A nurse is collecting data on a client who has impaired mobility.
The nurse should monitor the client for a pressure injury due to which of the following factors?
Decreased serum calcium.
Decreased circulation.
Increased collagen.
Increased muscle mass.
The Correct Answer is B
Choice A rationale:
Decreased serum calcium does not directly contribute to pressure injury development.
Choice B rationale:
Decreased circulation can lead to tissue ischemia and necrosis, increasing the risk of pressure injury.
Choice C rationale:
Increased collagen is beneficial for wound healing and does not increase the risk of pressure injury.
Choice D rationale:
Increased muscle mass can actually provide more padding over bony prominences, reducing the risk of pressure injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Superficial wounds heal faster when kept moist.
Choice B rationale:
Wet-to-dry dressings are not typically used for superficial wounds as they can cause trauma to the wound bed during removal.
Choice C rationale:
Occlusion can help maintain a moist environment, but it’s not the only factor in wound healing.
Choice D rationale:
Debridement is the removal of dead or infected tissue from a wound, which can promote healing, but it’s not the only factor.
Correct Answer is A
Explanation
Choice A rationale:
Tertiary intention, also known as delayed primary closure or secondary suture, is a type of wound healing where the wound is initially left open and closed after several days.
Choice B rationale:
The remodeling phase is not a type of wound healing, but a stage of wound healing where the wound fully closes and the new tissue slowly gains strength and flexibility.
Choice C rationale:
Primary intention is a type of wound healing where the wound edges are approximated (brought together) and the wound heals by the process of epithelialization.
Choice D rationale:
Secondary intention is a type of wound healing where the wound is left open and heals by granulation, contraction, and epithelialization.
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