HESI RN Foundation of Nursing ( 60 Questions)
Patient Data
Review was done of H and P, nurses' notes, and orders.
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Actions to Take
Discontinue the continuous positive airway pressure (PAP) immediately
Place a hydrocolloid dressing over the area
Request a prescription for antibiotic ointment from the physician
Position the client on the left side only
Potential Conditions
Unstageable pressure injury
Stage 1 pressure injury
Stage 2 pressure injury
Stage 3 pressure injury
Parameters to Monitor
Nutritional intake
Temperature
Skin integrity
Deep tendon reflexes
Practice Test
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