The wound care nurse is monitoring a patient with a stage III pressure ulcer whose wound presents with healthy tissue. How should the nurse document this in the patient's medical record?
Stage I Pressure Ulcer
Stage III Pressure Ulcer
Healing Stage III Pressure Ulcer
Healing Stage II Pressure Ulcer
The Correct Answer is C
A. Stage I Pressure Ulcer: A Stage III pressure ulcer does not regress to a Stage I as it heals. It retains its original staging classification.
B. Stage III Pressure Ulcer: While the ulcer was originally Stage III, documenting it this way without specifying healing progress does not accurately reflect its current condition.
C. Healing Stage III Pressure Ulcer: Pressure ulcers are documented at their worst stage, even as they heal. The correct terminology includes "healing" to show improvement.
D. Healing Stage II Pressure Ulcer: A Stage III ulcer does not become a Stage II ulcer as it heals; instead, it is called a healing Stage III pressure ulcer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Myocardial contractility × myocardial blood flow: While myocardial contractility and blood flow affect cardiac output, they are not part of the formula for calculating it.
B. Ventricular filling time/diastolic filling time: This ratio does not determine cardiac output. While diastolic filling time affects stroke volume, it is not the standard formula for cardiac output.
C. Stroke volume × heart rate: Cardiac Output (CO) = Stroke Volume (SV) × Heart Rate (HR). Stroke volume is the amount of blood pumped per beat, and heart rate is the number of beats per minute. Multiplying these values gives the total volume of blood pumped per minute, making this the correct formula.
D. Preload/afterload: Preload and afterload influence cardiac function but are not used to directly calculate cardiac output.
Correct Answer is ["5"]
Explanation
1 ounce = 30 mL, so
150 mL ÷ 30 mL/oz = 5 oz
Answer: 5 ounces
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