The nurse would ask which health care team member to assist when checking a unit of packed red blood cells before administration?
a) The nursing assistant
b) The physician's assistant
c) The unit secretary
d) Another registered nurse (RN)

The correct answer is: d) Another registered nurse (RN).

Choice A reason: A nursing assistant is not typically qualified to verify and administer blood products. Their role primarily involves providing basic patient care under the supervision of licensed nurses.
Choice B reason: A physician's assistant (P

Choice A reason: Preventing skin maceration is not the primary purpose of the reverse Trendelenburg position. Skin maceration typically occurs due to excessive moisture on the skin, and the bed position does not directly address this issue.

Choice B reason: Reducing restenosis, which is the re-narrowing of a blood vessel after it has been treated, is not directly affected by the patient's bed position. Restenosis is more related to the procedure performed and the patient's overall condition rather than positioning.

Choice C reason: Reducing the risk of infection is also not a direct benefit of the reverse Trendelenburg position. Infection prevention involves maintaining sterile techniques, proper wound care, and monitoring for signs of infection.

Choice D reason: Increasing perfusion to the legs is the correct rationale for placing the bed in the reverse Trendelenburg position for a patient with critical limb ischemia. This position helps to improve blood flow to the lower extremities by utilizing gravity to aid in circulation, thus enhancing oxygen and nutrient delivery to the affected tissues.

Choice A reason: Stage 2 pressure injuries involve partial-thickness loss of skin with exposed dermis. The wound bed is viable, pink or red, and moist, and may also present as an intact or ruptured serum-filled blister. Since the wound involves subcutaneous tissue, it exceeds the criteria for Stage 2.

Choice B reason: Stage 1 pressure injuries are characterized by non-blanchable erythema of intact skin. While the skin is still intact, it may appear red and not lighten when pressed. Given the description of a wound involving subcutaneous tissue, Stage 1 is not appropriate.

Choice C reason: Stage 3 pressure injuries involve full-thickness loss of skin, where adipose (fat) is visible in the ulcer and granulation tissue and epibole (rolled wound edges) are often present. Slough and/or eschar may be visible, but the depth of tissue damage varies by anatomical location. This aligns with the wound involving subcutaneous tissue.

Choice D reason: Stage 4 pressure injuries involve full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone. While the wound described involves subcutaneous tissue, there is no mention of deeper tissue involvement, excluding Stage 4 classification.