A nurse is collecting data on a client who has impaired mobility.
The nurse should monitor the client for a pressure injury due to which of the following factors?
Decreased serum calcium.
Decreased circulation.
Increased collagen.
Increased muscle mass.
The Correct Answer is B
Choice A rationale:
Decreased serum calcium does not directly contribute to pressure injury development.
Choice B rationale:
Decreased circulation can lead to tissue ischemia and necrosis, increasing the risk of pressure injury.
Choice C rationale:
Increased collagen is beneficial for wound healing and does not increase the risk of pressure injury.
Choice D rationale:
Increased muscle mass can actually provide more padding over bony prominences, reducing the risk of pressure injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Restlessness, rising pulse, and falling blood pressure are classic signs of shock, which can occur with internal hemorrhage.
Choice B rationale:
Lethargy, falling pulse, and rising blood pressure are not typically associated with internal hemorrhage.
Choice C rationale:
Headache, rising pulse, and falling blood pressure could be signs of many conditions, but they are not specific to internal hemorrhage.
Choice D rationale:
Restlessness, falling pulse, and rising blood pressure are not typically associated with internal hemorrhage.
Correct Answer is C
Explanation
Choice A rationale:
Hydrogel dressings are used for wounds with little to no exudate. They are not suitable for wounds with significant exudate.
Choice B rationale:
Polymeric membrane dressings are used for dry wounds with or without depth. They are not suitable for wounds with significant exudate.
Choice C rationale:
Hydrofiber dressings are used for wounds with moderate to high amounts of exudate. They are suitable for wounds with significant exudate.
Choice D rationale:
Hydrocolloid dressings are used for wounds that have minimal to moderate exudate. They are not suitable for wounds with significant exudate.
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