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The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.
You would document this wound as:

stage 1.

unstageable.

deep tissue injury.

stage 2.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A stage 1 pressure injury is characterized by intact skin with non-blanchable redness of a localized area.

Choice B rationale:

Unstageable pressure injuries are those where the base of the wound is covered by slough (yellow, tan, gray, green, or brown) and/or eschar (tan, brown, or black) in the wound bed.

Choice C rationale:

Deep tissue injuries are characterized by a purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear.

Choice D rationale:

A stage 2 pressure injury involves partial-thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed, without slough.

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Correct Answer is B

Explanation

Choice A rationale:

Third intention healing, also known as delayed primary closure, is used when wound closure is delayed due to infection risk.

Choice B rationale:

First intention healing occurs when the wound edges are approximated, such as with sutures.

Choice C rationale:

Second intention healing occurs when the wound edges cannot be approximated and the wound heals from the bottom up.

Choice D rationale:

Fourth intention healing is not a recognized term in wound healing.

A. Wet-to-dry dressings. B. Negative pressure treatment. C. NPWT therapy. D. Hydrocolloid dressings. E. Promoting protein in the diet.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale:

Wet-to-dry dressings are not typically used for chronic wounds as they can cause tissue damage.

Choice B rationale:

Negative pressure treatment can promote healing by removing excess fluid and promoting blood flow to the wound.

Choice C rationale:

NPWT therapy, or Negative Pressure Wound Therapy, can help heal chronic wounds by removing excess fluid and promoting blood flow.

Choice D rationale:

Hydrocolloid dressings maintain a moist wound environment, which can promote healing.

Choice E rationale:

Protein is essential for wound healing as it is needed for the growth and repair of tissues.

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The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.You would document this wound as:

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Naxlex Comprehensive Predictor Exams

The nurse is taking care of a postsurgical patient and notes the incision is clean and dry, with sutures intact.The nurse further assesses that the wound is healing by:

Correct Answer is B

Explanation

Chronic wounds that are not healing well may benefit from (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

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The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.
You would document this wound as: