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 B
Explanation
Choice A rationale:
Abdominal pads are not designed to minimize pain during dressing changes.
Choice B rationale:
Hydrogel dressings are known to minimize pain during dressing changes.
Choice C rationale:
Wet-to-dry dressings can cause discomfort during dressing changes.
Choice D rationale:
Dry gauze can stick to the wound bed and cause pain during dressing changes.
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