally.
Choice C rationale: Aspirin 10 mg PO is subject to the first pass effect as it is absorbed through the gastrointestinal system.
Choice D rationale: Fentanyl 25 mcg/h via transdermal patch avoids the first pass effect as it is absorbed through the skin.
Choice E rationale: Morphine 0.4 mg IV avoids the first pass effect as it is administered intravenously.
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