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The nurse assesses the large raised scar on the African American patient.
The nurse documents the lesion as a:

Laceration.

Contusion.

Keloid.

Hematoma.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A laceration is a cut or tear in the skin, not a raised scar.

Choice B rationale:

A contusion is a bruise caused by an impact to the skin, not a raised scar.

Choice C rationale:

A keloid is a thick, raised scar that can develop at the site of an injury or inflammation. It’s more common in people with darker skin tones.

Choice D rationale:

A hematoma is a collection of blood outside of the blood vessels, not a raised scar.

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Correct Answer is D

Explanation

Choice A rationale:

Massaging bony prominences can lead to tissue ischemia and damage, increasing the risk of pressure injuries.

Choice B rationale:

Repositioning should be done every 2 hours or less for at-risk patients.

Choice C rationale:

Elevating the head of the bed more than 30° can increase shear and friction, leading to pressure injuries.

Choice D rationale:

A high-calorie diet can promote skin integrity and wound healing.

A. Remind him to remain very still during the procedure. B. Place a discard bag close to the wound. C. Change gloves after removing the old dressing. D. Refrain from talking while the wound is uncovered.

Correct Answer is C

Explanation

Choice A rationale:

While it’s important for the patient to remain still during the procedure, this is not the most important aspect of changing a sterile dressing.

Choice B rationale:

Placing a discard bag close to the wound can increase the risk of infection.

Choice C rationale:

Changing gloves after removing the old dressing is crucial to maintain sterility and prevent infection.

Choice D rationale:

Refraining from talking while the wound is uncovered can help prevent infection, but it’s not as important as changing gloves after removing the old dressing.

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The nurse assesses the large raised scar on the African American patient.The nurse documents the lesion as a:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at risk for a pressure injury.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

When preparing to change a sterile dressing over an incision, it is most important to remember to:

Correct Answer is C

Explanation

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The nurse assesses the large raised scar on the African American patient.
The nurse documents the lesion as a: