A nurse is completing discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?
Motor impairment
Pain
The client's culture
Hearing loss
The Correct Answer is B
A. An abrasion is a superficial wound caused by scraping or rubbing and does not involve the full thickness of the skin.
B. A full-thickness wound with jagged edges and visible muscle tissue is a laceration. Lacerations are typically caused by trauma and result in irregular edges and deeper tissue damage.
C. A puncture wound is caused by a sharp object penetrating the skin, often with a small opening.
D. A contusion is a bruise caused by blunt force trauma that results in damage to underlying tissues but does not involve a break in the skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Elevating the head of the bed no more than 30° (not 45°) is recommended to avoid pressure on the sacrum and reduce the risk of developing pressure ulcers.
B. Using a transfer device helps to reduce friction and shear, which can prevent further damage to the skin, especially in clients at risk for pressure ulcers.
C. Cornstarch should not be applied to sensitive skin areas due to the risk of skin irritation and fungal growth.
D. Massaging bony prominences can cause tissue damage and should be avoided, as it increases the risk of skin breakdown.
Correct Answer is C
Explanation
A. While some providers may charge high fees, overcharging is not the primary factor contributing to the overall increase in health care spending.
B. Inflation does affect the cost of health care, but the primary driver is the aging population and the increased demand for services.
C. The aging population requires more complex and long-term care, including multiple medications, which significantly contributes to the rise in health care spending.
D. While the uninsured population is growing, the rise in health care spending is more closely tied to the increased needs of the elderly population.
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