When doing the client's skin assessment, the nurse notes a 3 cm area of partial thickness skin loss that looks like a blister on the client's sacral area. The nurse consults the wound care nurse, who stages the wound as a
The Correct Answer is {"dropdown-group-1":"B"}
Choice A rationale: Stage I pressure ulcers involve intact skin with non-blanchable redness, and there is no mention of intact skin in the scenario.
Choice B rationale: Stage II pressure ulcers involve partial thickness skin loss, typically presenting as an abrasion, blister, or shallow crater, which aligns with the description provided.
Choice C rationale: Stage III pressure ulcers involve full-thickness skin loss with damage to or necrosis of subcutaneous tissue but do not match the described scenario.
Choice D rationale: Stage IV pressure ulcers involve full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures, which does not align with the description of partial thickness skin loss in the scenario.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: S/P (status post) is not the correct abbreviation for the administration route of a glycerin suppository.
Choice B rationale: RS is not the correct abbreviation for the administration route of a glycerin suppository.
Choice C rationale: R is not the correct abbreviation for the administration route of a glycerin suppository.
Choice D rationale: PR (per rectum) is the correct abbreviation for the administration route of a glycerin suppository.
Correct Answer is D
Explanation
Choice A rationale: "Macro" refers to large or long.
Choice B rationale: "Oligo" refers to few or deficient.
Choice C rationale: "Mono" refers to one or single.
Choice D rationale: "Pan" refers to all or every part, indicating a comprehensive set of cultures.
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