What stage is a wound if the epidermis is closed and has unblanchable redness?
Stage 1
Stage 2
Stage 3
stage 4
The Correct Answer is A
Choice A rationale
A wound at Stage 1 is characterized by intact skin with non-blanchable redness of a localized area, usually over a bony prominence. The skin remains unbroken with persistent redness that does not turn white when pressed. This stage indicates that the epidermis is closed.
Choice B rationale
Stage 2 involves partial-thickness loss of skin with exposed dermis. The wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum-filled blister. This stage is not applicable if the epidermis is closed.
Choice C rationale
Stage 3 is defined by full-thickness skin loss, where fatty tissue is visible in the wound, and granulation tissue and epibole (rolled wound edges) are often present. This stage indicates a more severe wound than what is described in the scenario.
Choice D rationale
Stage 4 represents full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone. The condition described does not match the severity of a Stage 4 wound.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A wound at Stage 1 is characterized by intact skin with non-blanchable redness of a localized area, usually over a bony prominence. The skin remains unbroken with persistent redness that does not turn white when pressed. This stage indicates that the epidermis is closed.
Choice B rationale
Stage 2 involves partial-thickness loss of skin with exposed dermis. The wound bed is viable, pink or red, moist, and may also present as an intact or ruptured serum-filled blister. This stage is not applicable if the epidermis is closed.
Choice C rationale
Stage 3 is defined by full-thickness skin loss, where fatty tissue is visible in the wound, and granulation tissue and epibole (rolled wound edges) are often present. This stage indicates a more severe wound than what is described in the scenario.
Choice D rationale
Stage 4 represents full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone. The condition described does not match the severity of a Stage 4 wound.
Correct Answer is C
Explanation
Choice A:
While marijuana use can have various health effects, it is not typically associated with a reduction in functional hemoglobin.
Choice B:
A diet high in fats can lead to various health problems, such as heart disease and obesity, but it is not directly linked to a reduction in functional hemoglobin.
Choice C:
Smoking cigarettes can indeed lead to a reduction in functional hemoglobin. Smokers have higher blood hemoglobin concentrations than non-smokers. This is because smoking causes the body to increase red blood cell production to compensate for lower oxygen supply.
Choice D:
While excessive alcohol consumption can have numerous negative health effects, it is not typically associated with a reduction in functional hemoglobin.
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