A patient has a pooling of blood under unbroken skin of the hip after a fall.
The nurse should document that this patient has a(n):
abrasion.
avulsion.
hematoma.
laceration.
The Correct Answer is C
Choice A rationale:
An abrasion is a superficial injury to the skin caused by scraping or rubbing, which does not match the description of a pooling of blood under unbroken skin.
Choice B rationale:
An avulsion is a wound where a chunk of tissue is torn away, which does not match the description of a pooling of blood under unbroken skin.
Choice C rationale:
A hematoma is a pooling of blood outside of blood vessels, typically caused by trauma. It matches the description of a pooling of blood under unbroken skin.
Choice D rationale:
A laceration is a deep cut or tear in the skin, which does not match the description of a pooling of blood under unbroken skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
E.
Choice A rationale:
Increased immunity is not a characteristic of aging. In fact, immunity decreases with age, which can slow healing.
Choice B rationale:
Atherosclerosis, or hardening of the arteries, can reduce blood flow to tissues and slow healing.
Choice C rationale:
Metabolism slows with age, which can delay the body’s ability to repair and regenerate tissues.
Choice D rationale:
Excessive production of blood factors is not a characteristic of aging. Blood factors are typically produced in response to injury or illness.
Choice E rationale:
Diminished lung function can reduce oxygen supply to tissues, slowing healing.
Correct Answer is ["B","C","D","E"]
Explanation
E.
Choice A rationale:
A BMI of 20 is within the normal range (18.5-24.9), so it does not increase the risk of a pressure injury.
Choice B rationale:
Peripheral neuropathy can lead to a loss of sensation, which increases the risk of a pressure injury as the individual may not feel discomfort or recognize the need to reposition.
Choice C rationale:
Immobility is a major risk factor for pressure injuries as it increases pressure on certain areas of the body, reducing blood flow and leading to tissue damage.
Choice D rationale:
Hypoperfusion, or reduced blood flow, can lead to tissue hypoxia and increase the risk of pressure injuries.
Choice E rationale:
A prealbumin level of 16 mg/dL is at the lower end of the normal range (15-36 mg/dL)2. Low prealbumin levels can indicate poor nutritional status, which is a risk factor for pressure injuries.
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