Tissue Integrity Quiz

Froggy Jumps

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Assess tissue health basics.

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Rukia Khamis

Estados Unidos

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Tissue Integrity Quiz

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Tissue Integrity Quiz


Froggy Jumps Tissue Integrity QuizVersión en línea Assess tissue health basics. por Rukia Khamis 1 A nurse assesses a clent's sacral wound and notes intact skin that is darker than surrounding tissue, non-blanchable, and warm to touch. How should the nurse document this finding? a Stage 1 pressure injury b Stage 2 pressure injury c Stage 3 pressure injury 2 A client with a Stage 3 pressure injury has temperature 101.5°F (38.6°C), WBC 12,000/dL, and reports feeling weak. What should the nurse evaluate as the PRIORITY concern? a Normal postoperative healing response b Wound infection requiring immediate intervention c Expected inflammatory response 3 An abdominal wound was left open for drainage and is now developing granulation tissue. The surgeon plans delayed closure. Which healing intention does this represent? a Primary intention b Secondary intention c Tertiary intention 4 A Stage 4 pressure injury has black eschar covering 60% of the wound bed. What is the nurse's understanding of appropriate treatment? a Debridement b Antibiotics c Nutritional support 5 A nurse cares for an immobile client at high risk for pressure injuries. Which repositioning technique BEST prevents pressure injury development? a Reposition every 4 hours b Reposition a least every 2 hours c Keep head of bed at 45 degrees 6 A client receiving oxygen via nasal cannula develops redness behind both ears. What should the nurse recognize about this finding? a Normal skin reaction b Allergic reaction c Medical device-related pressure injury 7 A nurse finds a nursing assistant massaging a client's reddened coccyx area. How should the nurse evaluate this action? a Appropriate intervention b Beneficial when combined with moisturizing lotion c Contraindicated intervention 8 A nurse cares for an incontinent client with frequent loose stools. Which intervention describes INCORRECT moisture-related skin management? a Cleanse skin immediately after each episode b Apply moisture barrier cream c Limit fluid intake to reduce incontinence 9 Which statement demonstrates the nurse's CORRECT understanding of obesity as a pressure injury risk factor? a Adipose tissue provides extra cushioning that protects bony prominences b Adipose tissue has reduced vascularity. Added weight increases pressure on prominences. c Body mass index does not affect pressure injury development 10 A nurse assesses an 82-year-old client's forearm and notes thin, transparent-appearing skin with visible veins. Which age-related change explains this finding? a Dermis loses 20% of its mass during aging b Increased subcutaneous fat deposits in extremities c Enhanced collagen synthesis strengthens dermal layer

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Tissue Integrity Quiz

Froggy Jumps

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Tissue Integrity QuizVersión en línea

por Rukia Khamis

A nurse assesses a clent's sacral wound and notes intact skin that is darker than surrounding tissue, non-blanchable, and warm to touch. How should the nurse document this finding?

A client with a Stage 3 pressure injury has temperature 101.5°F (38.6°C), WBC 12,000/dL, and reports feeling weak. What should the nurse evaluate as the PRIORITY concern?

An abdominal wound was left open for drainage and is now developing granulation tissue. The surgeon plans delayed closure. Which healing intention does this represent?

A Stage 4 pressure injury has black eschar covering 60% of the wound bed. What is the nurse's understanding of appropriate treatment?

A nurse cares for an immobile client at high risk for pressure injuries. Which repositioning technique BEST prevents pressure injury development?

A client receiving oxygen via nasal cannula develops redness behind both ears. What should the nurse recognize about this finding?

A nurse finds a nursing assistant massaging a client's reddened coccyx area. How should the nurse evaluate this action?

A nurse cares for an incontinent client with frequent loose stools. Which intervention describes INCORRECT moisture-related skin management?

Which statement demonstrates the nurse's CORRECT understanding of obesity as a pressure injury risk factor?

A nurse assesses an 82-year-old client's forearm and notes thin, transparent-appearing skin with visible veins. Which age-related change explains this finding?