The nurse on the unit is going to perform wound care for her patient.
After removing the soiled dressing, the following wound is noted to have full-thickness skin and tissue loss with exposed palpable fascia.
stage 3.
stage 2.
stage 4.
stage 1.
The Correct Answer is C
Choice A rationale:
Stage 3 pressure injuries involve full-thickness skin loss, but not exposure of fascia.
Choice B rationale:
Stage 2 pressure injuries involve partial-thickness loss of skin with exposed dermis.
Choice C rationale:
Stage 4 pressure injuries involve full-thickness skin and tissue loss with exposed or directly palpable fascia.
Choice D rationale:
Stage 1 pressure injuries involve non-blanchable erythema of intact skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
E.
Choice A rationale:
Proper nutrition with adequate protein and vitamin C is essential for wound healing as these nutrients are needed for collagen synthesis.
Choice B rationale:
Resting as much as possible and keeping the incisional area still may not necessarily aid in healing. Movement can actually promote circulation and healing.
Choice C rationale:
Increasing fluid intake to at least 4000 mL per day can help keep the body hydrated, which is beneficial for wound healing.
Choice D rationale:
Keeping skin and surrounding tissue clean and dry can help prevent infection, which can delay wound healing.
Choice E rationale:
Exercise and deep breathing can increase oxygenation, which is beneficial for wound healing.
Correct Answer is A
Explanation
Choice A rationale:
Dakin solution is used for chemical debridement of a wound.
Choice B rationale:
Primary intention is a method of wound healing, not a result of Dakin solution.
Choice C rationale:
While Dakin solution can aid in wound healing, it does not directly cause healing.
Choice D rationale:
Phagocytosis is a process carried out by certain cells in the body, not a result of Dakin solution.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.