Clinical Presentation of Wounds and Pressure Ulcers

A nurse is caring for a client who has been bedridden for an extended period. The client has developed a pressure ulcer on their sacrum.

Which of the following statements best describes the pathophysiology of pressure ulcers?

A client with diabetes is receiving care from a nurse. The client is at risk of developing pressure ulcers due to their medical condition.

What statement accurately identifies a risk factor for pressure ulcers in this client?

A nurse is providing education to a group of caregivers about preventing pressure ulcers in bedridden patients.

Which interventions should the caregivers implement? (Select three).

A nurse is assessing a client who has developed a wound on their lower leg. The client has a history of vascular disease.

Which of the following factors is most likely contributing to the client's impaired wound healing process?

A client has been immobile for an extended period due to a spinal cord injury. The nurse is assessing the client for the risk of developing pressure ulcers.

Which statement regarding the client's immobility and pressure ulcer risk is accurate?

A nurse is caring for a patient with a pressure ulcer that presents as non-blanchable erythema with intact skin.

What clinical manifestation is the nurse likely to observe in this patient?

A client with a pressure ulcer reports partial-thickness skin loss involving the epidermis and/or dermis.

Which symptom should the nurse expect to find during the assessment?

A nurse is assessing a patient with a pressure ulcer. Select all the appropriate actions the nurse should take during the assessment.

A client with a severe pressure ulcer is being considered for surgical intervention. What should the nurse educate the client about regarding this potential treatment?

A nurse is selecting a dressing for a patient's pressure ulcer based on wound characteristics. What factors should the nurse consider when making this decision?

A nurse is caring for a patient with a stage 3 pressure ulcer. What nursing intervention should the nurse prioritize based on the information provided in the text?

A client presents with a pressure ulcer and signs of infection. Which nursing action aligns with the information in the text?

A nurse is assessing a patient at risk for pressure ulcers. Which interventions are appropriate for preventing pressure ulcers based on the information in the text?(Select all that apply)

A client has developed cellulitis as a complication of a pressure ulcer. What action should the nurse prioritize according to the information provided in the text?

A nurse is caring for a patient with an unstageable pressure ulcer. What is an appropriate nursing intervention based on the information in the text?